ArticleFrontiers in health services2022
Understanding the Role of Clinical Champions and Their Impact on Clinician Behavior Change: The Need for Causal Pathway Mechanisms.
Article in Frontiers in health services, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- When Tech Meets Touch: Multistakeholder Perspectives and Implementation Strategies for eHealth in Chronic Kidney Disease: A Systematic Review Using Computational Linguistics.Journal of nursing management · 2026Pooled it
- Training and education provided to local change champions within implementation trials: a rapid systematic review.Implementation science : IS · 2025Pooled it
- Champion-Led Deprescribing for Persons with Dementia in Primary Care: A Qualitative Study in Accountable Care Organizations.Journal of general internal medicine · 2026Trial
- Applying behavior change theory to intervention design: promoting clinic-level implementation of self-measured blood pressure monitoring in safety net primary care settings.Translational behavioral medicine · 2026Trial
- Trial
- Attributes of higher- and lower-performing hospitals in the Consult for Addiction Treatment and Care in Hospitals (CATCH) program implementation: A multiple-case study.Journal of substance use and addiction treatment · 2025Trial
- Factors influencing fidelity to guideline implementation strategies for improving pain care at cancer centres: a qualitative sub-study of the Stop Cancer PAIN Trial.BMC health services research · 2024Trial
- Two implementation strategies to support the integration of depression screening and treatment into hypertension and diabetes care in Malawi (SHARP): parallel, cluster-randomised, controlled, implementation trial.The Lancet. Global health · 2024Trial
- Implementation of Direct-to-Patient Mobile Teledermatology in VA.Journal of general internal medicine · 2024Trial
- The intent is good but… exploring barriers and enablers to clinical pathway use in regional Australian Emergency Departments.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Improving Clinician-Patient Communication in Aboriginal Health Care: Barriers and Enablers to Implementing Culturally Informed Communication Training (Clinical Yarning).The Australian journal of rural health · 2026Article
- Enhancing Recruitment in Urinary Incontinence Care: Insights from the EvidenceNOW Managing Urinary Incontinence Initiative.International urogynecology journal · 2026Article
- Exploring facilitators and barriers to the implementation of prehabilitation for individuals with pancreatic cancer: a survey of healthcare professionals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Real-World Barriers to and Facilitators of Implementing AI-Based Clinical Decision Support Systems: Scoping Review.JMIR medical informatics · 2026Article
- How Formal and Informal Nurse Leaders Enact Shared Implementation Leadership in a Hospital Setting.Journal of advanced nursing · 2026Article
- Scaling the collaborative care model in obstetrics: Multilevel determinants to guide implementation.Pregnancy (Hoboken, N.J.) · 2026Article
- The Framework of Policy Transition in TBI: From GCS to CBI-M.Neurocritical care · 2026Article
- Patient-, Clinician-, and Institution-level Variation in Intraoperative Antihypertensive Use: A Multicenter Observational Analysis.Journal of cardiothoracic and vascular anesthesia · 2026Observational
- Barriers and Facilitators to ICU Liberation Bundle Implementation and Compliance.Critical care explorations · 2026Article
- Assessing Unmet Social Needs in Multiple Sclerosis Care in Australia: A Qualitative Assessment of Feasibility, Barriers and Enablers.Health expectations : an international journal of public participation in health care and health policy · 2026Article
12 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The clinical champion approach is a highly utilized implementation strategy used to mitigate barriers and improve outcomes of implementation efforts. Clinical champions are particularly effective at addressing provider-level barriers and promoting provider-behavior change. Yet, the specific causal pathways that explain how clinical champions impact provider behavior change have not been well-explicated. The current paper applies behavior change models to develop potential causal pathway mechanisms. Methods: The proposed mechanisms are informed by previous literature involving clinical champions and empirically supported behavior change models. These models are applied to link specific attributes to different stages of behavior change and barriers for providers. Results: Two unique pathway mechanisms were developed, one that explicates how providers develop intention to use EBPs, while the other explicates how providers transition to EBP use and sustainment. Clinical champions may promote Conclusion: Clinical champions likely play a critical role in reducing provider implementation barriers for providers across various phases of behavior change. The proposed pathways provide potential explanations for how clinical champions promote provider behavior change. Future research should prioritize empirically testing causal pathway mechanisms.
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Registered trials
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.