ArticleJournal of the American Medical Directors Association2026
Three Case-Based Approaches to Preimplementation Evaluation in Nursing Homes: Understanding Enablers, Barriers, and Implementation Strategies.
Article in Journal of the American Medical Directors Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Nursing homes are diverse environments because they serve as both medical institutions and long-term homes for individuals with significant care requirements and social support needs. This complexity can make implementing evidence-based interventions and quality improvement projects challenging. We demonstrate how investigators can use a preimplementation process to assess the enablers and barriers to innovation implementation prior to the allocation of significant resources. In this article, we present 3 preimplementation exemplars applying the "3 Is"-Identify an implementation framework, Investigate barriers and enablers, and Integrate strategies-to support the eventual uptake of evidence-based interventions. A deliberate preimplementation phase that is built into the life of a project can help identify enablers and barriers to inform the use of implementation strategies or help teams make a data-informed decision not to proceed with implementation. We describe 3 different implementation science frameworks to consider using during preimplementation, highlight common barriers assessed during preimplementation in nursing homes, and demonstrate ways to mitigate those barriers by leveraging enablers.
Indexed as
Identifiers
What OpenQuestion holds
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.