Evidence map›Paper›PMID 38942445›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2024

Implementation Strategies Used by Facilitators to Improve Control of Cardiovascular Risk Factors in Primary Care.

Allison M Cole, Gina A Keppel, Laura-Mae Baldwin, Erika Holden, Michael Parchman

Abstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

5 authors.

Allison M ColeFrom the Institute of Translational Health Sciences (AMC, GAP, L-MB, MP); Department of Family Medicine, University of Washington, Seattle, WA (AMC, GAP, L-MB); Kaiser Permanente Health Research Institute (EH, MP). acole2@uw.edu.
Gina A KeppelFrom the Institute of Translational Health Sciences (AMC, GAP, L-MB, MP); Department of Family Medicine, University of Washington, Seattle, WA (AMC, GAP, L-MB); Kaiser Permanente Health Research Institute (EH, MP).
Laura-Mae BaldwinFrom the Institute of Translational Health Sciences (AMC, GAP, L-MB, MP); Department of Family Medicine, University of Washington, Seattle, WA (AMC, GAP, L-MB); Kaiser Permanente Health Research Institute (EH, MP).
Erika HoldenFrom the Institute of Translational Health Sciences (AMC, GAP, L-MB, MP); Department of Family Medicine, University of Washington, Seattle, WA (AMC, GAP, L-MB); Kaiser Permanente Health Research Institute (EH, MP).
Michael ParchmanFrom the Institute of Translational Health Sciences (AMC, GAP, L-MB, MP); Department of Family Medicine, University of Washington, Seattle, WA (AMC, GAP, L-MB); Kaiser Permanente Health Research Institute (EH, MP).

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
The Northwest Coalition for Primary Care Practice SupportR18HS023908 · AHRQ · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI PARCHMAN, MICHAEL L · 2015 to 2017
$13.3M
AHRQ HHS R18 HS023908NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

backgroundPractice facilitation supports practice change in clinical settings. Despite its widespread use little is known about how facilitators enable change.

objectiveThis study identifies which implementation strategies practice facilitators used and the frequency of their use in a study to improve the quality of cardiovascular care in primary care.

designCross-sectional analysis of data collected by practice facilitators in the Healthy Hearts Northwest (H2N) study.

participantsNotes collected by facilitators in the H2N study. APPROACH: We coded these field notes for a purposeful sample of 44 practices to identify Expert Recommendations for Implementation Change (ERIC) strategies used with each practice and calculated the proportion of practices where each implementation strategy was coded at least once. Strategies were categorized as foundational (used in 80% to 100% of practices), moderately used (20%-<80% of practices), rarely used (1-[Formula: see text]% of practices), or absent (0%). KEY

resultsWe identified 26 strategies used by facilitators. Five strategies were foundational: Develop and/or implement tools for quality monitoring, Assess barriers that may impede implementation, Assess for readiness or progress, Develop and support teams, and Conduct educational meetings.

conclusionsCommonly used strategies can help guide development of the core components of practice facilitation strategies.

Indexed as

Cardiovascular DiseasesHeart Disease Risk FactorsPrimary Health CareCross-Sectional StudiesHumansQuality ImprovementCardiovascular Risk FactorsCross-Sectional StudiesImplementation SciencePrimary Health CareQuality Improvement

Identifiers

PMID38942445
PMCPMC11514367

What OpenQuestion holds

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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.