2026-10-07T18:46:50Z
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<p>Implementation outcomes: Fidelity, Adoption, and Acceptability of C-QIP strategy.</p>
Kavita Singh (182141)
Ambuj Roy (2279797)
Dimple Kondal (3486635)
Kalyani Nikhare (13971586)
Mareesha Gandral (25138404)
Satish G. Patil (25138407)
Kiran Aithal (12127307)
Meenahalli Palleda Girish (25371907)
Mohit Gupta (412345)
Kushal Madan (23658814)
Jitendra P. S. Sawhney (24948256)
Kamar Ali (25138416)
Meetushi Jain (25138419)
Savitesh Kushwaha (6897110)
Devraj Jindal (5612351)
Emily Mendenhall (583134)
Shivani A. Patel (8486277)
Kabayam M. Venkat Narayan (19323374)
Nikhil Tandon (126558)
Mark D. Huffman (9951961)
Dorairaj Prabhakaran (102287)
Medicine
Cell Biology
Biotechnology
Developmental Biology
Marine Biology
Cancer
quality improvement strategies
electronic decision support
directed medical therapy
confirmatory hybrid trials
collaborative quality improvement
strategy among patients
reduce cardiovascular morbidity
12 ]), diet
physician care coordination
ischemic heart disease
gdmt ), self
qip trial demonstrated
4 %) c
heart failure
ischemic stroke
cardiovascular diseases
81 ]),
2 %)
13 ]),
usual care
chronic care
care processes
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versus 82
versus 70
versus 32
versus 31
risk factors
reported adherence
private hospitals
primary outcomes
preliminary effect
physical activity
patient education
multicomponent strategy
message reminders
median follow
limited power
future large
establish whether
clinical outcomes
>; ctri
78 ])
410 adults
<p><b>(a)</b> Fidelity shows whether C-QIP strategy was <b>delivered</b> as planned: Cardiovascular Care Coordinator (CCC) delivered: (1) patient education on adherence to GDMT; (2) lifestyle advice; (3) Patient diary; (4) VITA tool. <b>(b)</b> Adoption reflects the actual use of DSS prompts, which were reviewed at each clinic visit for all C-QIP strategy arm patients (100%)—represented by gray shaded regions. Among all reviewed prompts, <b>acceptance</b> varied by DSS prompt type. DSS, Decision Support System. <b>(c)</b> Acceptability of C-QIP strategy at EOS: <b>Patient-level</b> (1) Ease with meds and self-care, (2) Continue C-QIP; <b>Provider-level</b> (1) C-QIP enabled guideline prescribing, (2) eDSS care: satisfied, (3) BP DSS: satisfied, (4) Lipids DSS: satisfied, (5) Glucose DSS: satisfied, (6) Continue C-QIP.</p>
2026-09-29T17:55:22Z
Image
Figure
10.1371/journal.pmed.1004932.g002
https://figshare.com/articles/figure/_p_a_Fidelity_shows_whether_C-QIP_strategy_was_delivered_as_planned_Cardiovascular_Care_Coordinator_CCC_delivered_1_patient_education_on_adherence_to_GDMT_2_lifestyle_advice_3_Patient_diary_4_VITA_tool_b_Adoption_reflects_the_actual_use_of_/34026774
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