Evidence map›Paper›PMID 39278768›Full record

ArticleJournal of clinical lipidology

Utilizing innovative implementation strategies for familial hypercholesterolemia: Implementation outcomes from the IMPACT-FH study.

Gemme Campbell-Salome, Kelly M Morgan, Jazmine Gabriel, Mary P McGowan, Nicole L Walters, Andrew Brangan, Eric P Tricou, Alanna K Rahm, Amy C Sturm, Laney K Jones

Abstract read
In one paragraph

Article in Journal of clinical lipidology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

10 authors.

Gemme Campbell-SalomeDepartment of Genomic Health, Research Institute, Geisinger, Danville, PA, 17822, USA (Drs Campbell-Salome, Morgan, Gabriel, Walters, Brangan, Rahm and Jones); Department of Population Health Sciences, Research Institute, Geisinger, Danville, PA, 17822, USA (Dr Campbell-Salome). Electronic address: gcampbell3@geisinger.edu.
Kelly M MorganDepartment of Genomic Health, Research Institute, Geisinger, Danville, PA, 17822, USA (Drs Campbell-Salome, Morgan, Gabriel, Walters, Brangan, Rahm and Jones).
Jazmine GabrielDepartment of Genomic Health, Research Institute, Geisinger, Danville, PA, 17822, USA (Drs Campbell-Salome, Morgan, Gabriel, Walters, Brangan, Rahm and Jones).
Mary P McGowanFamily Heart Foundation, 5548 First Coast Hwy, Suite 204, Fernandina Beach, FL, 32034 (Drs McGowan and Tricou); Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756, USA (Dr McGowan).
Nicole L WaltersDepartment of Genomic Health, Research Institute, Geisinger, Danville, PA, 17822, USA (Drs Campbell-Salome, Morgan, Gabriel, Walters, Brangan, Rahm and Jones).
Andrew BranganDepartment of Genomic Health, Research Institute, Geisinger, Danville, PA, 17822, USA (Drs Campbell-Salome, Morgan, Gabriel, Walters, Brangan, Rahm and Jones).
Eric P TricouFamily Heart Foundation, 5548 First Coast Hwy, Suite 204, Fernandina Beach, FL, 32034 (Drs McGowan and Tricou).
Alanna K RahmDepartment of Genomic Health, Research Institute, Geisinger, Danville, PA, 17822, USA (Drs Campbell-Salome, Morgan, Gabriel, Walters, Brangan, Rahm and Jones).
Amy C Sturm23andMe, 223 N Mathilda Ave, Sunnyvale, CA, 94086, USA (Dr Sturm).
Laney K JonesDepartment of Genomic Health, Research Institute, Geisinger, Danville, PA, 17822, USA (Drs Campbell-Salome, Morgan, Gabriel, Walters, Brangan, Rahm and Jones); Heart and Vascular Institute, Geisinger, Danville, PA, 17822, USA (Dr Jones).

Funding

Identification Methods, Patient Activation, and Cascade Testing for FH: IMPACT-FHR01HL148246 · NHLBI · GEISINGER CLINIC · PI Ana Morales Reyes · 2019 to 2026
$5.2M
NHLBI NIH HHS R01 HL148246
6 · The paper itself

Abstract

backgroundCascade testing can be highly effective in identifying individuals with familial hypercholesterolemia (FH) and help prevent atherosclerotic cardiovascular disease. The IMPACT-FH cascade testing program offered multiple optimized implementation strategies to improve FH cascade testing uptake.

objectiveGuided by the Conceptual Model of Implementation Research, this study assessed the IMPACT-FH cascade testing program's implementation outcomes.

methodsImplementation outcomes were assessed qualitatively and quantitatively. Interviews were conducted with 33 IMPACT-FH program participants including 15 probands, 12 relatives, and 6 healthcare professionals (HCPs). Transcripts were analyzed using thematic analysis to investigate implementation outcomes. Descriptive statistics were analyzed for scaled implementation outcome measures asked after interviews.

resultsParticipants described adopting strategies offered in the IMPACT-FH program because they presented an opportunity to pursue low-cost FH cascade testing. Participants identified barriers to feasibility including: the complexity of disclosing an FH result and offering strategies, inherent limitations of probands choosing strategies, confusion over testing costs, limitations sharing with relatives' clinicians, discomfort with chatbot technology, and concerns about the workload for HCPs. Participants evaluated the program positively regarding its appropriateness (Mean (M) = 4.70, Standard Deviation (SD) = 0.41), acceptability (M = 4.79, SD = 0.40), and feasibility (M = 4.24, SD = 0.53).

conclusionThe IMPACT-FH cascade testing program and its strategies were evaluated as valuable to adopt and highly appropriate, acceptable, and feasible by participants. Participants identified areas to enhance the program that could improve FH cascade testing uptake.

Indexed as

Hyperlipoproteinemia Type IIAdultFemaleGenetic TestingHumansMaleMiddle AgedCascade testingCommunicationFamilial hypercholesterolemiaGenetic testingImplementation strategies

Identifiers

PMID39278768
PMCPMC11606789

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.