Your privacy, your choice

We use essential cookies to make sure the site can function. We also use optional cookies for advertising, personalisation of content, usage analysis, and social media.

By accepting optional cookies, you consent to the processing of your personal data - including transfers to third parties. Some third parties are outside of the European Economic Area, with varying standards of data protection.

See our privacy policy for more information on the use of your personal data.

for further information and to change your choices.
Skip to main content

Table 1 Specific aims

From: Community intervention to reduce cardiovascular disease in Chicago (CIRCL-Chicago): protocol for a type 3 hybrid effectiveness-implementation study using a parallel cluster-randomized trial design

Aim 1: Test the impact of practice facilitation on reach of a community-adapted Kaiser bundle

Our primary implementation aim is to compare the reach of the community-adapted Kaiser bundle (i.e., the proportion of patients within a CHC who receive the Kaiser bundle) between the two arms (PF vs. non-PF) over the 24-month implementation period. Hypothesis: CHC clinics assigned to receive PF will provide more patients with Kaiser bundle intervention components (reach) compared to the non-PF clinics

Aim 2: Test the impact of practice facilitation on blood pressure control

Our health-related effectiveness aim is to compare the proportion of participants with controlled BP between the two arms (PF vs. non-PF) at 12 months (after each participant’s study enrollment date). Hypothesis: Participants receiving care in PF clinics arm will have greater BP control compared to those receiving care in the non-PF clinics because of greater implementation success resulting from PF

Aim 3: Convene community partners in ongoing, prospective adaptation of the implementation

Extending outward from our core coalition, we will engage community leaders and patients in the South Side of Chicago in a prospective, data-driven, community-engaged adaptation of the way in which the Kaiser bundle is implemented to maximize effectiveness and alignment with local community preferences, needs, and resources [see 11, 42 for results of this work thus far]. Hypothesis: Community-engaged adaptation will improve implementation and sustainability

Aim 4: Disseminate findings internally to community partners and externally through creation of community implementation toolkits

In addition to academic dissemination, we will create community implementation toolkits designed to provide a step-by-step guide with resources and references for continual, community-driven adaptation; coordinated intervention between CHCs and FBOs; and the use of PF for hypertension management implementation. We will also coordinate with partners to present to their internal leadership, medical providers and other community groups who can take the results and scale them within their organizations

  1. Legend: BP blood pressure, CHC community health center, FBO faith-based organization, PF practice facilitation
Back to article page

Implementation Science

ISSN: 1748-5908