Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Research ArticleOriginal Research

Using Learning Teams for Reflective Adaptation (ULTRA): Insights From a Team-Based Change Management Strategy in Primary Care

Bijal A. Balasubramanian, Sabrina M. Chase, Paul A. Nutting, Deborah J. Cohen, Pamela A. Ohman Strickland, Jesse C. Crosson, William L. Miller, Benjamin F. Crabtree and ; the ULTRA Study Team
The Annals of Family Medicine September 2010, 8 (5) 425-432; DOI: https://doi.org/10.1370/afm.1159
Bijal A. Balasubramanian
MBBS, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sabrina M. Chase
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paul A. Nutting
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Deborah J. Cohen
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Pamela A. Ohman Strickland
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jesse C. Crosson
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
William L. Miller
MD, MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Benjamin F. Crabtree
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Information

vol. 8 no. 5 425-432
DOI 
https://doi.org/10.1370/afm.1159
PubMed 
20843884

Published By 
The Annals of Family Medicine
Print ISSN 
1544-1709
Online ISSN 
1544-1717
History 
  • Received for publication July 9, 2009
  • Revision received March 30, 2010
  • Accepted for publication April 13, 2010
  • Published online September 15, 2010.

Copyright & Usage 
© 2010 Annals of Family Medicine, Inc.

Author Information

  1. Bijal A. Balasubramanian, MBBS, PhD,
  2. Sabrina M. Chase, PhD,
  3. Paul A. Nutting, MD, MPH,
  4. Deborah J. Cohen, PhD,
  5. Pamela A. Ohman Strickland, PhD,
  6. Jesse C. Crosson, PhD,
  7. William L. Miller, MD, MA,
  8. Benjamin F. Crabtree, PhD and
  9. the ULTRA Study Team
  1. Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas School of Public, Dallas, Texas (Balasubramanian); Department of Family Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey (Chase, Ohman Strickland, Crosson, Crabtree); University of Colorado Health Sciences Center, Denver, Colorado (Nutting); Center for Research in Family Medicine and Primary Care, Cleveland, Ohio, New Brunswick, New Jersey, San Antonio, Texas, and Allentown, Pennsylvania (Nutting, Ohman Strickland, Crosson, Miller, Crabtree); Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (Cohen); Department of Biostatistics, UMDNJ–School of Public Health, Piscataway, New Jersey (Ohman Strickland); Cancer Institute of New Jersey, New Brunswick, New Jersey (Crosson, Crabtree); Lehigh Valley Health Network, Department of Family Medicine, Allentown, Pennsylvania (Miller); Department of Epidemiology, UMDNJ–School of Public Health, Piscataway, New Jersey (Crabtree).
  1. CORRESPONDING AUTHOR: Bijal A. Balasubramanian, MBBS, PhD, Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas School of Public Health, Dallas Regional Campus, 5323 Harry Hines Blvd, V8.106C, Dallas, TX 75390, bijal.a.balasubramanian{at}uth.tmc.edu
  1. An early version of this work was presented at the 2007 North American Primary Care Research Group Annual Meeting, Vancouver, British Columbia.

Statistics from Altmetric.com

Article usage

Article usage: September 2010 to April 2025

AbstractFullPdf
Sep 201057256124
Oct 20109717657
Nov 20107513367
Dec 2010436238
Jan 2011425543
Feb 2011256825
Mar 2011394926
Apr 2011337725
May 2011323026
Jun 2011261612
Jul 2011172110
Aug 2011241719
Sep 20112078
Oct 2011221413
Nov 2011561716
Dec 2011651512
Jan 2012471614
Feb 2012531311
Mar 2012561719
Apr 201256918
May 2012823220
Jun 2012342612
Jul 20121731923
Aug 20121721312
Sep 2012811214
Oct 2012391425
Nov 201254189
Dec 2012482914
Jan 2013865014
Feb 2013401912
Mar 2013682216
Apr 2013592513
May 2013601114
Jun 201316137
Jul 201321817
Aug 201322810
Sep 201321149
Oct 2013331010
Nov 201325147
Dec 2013191210
Jan 2014391237
Feb 201419921
Mar 2014171437
Apr 2014271230
May 2014151527
Jun 2014301735
Jul 2014311337
Aug 201428932
Sep 2014211310
Oct 2014361320
Nov 201436810
Dec 201420138
Jan 20152194
Feb 201522910
Mar 20152476
Apr 20152495
May 20153088
Jun 20152586
Jul 201522106
Aug 201521145
Sep 201523119
Oct 20151765
Nov 20151394
Dec 20152497
Jan 201627108
Feb 201616147
Mar 20167413
Apr 20169113
May 20161344
Jun 201620119
Jul 20162094
Aug 201613112
Sep 20161086
Oct 20161779
Nov 20161496
Dec 20161997
Jan 20171593
Feb 2017191111
Mar 201720102
Apr 2017523811
May 20172271625
Jun 2017564510
Jul 20178137
Aug 201768566
Sep 2017645
Oct 20171454
Nov 201749372
Dec 2017652
Jan 20181644
Feb 20181654
Mar 20181678
Apr 20181767
May 20181252
Jun 2018647
Jul 201822154
Aug 201847443
Sep 2018782
Oct 201811411
Nov 20181859
Dec 2018554
Jan 20191127
Feb 20191968
Mar 201919826
Apr 201917517
May 20191468
Jun 201914413
Jul 20191156
Aug 20191027
Sep 2019152511
Oct 201910414
Nov 201923714
Dec 2019978
Jan 2020645
Feb 2020749
Mar 20201647
Apr 20201668
May 202028146
Jun 2020122416
Jul 20202111
Aug 20202103
Sep 2020212623
Oct 202082117
Nov 2020131812
Dec 202091316
Jan 202116108
Feb 2021102323
Mar 2021133912
Apr 2021122116
May 2021111816
Jun 202163319
Jul 202181716
Aug 2021112211
Sep 202141111
Oct 202182426
Nov 202171124
Dec 202191817
Jan 2022172118
Feb 2022112411
Mar 202287518
Apr 20221812628
May 2022138526
Jun 20221311615
Jul 2022151814
Aug 202262517
Sep 202273418
Oct 202282911
Nov 2022221319
Dec 2022101911
Jan 202310287
Feb 2023232110
Mar 202314196
Apr 2023142819
May 2023181717
Jun 2023123112
Jul 202362012
Aug 2023113615
Sep 2023143419
Oct 2023112711
Nov 2023113712
Dec 2023184820
Jan 202414366
Feb 2024342921
Mar 2024148014
Apr 202423610
May 2024212010
Jun 202462911
Jul 202431712
Aug 20243114
Sep 202472012
Oct 2024295
Nov 20246125
Dec 20244108
Jan 20255245
Feb 20253365
Mar 20253429
Apr 202533013
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 8 (5)
The Annals of Family Medicine: 8 (5)
Vol. 8, Issue 5
1 Sep 2010
  • Table of Contents
  • Index by author
  • In Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Using Learning Teams for Reflective Adaptation (ULTRA): Insights From a Team-Based Change Management Strategy in Primary Care
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
5 + 3 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Using Learning Teams for Reflective Adaptation (ULTRA): Insights From a Team-Based Change Management Strategy in Primary Care
Bijal A. Balasubramanian, Sabrina M. Chase, Paul A. Nutting, Deborah J. Cohen, Pamela A. Ohman Strickland, Jesse C. Crosson, William L. Miller, Benjamin F. Crabtree
The Annals of Family Medicine Sep 2010, 8 (5) 425-432; DOI: 10.1370/afm.1159

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Using Learning Teams for Reflective Adaptation (ULTRA): Insights From a Team-Based Change Management Strategy in Primary Care
Bijal A. Balasubramanian, Sabrina M. Chase, Paul A. Nutting, Deborah J. Cohen, Pamela A. Ohman Strickland, Jesse C. Crosson, William L. Miller, Benjamin F. Crabtree
The Annals of Family Medicine Sep 2010, 8 (5) 425-432; DOI: 10.1370/afm.1159
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • Footnotes
    • REFERENCES
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • At the edge of chaos: a prospective multiple case study in Australian general practices adapting to COVID-19
  • Quality Management in Respiratory Care: PDCA != PDSA
  • How do general practices respond to a pandemic? Protocol for a prospective qualitative study of six Australian practices
  • A Taxonomy for External Support for Practice Transformation
  • Implementation of Community-Based Resource Referrals for Cardiovascular Disease Self-Management
  • Improving access to primary healthcare for vulnerable populations in Australia and Canada: protocol for a mixed-method evaluation of six complex interventions
  • Shifting Implementation Science Theory to Empower Primary Care Practices
  • Doctors as a knowledge and intelligence building group: pragmatic principles underlying decision-making processes
  • Practice Facilitation to Improve Diabetes Care in Primary Care: A Report From the EPIC Randomized Clinical Trial
  • Effects of Facilitated Team Meetings and Learning Collaboratives on Colorectal Cancer Screening Rates in Primary Care Practices: A Cluster Randomized Trial
  • Engagement of Groups in Family Medicine Board Maintenance of Certification
  • In This Issue: An Abundance of Interventions and Observations to Improve Care
  • Typical Electronic Health Record Use in Primary Care Practices and the Quality of Diabetes Care
  • In This Issue: Longitudinal Follow-up Yields New Insights
  • Google Scholar

More in this TOC Section

  • Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients
  • Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators
  • Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?
Show more Original Research

Similar Articles

Subjects

  • Methods:
    • Qualitative methods
  • Other topics:
    • Quality improvement
    • Clinical practice guidelines
    • Organizational / practice change

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine