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Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial
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...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396667/ https://www.ncbi.nlm.nih.gov/pubmed/18485216 http://dx.doi.org/10.1186/1748-5908-3-25 |
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author | Litaker, David Ruhe, Mary Weyer, Sharon Stange, Kurt C |
author_facet | Litaker, David Ruhe, Mary Weyer, Sharon Stange, Kurt C |
author_sort | Litaker, David |
collection | PubMed |
description | 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. |
format | Text |
id | pubmed-2396667 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-23966672008-05-28 Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial Litaker, David Ruhe, Mary Weyer, Sharon Stange, Kurt C Implement Sci Short Report 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. BioMed Central 2008-05-16 /pmc/articles/PMC2396667/ /pubmed/18485216 http://dx.doi.org/10.1186/1748-5908-3-25 Text en Copyright © 2008 Litaker et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Short Report Litaker, David Ruhe, Mary Weyer, Sharon Stange, Kurt C Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial |
title | Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial |
title_full | Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial |
title_fullStr | Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial |
title_full_unstemmed | Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial |
title_short | Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial |
title_sort | association of intervention outcomes with practice capacity for change: subgroup analysis from a group randomized trial |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396667/ https://www.ncbi.nlm.nih.gov/pubmed/18485216 http://dx.doi.org/10.1186/1748-5908-3-25 |
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