Evidence map›Paper›PMID 41131632›Full record

ArticleImplementation science : IS2025

Achieving cardiovascular health equity in community mental health: study protocol for a cluster-randomized hybrid Type 3 effectiveness-implementation trial.

Christina T Yuan, Nae-Yuh Wang, Tyler Fink, Daniel Almirall, Lawrence J Appel, Courtney Cook, Lisa A Cooper, Arlene T Dalcin, Joseph Gennusa, Stacy Goldsholl and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science : IS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06674616 (Reducing Disparities in Cardiovascular Health in Community Mental Health Settings), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing 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.

NCT06674616 naenrolling by invitationnot on this map

Reducing Disparities in Cardiovascular Health in Community Mental Health Settings: Optimizing Implementation Strategies

TypeinterventionalSponsorJohns Hopkins UniversityRan2024 to 2027Enrolled72ConditionsCardiovascular Risk Factors, Serious Mental IllnessArmsReplicating Effective Programs, Coaching, Facilitation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Christina T YuanDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. cyuan16@jhu.edu.ORCID 0000-0002-9307-9568
Nae-Yuh WangDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Tyler FinkDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Daniel AlmirallInstitute for Social Research and Department of Statistics, University of Michigan, Ann Arbor, MI, USA.
Lawrence J AppelDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Courtney CookDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lisa A CooperDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Arlene T DalcinDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Joseph GennusaDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Stacy GoldshollDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Erin KirleyDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Celeste LiebrechtDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, USA.
Emma E McGintyDivision of Health Policy and Economics, Department of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.
Shawna N SmithDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Alison TerryDivision of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Amy M Kilbourne *Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, USA.
Gail L Daumit *Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UM1TR004404 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Julie C Lumeng · 2023 to 2026
$39.8M
Reducing disparities in cardiovascular health in community mental health settings: optimizing implementation strategiesUH3HL154280 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Gail L. Daumit, AMY M KILBOURNE · 2023 to 2026
$4.9M
Achieving Cardiovascular Health Equity in Community Mental Health: Optimizing Implementation StrategiesUG3HL154280 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L., KILBOURNE, AMY M · 2020 to 2022
$3.4M
NCATS NIH HHS UM1 TR004404NHLBI NIH HHS UG3 HL154280NHLBI NIH HHS UH3 HL154280
6 · The paper itself

Abstract

backgroundPeople with serious mental illness die 10-20 years earlier than the overall population, mainly from cardiovascular disease. Although effective interventions to manage cardiovascular disease risk in this population exist, they have not been widely implemented in community settings. IDEAL Goals is an empirically supported, cardiovascular risk reduction program tailored for people with serious mental illness (i.e., "clients") and designed to be delivered by clinicians and staff in community mental health settings. In this trial, we use Replicating Effective Programs (REP) as the foundational implementation strategy to test the effects of two additional strategies, Coaching and Facilitation, on improving the number of IDEAL Goals sessions clients receive in community mental health organizations in Maryland and Michigan.

methodsThis cluster-randomized hybrid Type 3 effectiveness-implementation trial will use a non-restricted sequential, multiple-assignment randomized trial (SMART) design that randomizes organizations at two points, months 0 and 6, of the 18-month IDEAL Goals intervention. Organizations will receive one of four sequences of implementation strategies: (1) REP only; (2) REP + Coaching; (3) REP + Facilitation; or (4) REP + Coaching + Facilitation. The primary aim is to determine the effect of the most intensive sequence of strategies (REP + Coaching + Facilitation) versus REP only on the number of IDEAL Goals sessions clients receive over 18 months. The secondary aim is to determine the marginal effects of Coaching and Facilitation on the number of IDEAL Goals sessions clients receive over 18 months. Exploratory aims include: (1) assessing tailoring variables to inform a future adaptive implementation intervention to scale IDEAL Goals; (2) estimating the cost of delivering IDEAL Goals and implementation strategies; and (3) examining the relationship between different sequences of implementation strategies on: clients' receipt of cardiovascular disease risk factor management processes and outcomes over 18 months; and clients' receipt of IDEAL Goals over 30 months. Qualitative efforts will explore implementation strategy mechanisms, adaptations, and participants' experience of delivering and receiving IDEAL Goals. DISCUSSION: To meaningfully reduce premature mortality for people with serious mental illness, it is imperative to test strategies that can facilitate optimal uptake and continued sustainability of cardiovascular risk reduction programs in community settings.

trial registrationClinicalTrials.gov identifier: NCT06674616 , registered on November 1, 2024.

Indexed as

Cardiovascular DiseasesCommunity Mental Health ServicesHealth EquityMental DisordersHumansImplementation ScienceMarylandMichiganRandomized Controlled Trials as TopicRisk Reduction BehaviorAdaptive implementation strategyClustered SMARTCoachingFacilitationHealth equityHeart disease risk factorsImplementation scienceMental disordersReplicating effective programs

Identifiers

PMID41131632
PMCPMC12551291

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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.