Table 5.
Factors associated with PCP notification of parents of children with positive CF NBS results among those contacted by NSO
| FACTOR | ADJUSTED RR (95% CI) |
|---|---|
| Beliefs | |
| Beliefs about PCP role in NBS | |
| • Important role in general (agree vs disagree) | 1.31 (1.00-1.71)* |
| • Important role in notification (agree vs disagree) | 1.25 (0.83-1.88) |
| Confidence | |
| Confident making the notification | |
| • Extremely or very confident vs not very or not at all confident | 1.26 (0.76-2.09) |
| • Moderately confident vs not very or not at all confident | 1.05 (0.61-1.79) |
| Preparedness | |
| Point-of-care information received | |
| • Verbal communication with treatment centre vs both written and verbal | 0.96 (0.86-1.08) |
| • Written information vs both written and verbal | 0.79 (0.69-0.92)† |
| Practice-based exposure to … | |
| • CF (yes vs no) | 1.11 (0.98-1.26) |
| • CF carrier (yes vs no) | 0.95 (0.84-1.08) |
| • NBS results positive for CF (yes vs no) | 1.01 (0.87-1.18) |
| • NBS results positive for another disorder (yes vs no) | 1.03 (0.89-1.20) |
| Relationship with family | |
| Existing relationship with family (yes vs no) | 0.87 (0.73-1.04) |
| Caring for infant since birth (yes vs no) | 1.06 (0.75-1.50) |
| Perceived barriers | |
| Practice-related barriers to notify within 1 d | |
| • Extremely or very significant vs not very or not at all significant | 1.11 (0.91-1.36) |
| • Moderately significant vs not very or not at all significant | 1.07 (0.91-1.24) |
| Practice-related barriers to notify within 3 d | |
| • Extremely or very significant vs not very or not at all significant | 0.97 (0.71-1.31) |
| • Moderately significant vs not very or not at all significant | 0.86 (0.68-1.09) |
| PCP characteristics | |
| Practice type (solo vs group) | 0.96 (0.80-1.16) |
| Practice location (urban vs rural) | 0.97 (0.85-1.09) |
| Years in practice (0-15 vs ≥ 16) | 1.07 (0.93-1.22) |
| Sex (female vs male) | 1.07 (0.93-1.22) |
| Provider type | |
| • Family physician vs midwife | 1.04 (0.85-1.27) |
| • Pediatrician vs midwife | 0.96 (0.73-1.26) |
CF—cystic fibrosis, NBS—newborn screening, NSO—Newborn Screening Ontario, PCP—primary care practitioner, RR—risk ratio.
*P < .05.
†P < .01.