Evidence map›Paper›PMID 37125222›Full record

ArticleFrontiers in health services2023

Applying an equity lens to assess context and implementation in public health and health services research and practice using the PRISM framework.

Meredith P Fort, Spero M Manson, Russell E Glasgow

Abstract read
In one paragraph

Article in Frontiers in health services, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Centering Community in Evidence-Based Prevention: Enhancing Evidence Criteria and Processes Across a State-Level Prevention System.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  5. Use of Implementation Mapping to Develop a Promotora Empowerment Training for a Faith-Based Physical Activity Program for Latinas.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  6. Review
  7. Article
  8. Implementation Fidelity of the Transitional Care Model: A Mixed Methods Study.Global implementation research and applications · 2026
    Article
  9. Article
  10. Article
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  12. Article
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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

3 authors.

Meredith P FortCenters for American Indian and Alaska Native Health, Colorado School of Public Health, Anschutz Medical Campus, Aurora, CO, United States.
Spero M MansonCenters for American Indian and Alaska Native Health, Colorado School of Public Health, Anschutz Medical Campus, Aurora, CO, United States.
Russell E GlasgowAdult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine, Anschutz Medical Campus, and Eastern Colorado Veterans Administration, Aurora, CO, United States.

Funding

TRANSLATIONAL RESEARCH COREP30DK092923 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Angela Gwen Brega · 2011 to 2026
$10.2M
Longitudinal Study of MRI, Clinical, and Genetic Biomarkers of Cognitive Impairment and Alzheimer's Disease in Elderly American IndiansU54MD000507 · NIMHD · UNIVERSITY OF COLORADO DENVER · PI BUCHWALD, DEDRA S, MANSON, SPERO MARTIN · 2017 to 2021
$6.5M
Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary CareP50CA244688 · NCI · UNIVERSITY OF COLORADO DENVER · PI GLASGOW, RUSSELL E · 2019 to 2023
$4.9M
IMPlementation to Achieve Clinical Transformation (IMPACT): The Colorado Training ProgramK12HL137862 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI GLASGOW, RUSSELL E, HAVRANEK, EDWARD PAUL · 2017 to 2021
$2.9M
Mentored Education for Dissemination and Implementation Science (MEDIS) ProgramR25DK123008 · NIDDK · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C, HAIRE-JOSHU, DEBRA · 2020 to 2024
$1.1M
NCI NIH HHS P50 CA244688NHLBI NIH HHS K12 HL137862NIDDK NIH HHS P30 DK092923NIDDK NIH HHS R25 DK123008NIMHD NIH HHS U54 MD000507
6 · The paper itself

Abstract

Dissemination and implementation science seeks to enhance the uptake, successful implementation, and sustainment of evidence-based programs and policies. While a focus on health equity is implicit in many efforts to increase access to and coverage of evidence-based programs and policies, most implementation frameworks and models do not explicitly address it. Disparities may in fact be increased by emphasizing high intensity interventions or ease of delivery over meeting need within the population, addressing deep-rooted structural inequities, and adapting to local context and priorities. PRISM (Practical, Robust Implementation and Sustainability Model), the contextual expansion of the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework has several elements that address health equity, but these have not been explicated, integrated, or illustrated in one place. We present guidance for applying PRISM with an equity lens across its four context domains (external environment; multi-level perspectives on the intervention; characteristics of implementers and intended audience; and the implementation and sustainability infrastructure-as well as the five RE-AIM outcome dimensions. We then present an example with health equity considerations and discuss issues of representation and participation, representativeness and the importance of ongoing, iterative assessment of dynamic context and structural drivers of inequity. We also elaborate on the importance of a continuous process that requires addressing community priorities and responding to capacity and infrastructure needs and changes. We conclude with research and practice recommendations for applying PRISM with an increased emphasis on equity.

Indexed as

contexthealth equityimplementationpracticePRISMreachre-aimrepresentation

Identifiers

PMID37125222
PMCPMC10137153

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.