Table 3. Impact of CONNECT on Measures of Staff Communication and Interaction, and Fall Ratesa.
| Outcome Measure | Adjusted Score, Mean (SE) | P Value | ||
|---|---|---|---|---|
| Staff Communication Scale (Range) | Control Baseline | Intervention Baseline | 6-mo Change Attributable to Intervention | |
| Communication openness (0-5) | 4.11 (0.11) | 3.95 (0.08) | 0.04 (0.03) | .12 |
| Communication accuracy (0-5) | 2.95 (0.07) | 2.80 (0.05) | 0.04 (0.03) | .33 |
| Communication timeliness (0-5) | 3.96 (0.09) | 3.82 (0.08) | 0.08 (0.03) | .02 |
| Nurse aide participation in decision making (0-7) | 5.66 (0.24) | 5.47 (0.15) | 0.05 (0.08) | .52 |
| Local interaction strategies (0-5) | 4.01 (0.09) | 3.88 (0.06) | 0.03 (0.02) | .26 |
| Safety climate (0-7) | 5.08 (0.22) | 4.91 (0.14) | 0.00 (0.05) | .97 |
| Staff perceptions of quality (0-7) | 5.25 (0.56) | 5.18 (0.04) | 0.03 (0.02) | .30 |
| Weighted average response (1-5) | 3.56 (0.08) | 3.42 (0.06) | 0.03 (0.02) | .10 |
| Resident Fall Rates, Falls/Resident/y | ||||
| Recurrent fall rate | ||||
| Median (IQR) | 4.06 (2.04-8.11) | 4.06 (2.03-8.11) | 0 | .96 |
| Mean (SD) | 7.11 (11.14) | 6.70 (8.42) | ||
| Injurious fall rate | ||||
| Median (IQR) | 0 (0-2.12) | 0 (0-2.21) | 0 | .39 |
| Mean (SD) | 2.07 (4.56) | 2.25 (5.45) | ||
Abbreviation: IQR, interquartile range.
a
Staff measures are adjusted for facility-level (bed size, turnover rate), staff-level (age, race, position, years at facility, licensure), and resident-level (mean number of comorbidities) covariates. Resident measures are additionally adjusted for preintervention fall rates and resident fall risk factors.