Table 3.
Medication Dispensing Outcomes in Study Arms in Second Follow-Up Year: Unadjusted Mean Change from Baseline and Adjusted Intervention Effect
Mean Absolute Change from Baseline Proportion in Each Practice (95% CI) | Adjusted Intervention Effect: Absolute Change beyond That Observed in Control Practices (95% CI)* | ||||
---|---|---|---|---|---|
Outcome | PLE | PCI | Control | PLE | PCI |
Among persistent asthmatics† | |||||
≥1 controller dispensed | 0.09 (0.01, 0.17) | 0.04 (−0.02, 0.1) | 0.04 (−0.04, 0.12) | 0.01 (−0.07, 0.08) | −0.03 (−0.09, 0.02) |
≥3 controllers dispensed | 0.07 (−0.01, 0.15) | 0.11 (0.05, 0.17) | 0.01 (−0.09, 0.11) | 0.02 (−0.06, 0.10) | 0.03 (−0.04, 0.10) |
≥1 inhaled corticosteroid | 0.19 (0.09, 0.29) | 0.17 (0.08, 0.26) | 0.12 (−0.01, 0.25) | 0.02 (−0.11, 0.16) | −0.02 (−0.13, 0.09) |
≥3 inhaled corticosteroid | 0.14 (0.06, 0.22) | 0.13 (0.08, 0.18) | 0.04 (−0.07, 0.15) | 0.07 (−0.02, 0.15) | 0.03 (−0.04, 0.10) |
Among all patients with asthma | |||||
≥1 controller dispensed | 0.16 (0.08, 0.24) | 0.13 (0.07, 0.19) | 0.07 (−0.01, 0.15) | 0.03 (−0.08, 0.15) | 0.04 (−0.06, 0.14) |
≥3 controllers dispensed | 0.08 (0.02, 0.14) | 0.10 (0.06, 0.14) | 0.04 (−0.02, 0.10) | 0.02 (−0.05, 0.09) | 0.04 (−0.02, 0.09) |
≥1 inhaled corticosteroid | 0.18 (0.1, 0.26) | 0.17 (0.11, 0.23) | 0.10 (0.00,0.20) | 0.05 (−0.08, 0.17) | 0.04 (−0.06, 0.14) |
≥3 inhaled corticosteroid | 0.09 (0.03, 0.15) | 0.09 (0.07, 0.11) | 0.03 (−0.03, 0.09) | 0.04 (−0.02, 0.10) | 0.03 (−0.02, 0.07) |
≥1 oral steroid dispensed‡ | 0.05 (0.00, 0.10) | 0.04 (0.00, 0.08) | 0.02 (−0.01, 0.05) | 0.06 (0.00, 0.12) | 0.07 (−0.02, 0.15) |
Additional change in absolute proportion of children beyond that seen in control practices by patient-level analysis using generalized estimating equations accounting for clustering of observations within practice.
Persistent asthma defined using HEDIS criteria.
Among all asthma patients, except for those receiving chronic oral steroids.
PLE, peer leader education; HEDIS, Health Plan Employer Data and Information Set; CI, confidence interval.