Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial.

Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial. Research Abstract Details 

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Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial. Abstract Text:

ABSTRACT: BACKGROUND: The relationship between health care practices' capacity for change and the results and sustainability of interventions to improve health care delivery is unclear. METHODS: In the setting of an intervention to increase preventive service delivery (PSD), we assessed practice capacity for change by rating motivation to change and instrumental ability to change on a one to four scale. After combining these ratings into a single score, random effects models tested its association with change in PSD rates from baseline to immediately after intervention completion and 12 months later. RESULTS: Our measure of practices' capacity for change varied widely at baseline (range 2-8; mean 4.8 +/- 1.6). Practices with greater capacity for change delivered preventive services to eligible patients at higher rates after completion of the intervention (2.7% per unit increase in the combined effort score, p < 0.001). This relationship persisted for 12 months after the intervention ended (3.1%, p < 0.001). CONCLUSION: Greater capacity for change is associated with a higher probability that a practice will attain and sustain desired outcomes. Future work to refine measures of this practice characteristic may be useful in planning and implementing interventions that result in sustained, evidence-based improvements in health care delivery.

Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial. Publishing Authors By Initials

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Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Implementation science : IS

VOLUME: 3

Page Numbers: 25

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ISSN: 1748-5908

DAY: 16

MONTH: 05

YEAR: 2008

Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial. Information

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LANGUAGE: eng

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AFFILIATION: Department of Medicine, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA. David.Litaker@va.gov.

Country: England

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MEDLINETA: Implement Sci

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