Document Type
Article
Publication Date
5-16-2008
Abstract
Abstract. Background. The relationship between health care practices' capacity for change and the results and sustainability of interventions to improve health care delivery is unclear. Methods. In the setting of an intervention to increase preventive service delivery (PSD), we assessed practice capacity for change by rating motivation to change and instrumental ability to change on a one to four scale. After combining these ratings into a single score, random effects models tested its association with change in PSD rates from baseline to immediately after intervention completion and 12 months later. Results. Our measure of practices' capacity for change varied widely at baseline (range 2-8; mean 4.8 1.6). Practices with greater capacity for change delivered preventive services to eligible patients at higher rates after completion of the intervention (2.7% per unit increase in the combined effort score, p < 0.001). This relationship persisted for 12 months after the intervention ended (3.1%, p < 0.001). Conclusion. Greater capacity for change is associated with a higher probability that a practice will attain and sustain desired outcomes. Future work to refine measures of this practice characteristic may be useful in planning and implementing interventions that result in sustained, evidence-based improvements in health care delivery.
Keywords
health care delivery, organizational capacity, practice characteristic, instrumental task, improve health care delivery
Language
English
Publication Title
Implementation Science
Grant
4R01 CA80862
Rights
© 2008 Litaker et al. The CC BY 2.0 (Attribution 2.0 Generic) license allows users to freely share, copy, redistribute, remix, transform, and build upon material in any medium or format, even commercially, provided they give appropriate credit to the creator, provide a link to the license, and indicate if changes were made
Recommended Citation
Litaker, D., Ruhe, M., Weyer, S. et al. Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial. Implementation Sci 3, 25 (2008). https://doi.org/10.1186/1748-5908-3-25
Manuscript Version
Final Publisher Version