Evidence map›Paper›PMID 37759200›Full record

ArticleBMC palliative care2023

Implementing palliative care education into primary care practice: a qualitative case study of the CAPACITI pilot program.

Midori Matthew, Daryl Bainbridge, Valerie Bishop, Christina Sinding, Samantha Winemaker, Frances Kilbertus, Katherine Kortes-Miller, Hsien Seow

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

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
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

8 authors at 4 institutions in 1 country.

Midori MatthewDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Daryl BainbridgeDepartment of Oncology, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0001-9249-8229
Valerie BishopDepartment of Oncology, McMaster University, Hamilton, ON, Canada.
Christina SindingSchool of Social Work, McMaster University, Hamilton, ON, Canada.
Samantha WinemakerDivision of Palliative Care, McMaster University, Hamilton, ON, Canada.
Frances KilbertusNorthern Ontario School of Medicine University, Thunder Bay, ON, Canada.
Katherine Kortes-MillerDepartment of Social Work, Lakehead University, Thunder Bay, ON, Canada.
Hsien SeowDepartment of Oncology, McMaster University, Hamilton, ON, Canada. seowh@mcmaster.ca.ORCID http://orcid.org/0000-0001-6701-1714
McMaster University · CAImpact · CALakehead University · CANOSM University · CA

Funding

CIHR 408099
6 · The paper itself

Abstract

backgroundCAPACITI is a virtual education program that teaches primary care teams how to provide an early palliative approach to care. After piloting its implementation, we conducted an in-depth qualitative study with CAPACITI participants to assess the effectiveness of the components and to understand the challenges and enablers to virtual palliative care education.

methodsWe applied a qualitative case study approach to assess and synthesize three sources of data collected from the teams that participated in CAPACITI: reflection survey data, open text survey data, and focus group transcriptions. We completed a thematic analysis of these responses to gain an understanding of participant experiences with the intervention and its application in practice.

resultsThe CAPACITI program was completed by 22 primary care teams consisting of 159 participants across Ontario, Canada. Qualitative data was obtained from all teams, including 15 teams that participated in focus groups and 21 teams that provided reflection survey data on CAPACITI content and how it translated into practice. Three major themes arose from cross-analysis of the data: changes in practice derived from involvement in CAPACITI, utility of specific elements of the program, and barriers and challenges to enacting CAPACITI in practice. Importantly, participants reported that the multifaceted approach of CAPACITI was helpful to them building their confidence and competence in applying a palliative approach to care.

conclusionsPrimary care teams perceived the CAPACITI facilitated program as effective towards incorporating palliative care into their practices. CAPACITI warrants further study on a national scale using a randomized trial methodology. Future iterations of CAPACITI need to help mitigate barriers identified by respondents, including team fragmentation and system-based challenges to encourage interprofessional collaboration and knowledge translation.

Indexed as

Palliative CarePrimary Health CareHumansOntarioPilot ProjectsQualitative ResearchInterprofessional educationKnowledge translationPalliative carePrimary care

Identifiers

PMID37759200
PMCPMC10537555
OpenAlexW4387114897

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.