Evidence map›Paper›PMID 38032757›Full record

ArticleJMIR research protocols2023

Spontaneous Scaling of a Primary Care Innovation in Real-Life Conditions: Protocol for a Case Study.

France Légaré, Diogo G V Mochcovitch, Roberta de Carvalho Corôa, Amédé Gogovor, Ali Ben Charif, Cynthia Cameron, Annie Plamondon, Marie Cimon, Sabrina Guay-Bélanger, Geneviève Roch and 4 more

Abstract read
In one paragraph

Article in JMIR research protocols, 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
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

France LégaréDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec, QC, Canada.ORCID https://orcid.org/0000-0002-2296-6696
Diogo G V MochcovitchVITAM - Centre de Recherche en Santé Durable, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Quebec, QC, Canada.ORCID https://orcid.org/0000-0002-6032-1389
Roberta de Carvalho CorôaDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec, QC, Canada.ORCID https://orcid.org/0000-0002-4778-1890
Amédé GogovorDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec, QC, Canada.ORCID https://orcid.org/0000-0001-5988-0442
Ali Ben CharifCubecXpert, Quebec, QC, Canada.ORCID https://orcid.org/0000-0003-2893-2910
Cynthia CameronGroupe de Médecine de Famille Universitaire de Lévis, Centre Intégré de Santé et de Services Sociaux de Chaudière-Appalaches, Lévis, QC, Canada.ORCID https://orcid.org/0000-0002-8077-2021
Annie PlamondonFaculty of Social Sciences, Université Laval, Quebec, QC, Canada.ORCID https://orcid.org/0009-0009-4864-3375
Marie CimonVITAM - Centre de Recherche en Santé Durable, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Quebec, QC, Canada.ORCID https://orcid.org/0009-0007-9841-3004
Sabrina Guay-BélangerVITAM - Centre de Recherche en Santé Durable, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Quebec, QC, Canada.ORCID https://orcid.org/0000-0002-2904-9890
Geneviève RochVITAM - Centre de Recherche en Santé Durable, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Quebec, QC, Canada.ORCID https://orcid.org/0000-0003-1695-1401
Maxine Dumas PilonIndigo Clinic, Montreal, QC, Canada.ORCID https://orcid.org/0000-0003-2089-7110
Jean-Sébastien PaquetteDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec, QC, Canada.ORCID https://orcid.org/0000-0002-9524-6761
Robert K D McLeanInternational Development Research Centre, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0001-8084-4817
Andrew MilatSchool of Public Health, University of Sydney, Camperdown, New South Wales, Australia.ORCID https://orcid.org/0000-0003-3126-3463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScaling effective primary care innovations to benefit more people is of interest to decision makers. However, we know little about how promising innovations are being scaled "spontaneously," that is, without deliberate guidance.

objectiveWe aim to observe, document, and analyze how, in real-life conditions, 1 primary care innovation spontaneously scales up across Quebec, Canada.

methodsWe will conduct a participative study using a descriptive single-case study. It will be guided by the McLean and Gargani principles for scaling and reported according to the COREQ (Consolidated Criteria for Reporting Qualitative Research) guidelines. Informed by an integrated knowledge translation approach, our steering committee will include patient users throughout the project. Inspired by the Quebec College of Family Physician's "Dragons' Den" primary care program, we will identify a promising primary care innovation that is being or will be scaled spontaneously. We will interview the innovation team about their scaling experiences every month for 1 year. We will conduct interviews and focus groups with decision makers, health care providers, and end users in the innovation team and the target site about their experience of both scaling and receiving the scaled innovation and document meetings as nonparticipant observers. Interview transcripts and documentary data will be analyzed to (1) compare the spontaneous scaling plan and implementation with the McLean and Gargani principles for scaling and (2) determine how it was consistent with or diverged from the 4 McLean and Gargani guiding principles: justification, optimal scale, coordination, and dynamic evaluation.

resultsThis study was funded in March 2020 by the Canadian Institutes of Health Research. Recruitment began in November 2023 and data collection began in December 2023. Results are expected to be published in the first quarter of 2024.

conclusionsOur study will advance the science of scaling by providing practical evidence-based material about scaling health and social care innovations in real-world settings using the 4 guiding principles of McLean and Gargani. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/54855.

Indexed as

implementation scienceknowledge translationprimary carescalingscaling sciencespontaneousspread

Identifiers

PMID38032757
PMCPMC10784976

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.