Table 4.
Association Between Respondent and Clinic Characteristics and Top Quartile of Each Patient Engagement Subscale (vs Bottom Quartile)
| Characteristic | Patient Planning, aOR (95% CI) (n = 915) | Motivational Interviewing, aOR (95% CI) (n = 664) | Organizational Strategies, aOR (95% CI) (n = 725) |
|---|---|---|---|
| Respondents | |||
| Role in PACT | |||
| Primary care clinician | 0.8 (0.5-1.2) | 0.7 (0.4-1.2) | 0.6 (0.4-1.0)a |
| Registered nurse | 1.0 (0.7-1.5) | 0.9 (0.6-1.4) | 1.7 (1.0-2.9)a |
| Clinical associate (ref) | 1.0 | 1.0 | 1.0 |
| Experience in PACT | |||
| ≤2 years (ref) | 1.0 | 1.0 | 1.0 |
| >2 years | 0.7 (0.5-1.1) | 1.0 (0.6-1.6) | 1.3 (0.8-2.2) |
| Care setting: community-based outpatient clinic | 2.5 (1.6-3.8)a | 0.43 (0.3-0.8)a | 1.2 (0.8-1.9) |
| Clinics | |||
| Staffing ratio (≥3 per primary care clinician) | 2.0 (1.4-2.8)a | NA | 2.1 (1.4-3.2)a |
| Staff turnover (in past 12 months) | NA | 0.8 (0.5-1.1) | NA |
| Role clarity | 1.5 (0.9-2.6) | 2.3 (1.3-4.1)a | 1.9 (1.1-3.2)a |
| Daily team huddles | 2.1 (1.5-3.1)a | NA | 1.3 (0.9-2.0) |
| Regular team meetings | 3.4 (2.3-5.1)a | 2.7 (1.8-4.1)a | 2.4 (1.6-3.8)a |
| Responsible PACT leadership | 2.6 (1.5-4.8)a | 1.9 (1.0-3.5)a | 3.0 (1.6-5.4)a |
| Burnout | |||
| At least once a week | NA | 0.6 (0.3-1.1) | NA |
| A few times a month | NA | 1.2 (0.6-2.3) | NA |
| Once a month or less | NA | 0.8 (0.5-1.5) | NA |
| Psychological safety | NA | NA | NA |
aOR = adjusted odds ratio; NA = not applicable (variable was not included in best subsets regression model); ref = reference group.
a
Significant (P ≤.05), based on multivariate logistic regression models using generalized estimating equations to account for clustering by clinic facility. All models were adjusted for patient sociodemographic factors at the clinic level, as well as clinic and workload characteristics. Best subsets regression analysis was used to identify clinic characteristics that yielded the best model fit.