Implementing a case management intervention for frequent users of the emergency department (I-CaM): an effectiveness-implementation hybrid trial study protocol.

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Version: Final published version
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Serval ID
serval:BIB_A960CE3D56D3
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Implementing a case management intervention for frequent users of the emergency department (I-CaM): an effectiveness-implementation hybrid trial study protocol.
Journal
BMC health services research
Author(s)
Grazioli V.S., Moullin J.C., Kasztura M., Canepa-Allen M., Hugli O., Griffin J., Vu F., Hudon C., Jackson Y., Wolff H., Burnand B., Daeppen J.B., Bodenmann P.
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Publication state
Published
Issued date
11/01/2019
Peer-reviewed
Oui
Volume
19
Number
1
Pages
28
Language
english
Notes
Publication types: Clinical Trial Protocol ; Journal Article
Publication Status: epublish
Abstract
ED overcrowding represents a significant public health problem in developed countries. Frequent users of the emergency departments (FUEDs; reporting 5 or more ED visits in the past year) are often affected by medical, psychological, social, and substance use problems and account for a disproportionately high number of ED visits. Past research indicates that case management (CM) interventions are a promising way to reduce ED overcrowding and improve FUEDs' quality of life. There is, however, very limited knowledge about how to disseminate and implement this intervention on a large scale to diverse clinical settings, including community hospitals and non-academic centers. This paper describes the protocol of a research project aiming to implement a CM intervention tailored to FUEDs in the public hospitals with ED in the French-speaking region of Switzerland and evaluate both the implementation process and effectiveness of the CM intervention.
This research project uses a hybrid study design assessing both implementation and clinical outcomes. The implementation part of the study uses mixed methods a) to describe quantitatively and qualitatively factors that influence the implementation process, and b) to examine implementation effectiveness. The clinical part of the study uses a within-subject design (pre-post intervention) to evaluate participants' trajectories on clinical variables (e.g., quality of life, ED use) after receiving the CM intervention. We designed the study based on two implementation science frameworks. The Generic Implementation Framework guided the overall research protocol design, whereas the RE-AIM (reach, efficacy, adoption, implementation and maintenance) framework guided the implementation and effectiveness evaluations.
This research project will contribute to implementation science by providing key insights into the processes of implementing CM into broader practice. This research project is also likely to have both clinical and public health implications.
NCT03641274 , Registered 20 August 2018.
Keywords
Adolescent, Adult, Aged, Case Management/statistics & numerical data, Developed Countries, Emergency Service, Hospital/statistics & numerical data, Facilities and Services Utilization, Humans, Implementation Science, Middle Aged, Multicenter Studies as Topic, Patient Acceptance of Health Care/statistics & numerical data, Quality of Life, Research Design, Switzerland, Young Adult, Case management, Frequent users of the emergency department, Implementation science, Vulnerability
Pubmed
Web of science
Open Access
Yes
Create date
24/01/2019 17:07
Last modification date
20/11/2019 7:20
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