Evidence map›Paper›PMID 37989376›Full record

ArticleBMJ open2023

Perceived value and benefits of the Community Paramedicine at Clinic (CP@clinic) programme: a descriptive qualitative study.

Francine Marzanek, Kalpana Nair, Andrea Ziesmann, Aarani Paramalingam, Melissa Pirrie, Ricardo Angeles, Gina Agarwal

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02152891 (A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT02152891 nacompletednot on this map

A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/Renamed to CP@Clinic)

TypeinterventionalSponsorMcMaster UniversityRan2015 to 2018Enrolled1,200ConditionsCardiovascular Diseases, Diabetes MellitusArmsCHAP-EMS/CP@clinic
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 6 citations in OpenAlex.

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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 1 institution in 1 country.

Francine MarzanekDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Kalpana NairDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Andrea ZiesmannDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Aarani ParamalingamDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Melissa PirrieDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-1407-4775
Ricardo AngelesDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Gina AgarwalDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada gina.agarwal@gmail.com.ORCID 0000-0002-5691-4675
McMaster University · CA

Funding

CIHR 133563
6 · The paper itself

Abstract

objectivesCommunity Paramedicine (CP) is increasingly being used to provide chronic disease management for vulnerable populations in the community. CP@clinic took place in social housing buildings to support cardiovascular health and diabetes management for older adults. The purpose of this study was to examine participant perceptions of their experience with CP@clinic as well as potential ongoing programme benefits.

designThis descriptive qualitative study used focus groups to understand resident experiences of the CP@clinic programme. Groups were facilitated by experienced moderators using a semistructured guide. An inductive coding approach was used with at least two researchers taking part in each step of the analysis process.

settingCommunity-based social housing buildings in Ontario, Canada.

participantsForty-one participants from four CP@clinic sites took part in a focus group. Convenience sampling was used with anyone having taken part in a CP@clinic session being eligible to attend the focus group.

resultsAnalysis yielded six themes across two broad areas: timely access to health information and services, support to achieve personal health goals, better understanding of healthcare system (Personal Benefits); and sense of community, comfortable and familiar place to talk about health, facilitated communication between healthcare professionals (Programme Structure). Participants experienced discernible health changes that motivated their participation. CP@clinic was viewed as a programme that created connections within the building and outside of it. Participants were enthusiastic for the continuation of the programme and appreciated the consistent support to meet their health goals.

conclusionsCP@clinic was successful in creating a supportive and friendly environment to facilitate health behavioural changes. Ongoing implementation of CP@clinic would allow residents to continue to build their chronic disease management knowledge and skills. TRIAL REGISTRATION NUMBER: Trial registration number: NCT02152891, Clinicaltrials.gov.

Indexed as

Health PersonnelParamedicineAgedAmbulatory Care FacilitiesHumansOntarioQualitative Researchhealth services accessibilityhealth services for the agedpreventive medicinepublic healthqualitative research

Identifiers

PMID37989376
PMCPMC10668171
OpenAlexW4388871249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.