Evidence map›Paper›PMID 40635332›Full record

ArticleJournal of primary care & community health

A Behind-the-Scenes Look at Practice Facilitation to Improve Delivery of Unhealthy Alcohol Use Screening and Management Services in Primary Care: A Qualitative Study.

Michelle S Rockwell, Gabriela Villalobos, Jennifer Bannon, Dawn Bishop, Stephanie Kirchner, Daniel E Jonas, Alex H Krist, Melinda Davis, E Marshall Brooks

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Michelle S RockwellVirginia Tech Carilion School of Medicine, Roanoke, USA.ORCID 0000-0001-7910-6083
Gabriela VillalobosVirginia Commonwealth University, Richmond, USA.
Jennifer BannonNorthwestern University, Chicago, IL, USA.
Dawn BishopAltarum Institute, Ann Arbor, MI, USA.
Stephanie KirchnerUniversity of Colorado, Aurora, USA.
Daniel E JonasThe Ohio State University, Columbus, USA.
Alex H KristVirginia Commonwealth University, Richmond, USA.ORCID 0000-0003-4060-9155
Melinda DavisOregon Health & Science University, Portland, USA.
E Marshall BrooksVirginia Commonwealth University, Richmond, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2019, the Agency for Healthcare Research and Quality (AHRQ) funded 6 grantee teams to evaluate the effectiveness of practice facilitation (PF) as an implementation approach for improving the delivery of U.S. Preventive Services Task Force-recommended unhealthy alcohol use (UAU) services in primary care. This report characterizes practice facilitators' first-hand experiences with implementation.

methodsWe invited practice facilitators from each grantee team to participate in group interviews focused on facilitation strategies employed, facilitators and barriers encountered, adaptations made, and practice transformation observed. Interview transcripts were thematically coded using inductive and deductive methods and analyzed using immersion-crystallization.

resultsSeventeen practice facilitators who worked with ~300 practices participated. PF was perceived as effective in overcoming barriers to improve screening and counseling for UAU in varied settings and contexts. Practice-centered strategies that personalized practice engagement, met practices "where they are at," tailored to local context, and fostered deep cultural change were highlighted as instrumental to the multilevel changes needed to transform practice workflow around management of UAU. Facilitator quotes, strategies, and multiple facilitation resources are provided.

conclusionsPractice facilitators' collective perspectives paint a more complete picture of the processes, adaptations, and outcomes associated with this substantial practice-based research effort. PF is a versatile, flexible, and adaptable implementation approach to improve management of UAU in primary care that provides pragmatic strategies for care teams, practice leaders, researchers, and funders. Practice facilitators' collective perspectives paint a more complete picture of the processes, adaptations, and outcomes associated with this substantial practice-based research effort.

Indexed as

AlcoholismMass ScreeningPrimary Health CareHumansInterviews as TopicQualitative ResearchQuality ImprovementUnited StatesAHRQalcohol use disorderimplementationpreventive serviceprimary careUSPSTF

Identifiers

PMID40635332
PMCPMC12254629

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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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 Socratic graph.