Evidence map›Paper›PMID 37844273›Full record

ArticleTranslational behavioral medicine2023

Using the matrixed multiple case study methodology to understand site differences in the outcomes of a Hybrid Type 1 trial of a peer-led healthy lifestyle intervention for people with serious mental illness.

Daniela Tuda, Lauren Bochicchio, Ana Stefancic, Mark Hawes, Jun-Hong Chen, Byron J Powell, Leopoldo J Cabassa

Open access · hybridAbstract read
In one paragraph

Article in Translational behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Daniela TudaGeorge Warren Brown School of Social Work, Washington University in St. Louis Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA.ORCID 0000-0002-5834-0329
Lauren BochicchioSchool of Nursing, Columbia University, 560 West 168th Street, New York, NY 10032, USA.ORCID 0000-0002-0248-7532
Ana StefancicDepartment of Psychiatry, College of Physicians and Surgeons, Columbia University, 1051 Riverside Drive, Unit 98, New York, NY 10032, USA.ORCID 0000-0002-1573-1565
Mark HawesGeorge Warren Brown School of Social Work, Washington University in St. Louis Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA.ORCID 0000-0001-5655-0675
Jun-Hong ChenGeorge Warren Brown School of Social Work, Washington University in St. Louis Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA.ORCID 0000-0002-5346-2511
Byron J PowellGeorge Warren Brown School of Social Work, Washington University in St. Louis Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA.ORCID 0000-0001-5245-1186
Leopoldo J CabassaGeorge Warren Brown School of Social Work, Washington University in St. Louis Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA.ORCID 0000-0002-1872-4141
Washington University in St. Louis · USColumbia University · USNew York State Psychiatric Institute

Funding

GWB MENTAL HEALTH SERVICE RESEARCH TRAININGT32MH019960 · NIMH · WASHINGTON UNIVERSITY · PI Leopoldo J Cabassa, Byron James Powell · 1995 to 2026
$11.1M
Peer-Led Healthy Lifestyle Program in Supportive HousingR01MH104574 · NIMH · WASHINGTON UNIVERSITY · PI CABASSA, LEOPOLDO J · 2014 to 2018
$3.2M
NIMH NIH HHS R01 MH104574NIMH NIH HHS R01MH104574NIMH NIH HHS T32 MH019960
6 · The paper itself

Abstract

Site differences in implementation trial outcomes are common but often not examined. In a Hybrid Type 1 trial examining the effectiveness-implementation of a peer-led group life-style balance (PGLB) intervention for people with serious mental illness (SMI) in three supportive housing agencies, we found that PGLB recipients' physical health outcomes differed by study sites. The matrixed multiple case study methodology was used to explore how implementation outcomes and changes in context of usual care (UC) services contributed to these site differences. Two implementation outcomes (i.e. PGLB fidelity ratings and intervention recipients' acceptability of PGLB and UC) and changes in healthcare services integration at the study sites were examined. ANOVAs were used to examine site differences in fidelity ratings and client satisfaction. Directed content analysis was used to analyze leadership interviews to identify changes in the context of UC services. Site 3 showed a trend approaching significance (P = .05) towards higher fidelity ratings. High levels of satisfaction with PGLB were reported at all sites. Significant differences in PGLB recipients' satisfaction with UC were found, with Site 3 reporting the lowest levels of satisfaction. Agency leaders reported an increase in prioritizing client's health throughout the trial with sites differing in how these priorities were put into action. Differences in PGLB recipients' satisfaction with UC, and changes in healthcare service integration seemed to have contributed to the site differences in our trial. The matrixed multiple case study methodology is a useful approach to identify implementation outcomes contributing to the heterogeneity of multisite implementation trial results.

Indexed as

Mental DisordersHealthy LifestyleHumansLife Stylehealthy lifestyle interventionsimplementationmixed methodsserious mental illnesssupportive housing

Identifiers

PMID37844273
PMCPMC10724107
OpenAlexW4387662984

What OpenQuestion holds

Textmetadata
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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.