Evidence map›Paper›PMID 39979911›Full record

Trial reportBMC health services research2025

Readiness for scale up following effectiveness-implementation trial: results of scalability assessment of the Community Partnership Program for diabetes self-management for older adults with multiple chronic conditions.

Melissa Northwood, Tracey Chambers, Kathryn Fisher, Rebecca Ganann, Maureen Markle-Reid, Marie-Lee Yous, Ron Beleno, Gary Gaudet, Andrea Gruneir, Helen Leung and 12 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03664583 (ACHRU Community Partnership Program for Diabetes Self-Management for Older Adults - Canada), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03664583 naunknown statusnot on this map

ACHRU Community Partnership Program for Diabetes Self-Management for Older Adults - Canada

TypeinterventionalSponsorMcMaster UniversityRan2019 to 2023Enrolled295ConditionsMultiple Chronic Conditions, Diabetes MellitusArmsACHRU-Community Partnership Program (CPP)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

22 authors.

Melissa NorthwoodFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. northwm@mcmaster.ca.
Tracey ChambersFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Kathryn FisherFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Rebecca GanannFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Maureen Markle-ReidFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Marie-Lee YousFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Ron BelenoFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Gary GaudetFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Andrea GruneirDepartment of Family Medicine Research Program, University of Alberta, 6-40 University Terrace, Edmonton, AB, T6G 2T4, Canada.
Helen LeungCarefirst Seniors and Community Services Association, 300 Silver Star Blvd., Scarborough, ON, M1V 0G2, Canada.
Craig LindsayFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Kasia LuebkeOntario Health East, Ontario Health, 500-525 University Avenue, Toronto, ON, M5G 2L3, Canada.
Gail MacartneyMargaret and Wallace McCain Chair in Human Development and Health, Department of Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Room 122, Health Sciences Building, 550 University Avenue, Charlottetown, Prince Edward Island, C1A 4P3, Canada.
Ethel MacatangayScarborough Health Network, Nephrology & Chronic Disease Management, 3050 Lawrence Ave. E, Scarborough, ON, M1P 2V5, Canada.
Janet MacIntyreMargaret and Wallace McCain Chair in Human Development and Health, Department of Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Room 122, Health Sciences Building, 550 University Avenue, Charlottetown, Prince Edward Island, C1A 4P3, Canada.
Carolyn MacPhailHealth PEI Primary Care and Chronic Disease, Community Health and Seniors Care, 223 Queen Street, PO Box 2000, Charlottetown, Prince Edward Island, C1A 6A5, Canada.
William MontelpareMargaret and Wallace McCain Chair in Human Development and Health, Department of Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Room 122, Health Sciences Building, 550 University Avenue, Charlottetown, Prince Edward Island, C1A 4P3, Canada.
Allan MorrisonFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Lisa ShafferFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Martha St PierreDepartment of Health and Wellness, Government of Prince Edward Island, 3rd floor Sullivan Building, 16 Fitzroy Street, PO Box 2000, Charlottetown, Prince Edward Island, C1A 7N8, Canada.
Frank TangFaculty of Health Sciences, Aging and Community Health Research Unit, School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Catharine WhitesideDiabetes Action Canada, Toronto General Hospital, 200 Elizabeth Street, Eaton Building, Room 12E244, Toronto, ON, M5G 2C4, Canada.

Funding

Canadian Institutes of Health Research Strategy for Patient-Oriented Research (SPOR) Primary and Integrated Health Care Innovations Network: Programmatic Grants KPG-156883Diabetes Action Canada, a Canadian Institutes for Health Research (CIHR) Strategy for Patient-Oriented Research Network in Chronic Disease 1.1.1ACHR
6 · The paper itself

Abstract

backgroundImplementation research should assess the feasibility of scale up to bridge the evidence-practice gap for integrated care programs in the prevention and management of chronic conditions. Scalability assessment is the first critical step of scale up to determine the potential suitability of a promising health program to be adopted into routine practice and the fit of the program within local contexts. The Community Partnership Program (CPP), an integrated care intervention for older adults with diabetes and multiple chronic conditions, was designed at the outset with scale up in mind, and evaluated in an implementation-effectiveness randomized controlled trial across three Canadian provinces. The final phase of this program of research was to assess scalability and determine the critical factors and next steps for the development of a scale up plan.

methodsMultiple methods were used to assess the scalability of the CPP including collection and analysis of publicly available documents, synthesis of qualitative and quantitative evidence from studies of the CPP, semi-structured interviews with key informants, feedback and recommendations arising from working group meetings and knowledge exchange workshops to discuss and rate the scalability of the program. Data collection and analysis was informed by the Intervention Scalability Assessment Tool (ISAT); developed to support practitioners and policy makers in conducting systematic assessments of the suitability of health interventions for population scale-up in high-income countries.

resultsOverall, the CPP received high scalability ratings from participants. A phased, horizontal implementation and scale up process was recommended, facilitating local adaptations, on-going program evaluation, and accumulation of evidence. Challenges to scale up were identified, including the need for further evidence of program effectiveness in other diverse settings and populations, and designated funding and adequate health human resources.

conclusionsParticipants agreed the CPP meets the needs of many older adults with diabetes and multiple chronic conditions; however, they suggested further tailoring of the program to support different ethnocultural groups and targeting the CPP to older adults with higher needs. The scalability assessment process was a practical method to generate concrete strategies to facilitate the uptake of the CPP into practice.

trial registrationClinical Trials.gov Identifier NCT03664583. Registration date: September 10, 2018.

Indexed as

Diabetes MellitusMultiple Chronic ConditionsSelf-ManagementAgedCanadaChronic DiseaseFemaleHumansMaleProgram EvaluationDiabetesIntegrated health care deliveryMultiple chronic conditionsOlder adultsProgram evaluationScalability assessmentWorkforce

Identifiers

PMID39979911
PMCPMC11841316

What OpenQuestion holds

Textmetadata
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.