Evidence map›Paper›PMID 38183154›Full record

ArticleImplementation science communications2024

Use of implementation mapping in the planning of a hybrid type 1 pragmatic clinical trial: the BeatPain Utah study.

Julie M Fritz, Bryan Gibson, David W Wetter, Guilherme Del Fiol, Victor Solis, Isaac Ford, Kelly Lundberg, Anne Thackeray

Registry-linked trialAbstract read
In one paragraph

Article in Implementation science communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04923334 (Nonpharmacologic Pain Management in FQHC Primary Care Clinics), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04923334 phase3active not recruitingnot on this map

Nonpharmacologic Pain Management in FQHC Primary Care Clinics

TypeinterventionalSponsorUniversity of UtahRan2021 to 2026Enrolled500ConditionsLow Back Pain, Chronic PainArmsBrief Pain Teleconsult, Telehealth Physical Therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Julie M FritzDepartment of Physical Therapy & Athletic Training, University of Utah, 383 Colorow Dr., Room 391, Salt Lake City, UT, 84108, USA. Julie.Fritz@utah.edu.ORCID http://orcid.org/0000-0002-3599-1057
Bryan GibsonDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
David W WetterDepartment of Population Health Sciences, Center for Health Outcomes and Population Equity, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Victor SolisDepartment of Physical Therapy & Athletic Training, University of Utah, 383 Colorow Dr., Room 391, Salt Lake City, UT, 84108, USA.
Isaac FordDepartment of Physical Therapy & Athletic Training, University of Utah, 383 Colorow Dr., Room 391, Salt Lake City, UT, 84108, USA.
Kelly LundbergDepartment of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Anne ThackerayDepartment of Physical Therapy & Athletic Training, University of Utah, 383 Colorow Dr., Room 391, Salt Lake City, UT, 84108, USA.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
HEAL Collaboratory Resource Coordinating Center (PRISM) (U24): Bioethics SupplementU24AT010961 · NCCIH · DUKE UNIVERSITY · PI CURTIS, LESLEY H, HERNANDEZ, ADRIAN · 2019 to 2021
$6.4M
Nonpharmacologic Pain Management in FQHC primary care clinicsUH3NR019943 · NINR · UNIVERSITY OF UTAH · PI FRITZ, JULIE M · 2021 to 2024
$4.9M
Nonpharmacologic Pain Management in FQHC primary care clinicsUG3NR019943 · NINR · UNIVERSITY OF UTAH · PI FRITZ, JULIE M · 2020 to 2020
$777k
NCATS NIH HHS UL1 TR002538NCATS NIH HHS UL1TR002538NCATS NIH HHS UM1 TR004409NCCIH NIH HHS U24 AT009676NCCIH NIH HHS U24 AT010961NINR NIH HHS UG3 NR019943NINR NIH HHS UG3NR019943NINR NIH HHS UH3 NR019943
6 · The paper itself

Abstract

backgroundConsiderable disparities in chronic pain management have been identified. Persons in rural, lower income, and minoritized communities are less likely to receive evidence-based, nonpharmacologic care. Telehealth delivery of nonpharmacologic, evidence-based interventions for persons with chronic pain is a promising strategy to lessen disparities, but implementation comes with many challenges. The BeatPain Utah study is a hybrid type 1 effectiveness-implementation pragmatic clinical trial investigating telehealth strategies to provide nonpharmacologic care from physical therapists to persons with chronic back pain receiving care in ommunity health centers (CHCs). CHCs provide primary care to all persons regardless of ability to pay. This paper outlines the use of implementation mapping to develop a multifaceted implementation plan for the BeatPain study.

methodsDuring a planning year for the BeatPain trial, we developed a comprehensive logic model including the five-step implementation mapping process informed by additional frameworks and theories. The five iterative implementation mapping steps were addressed in the planning year: (1) conduct needs assessments for involved groups; (2) identify implementation outcomes, performance objectives, and determinants; (3) select implementation strategies; (4) produce implementation protocols and materials; and (5) evaluate implementation outcomes.

resultsCHC leadership/providers, patients, and physical therapists were identified as involved groups. Barriers and assets were identified across groups which informed identification of performance objectives necessary to implement two key processes: (1) electronic referral of patients with back pain in CHC clinics to the BeatPain team and (2) connecting patients with physical therapists providing telehealth. Determinants of the performance objectives for each group informed our choice of implementation strategies which focused on training, education, clinician support, and tailoring physical therapy interventions for telehealth delivery and cultural competency. We selected implementation outcomes for the BeatPain trial to evaluate the success of our implementation strategies.

conclusionsImplementation mapping provided a comprehensive and systematic approach to develop an implementation plan during the planning phase for our ongoing hybrid effectiveness-implementation trial. We will be able to evaluate the implementation strategies used in the BeatPain Utah study to inform future efforts to implement telehealth delivery of evidence-based pain care in CHCs and other settings.

trial registrationClinicalTrials.gov Identifier: NCT04923334 . Registered June 11, 2021.

Identifiers

PMID38183154
PMCPMC10768478

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.