Evidence map›Paper›PMID 36348571›Full record

ArticleJournal of primary care & community health

Feasibility of Patient Navigation for Care Planning in Primary Care.

Jennifer L Gilbert Hinesley, Edward Marshall Brooks, Kristen O'Loughlin, Benjamin Webel, Jacqueline Britz, Paulette Lail Kashiri, Jonathan Scheer, Alicia Richards, Martin Lavallee, Roy T Sabo and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Jennifer L Gilbert HinesleyVirginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0003-4369-026X
Edward Marshall BrooksVirginia Commonwealth University, Richmond, VA, USA.
Kristen O'LoughlinVirginia Commonwealth University, Richmond, VA, USA.
Benjamin WebelVirginia Commonwealth University, Richmond, VA, USA.
Jacqueline BritzVirginia Commonwealth University, Richmond, VA, USA.
Paulette Lail KashiriVirginia Commonwealth University, Richmond, VA, USA.
Jonathan ScheerVirginia Commonwealth University, Richmond, VA, USA.
Alicia RichardsVirginia Commonwealth University, Richmond, VA, USA.
Martin LavalleeVirginia Commonwealth University, Richmond, VA, USA.
Roy T SaboVirginia Commonwealth University, Richmond, VA, USA.
Amy G HuebschmannUniversity of Colorado, Aurora, CO, USA.
Alex H KristVirginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0003-4060-9155
Virginia Commonwealth University · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Enhanced Care Planning and Clinical-Community Linkages to Comprehensively Address the Basic Needs of Patients with Multiple Chronic ConditionsR01HS026223 · AHRQ · VIRGINIA COMMONWEALTH UNIVERSITY · PI KRIST, ALEXANDER H · 2019 to 2023
$1.9M
AHRQ HHS R01 HS026223NCATS NIH HHS UL1 TR002649
6 · The paper itself

Abstract

objectivesTo help better control chronic conditions we need to address root causes of poor health like unhealthy behaviors, mental health, and social needs. However, addressing these needs in primary care is difficult. One solution may be connecting patients with a navigator for support creating a personal care goal.

methodsAs part of an RCT to evaluate a feasible approach to care planning, 24 clinicians from 12 practices in the Virginia Ambulatory Care Outcomes Research Network (ACORN) and 87 intervention patients with uncontrolled chronic conditions participated in a care planning intervention. We had a structured process to guide patients, train navigators, and adapt the navigation process to meet the needs of each practice.

resultsOnly 1 practice had bandwidth for staff to serve as a patient navigator, even for extra pay. For the other 11 practices, a research team member needed to provide navigation services. On average, patients wanted 25 weeks of support to complete care plans. The average time patients needed to speak with navigators on the phone was 7 min and 3 s. In exit interviews, patients consistently shared how motivational it was to have a caring person check in on them, offer help, and hold them accountable.

conclusionPatient navigation to address care plans should be feasible. The time commitment is minimal. It does not require intensive training, and primary care is already doing much of this work. Yet, given the burden and competing demands in primary care, this help cannot be offered without additional resources.

Indexed as

Patient NavigationChronic DiseaseFeasibility StudiesHumansMental HealthSelf Carecare planningchronic diseasecommunity engaged researchintervention designpatient navigationprimary care

Identifiers

PMID36348571
PMCPMC9647277
OpenAlexW4308771350

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.