Skip to main content

Table 3 Patient-level response to implementation of Re-Engage program comparing non-responsive sites randomized to one of two implementation strategies (Enhanced or Standard Replicating Effective Programs (REP))

From: Enhancing outreach for persons with serious mental illness: 12-month results from a cluster randomized trial of an adaptive implementation strategy

 

Implementation strategy number 1: patients from non-responsive sites randomized to first receive 6 months of Enhanced REP (immediate) (N  = 1,543)

Implementation strategy number 2: patients from non-responsive sites randomized to first receive 6 months of Standard REP (delayed) (N  = 1,532)

Unadjusted OR (95% CI)

Adjusted ORa(95% CI)

Cumulative outcomes assessed over the 12-month period (August 31, 2012–August 31, 2013)

 Updated status

848 (54.96%)

613 (40.01%)

1.18 (0.43, 3.28)

1.29 (0.43, 3.90)

 Attempted contact

694 (44.98%)

491 (32.05%)

1.06 (0.44, 2.59)

1.13 (0.44, 2.93)

 Completed contact

198 (12.83%)

142 (9.27%)

1.26 (0.72, 2.18)

1.31 (0.70, 2.43)

Health-care use

 Any outpatient use

358 (23.20%)

382 (24.93%)

0.90 (0.70, 1.16)

0.94 (0.72, 1.22)

 Any inpatient use

56 (3.63%)

58 (3.79%)

0.97 (0.62, 1.54)

1.00 (0.66, 1.51)

 Any inpatient or outpatient use

361 (23.40%)

383 (25.00%)

0.91 (0.71, 1.17)

0.94 (0.72, 1.23)

Outcomes in first 6 months of implementation intervention (August 31, 2012–February 28, 2013)

 Updated status

605 (39.21%)

262 (17.10%)

2.85 (0.99, 8.25)

2.81 (0.93, 8.54)

 Attempted contact

479 (31.04%)

207 (13.51%)

2.15 (0.81, 5.71)

2.21 (0.80, 6.05)

 Completed contact

121 (7.84%)

57 (3.72%)

1.94 (1.01, 3.74)*

2.13 (1.09, 4.19)*

Health-care use

 Any outpatient use: August 31 2012–February 28 2013

234 (15.17%)

256 (16.71%)

0.89 (0.69, 1.16)

0.95 (0.73, 1.24)

 Any inpatient use

40 (2.59%)

43 (2.81)

0.89 (0.54, 1.46)

0.89 (0.53, 1.49)

 Any inpatient or outpatient use

237 (15.36%)

257 (16.78%)

0.91 (0.70, 1.17)

0.96 (0.74, 1.25)

Outcomes in second 6 months of implementation intervention (March 1, 2013–August 31, 2013)

 Updated status

243 (15.75%)

351 (22.91%)

0.30 (0.11, 0.84)*

0.33 (0.12, 0.91)*

 Attempted contact

215 (13.93%)

284 (18.54%)

0.39 (0.15, 1.08)

0.43 (0.16, 1.19)

 Completed contact

77 (4.99%)

85 (5.55%)

0.58 (0.26, 1.30)

0.61 (0.25, 1.49)

Health-care use

 Any outpatient use: March 1 2013–August 31 2013

276 (17.89%)

290 (18.93%)

0.96 (0.72, 1.28)

0.99 (0.74, 1.34)

 Any inpatient use

28 (1.81%)

30 (1.96%)

0.92 (0.51, 1.65)

0.99 (0.56, 1.72)

 Any inpatient or outpatient use

278 (18.02%)

291 (18.99%)

0.96 (0.72, 1.28)

0.99 (0.74, 1.33)

  1. aAdjusted odds ratios (OR) were obtained from multilevel hierarchical logistic regression models after adjusting for the effects of the following covariates: patient characteristics (age, gender, race, marital status, VA service connection, homelessness, schizophrenia diagnosis, whether last encounter was inpatient, number of medical comorbidity diagnoses) and site characteristics (outpatient clinic status, facility size, and total number of patients on the original list). These models considered patients clustered within sites, and sites are nested within VISNs.
  2. *P value < 0.05.
Back to article page

Implementation Science

ISSN: 1748-5908