Table 5.
Pre- and post-intervention priority, change capacity, and change process content scores
| Instrument | Wave I | Wave II | ||||||
|---|---|---|---|---|---|---|---|---|
| n | Pre-intervention | Post-intervention | p value* | n | Pre-intervention | Post-intervention | p value* | |
| Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | |||||
| Priority for improving CKD care | 28 | 6.1 (2.4) | 6.4 (2.1) | 0.46 | 39 | 6.0 (2.1) | 6.4 (1.90) | 0.27 |
| CPCQ: | ||||||||
| Organizational factors | 26 | 14.5 (11.4) | 16.8 (9.0) | 0.29 | 39 | 13.2 (9.8) | 15.0 (7.9) | 0.25 |
| Previous history of change | 28 | 2.4 (3.1) | 3.2 (2.3) | 0.25 | 39 | 2.4 (2.3) | 2.5 (2.5) | 0.95 |
| Plans for organizational refinement | 29 | 3.6 (2.6) | 4.2 (1.7) | 0.21 | 40 | 3.0 (2.7) | 3.7 (2.0) | 0.08 |
| Ability to initiate and sustain change | 26 | 8.3 (6.7) | 9.4 (6.2) | 0.43 | 40 | 8.0 (5.9) | 9.1 (4.8) | 0.22 |
| Strategy count | 25 | 3.3 (4.1) | 18.6 (4.5) | <0.0001 | 37 | 5.5 (7.8) | 16.7 (7.9) | <0.0001 |
| PPC-PCMH-R: | ||||||||
| Health systems | 28 | 45.8 (32.3) | 50.0 (30.8) | 0.27 | 28 | 41.1 (28.9) | 40.5 (31.2) | 0.90 |
| Clinical information system | 28 | 48.8 (16.0) | 56.3 (16.5) | 0.016 | 28 | 53.2 (16.2) | 58.9 (20.2) | 0.12 |
| Decision support | 28 | 45.8 (17.1) | 63.3 (19.6) | 0.0001 | 28 | 52.8 (18.4) | 60.5 (24.5) | 0.14 |
| Delivery system design | 25 | 25.0 (14.8) | 34.8 (22.7) | 0.013 | 28 | 32.8 (18.6) | 34.4 (20.0) | 0.73 |
| Patient self-management support | 28 | 21.8 (12.5) | 32.1 (16.8) | 0.005 | 28 | 26.5 (17.4) | 30.8 (18.6) | 0.23 |
*The paired t test was used to generate the p values.
SD standard deviation, CPCQ Change Process Capability Questionnaire, PPC-PCMH Physician Practice Connections—Patient-Centered Medical Home Research Version.