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S09: Designing and Implementing CAIM Health Services Research Studies: Lessons and Experiences from the Integrative Medicine Primary Care Trial (IMPACT)

13:30 - 14:30, Brickell, Terrace Level

Sally Dodds (1), Patricia Herman (2), Dawn Begaye (1), Victoria Maizes (1)

(1): University of Arizona, United States                                                

(2): Research and Development (RAND) Corporation, United States



The purpose of this workshop is to enhance the skills needed by clinical investigators in planning and implementing health services research studies of integrative healthcare models. The overall focus of the workshop will emphasize comparative effectiveness studies for integrative medicine practice models rather than studies of individual CAIM interventions. As an example, the workshop will present the rationale, design, measures, patient recruitment, data collection, practitioner involvement, and implementation methods used in a two-phase study of the University of Arizona Integrative Health Center primary care clinic in Phoenix, Arizona (the IMPACT trial). The methods used in this study will be compared and contrasted with those of other health services research studies of integrative models, and the benefits and limitations of each will be discussed. Clinical outcomes and fidelity of implementation data will be presented from the first six months of the IMPACT study. In the second part of the workshop, participants will be encouraged to discuss any integrative healthcare studies they are planning or conducting. The presenters will then facilitate discussion of critical factors in health services research design and methods- defining the evaluable components of whole practice models for CAIM; developing appropriate research questions; specifying measures to assess practice model fidelity, processes of care, and outcomes relevant to CAIM; considering the feasibility of cost effectiveness evaluation; consideration in health insurance claims data analyses; identifying comparator data; multi-modal data collection approaches including subjective assessments, medical records abstractions (with consideration for diagnoses used by whole systems medicines), service utilization data, and qualitative sub-studies; regulatory issues in recruiting and retaining patients as study participants; and using formative feedback of evaluation data to enhance/correct practice model implementation.