Early ComRem | Late ComRem | p-valueb | |
---|---|---|---|
Baseline period | (n = 142) | (n = 144) | |
Intervention | General implementation activities (GIA) | General implementation activities (GIA) | |
Primary outcome | |||
No. of split tests (out of 8) per practice, mean (95% CI) | 1.22 (0.99 – 1.49) | 1.11 (0.91 – 1.35) | 0.5159 |
Secondary outcomes | |||
Practices with >0% of recommended split tests performed, fraction (95% CI) | 0.51 (0.43 – 0.60) | 0.51 (0.43 – 0.59) | 0.9039 |
Practices with ≥75% of recommended split tests performed, fraction (95% CI) | 0 | 0 | – |
Period I (First intervention period) | (n = 137) | (n = 143) | |
Intervention | GIA plus ComRem | GIA | |
Primary outcome | |||
No. of split tests (out of 8) per practice, mean (SD) | 3.76 (3.39 – 4.16) | 2.35 (1.99 – 2.78) | 0.0059 |
Secondary outcomes | |||
Practices with >0% of recommended split tests performed, fraction (95% CI) | 0.84 (0.77 – 0.89) | 0.60 (0.52 – 0.68) | 0.0000 |
Practices with ≥75% of recommended split tests performed, fraction (95% CI) | 0.26 (0.19 – 0.34) | 0.13 (0.08 – 0.19) | 0.0065 |
Period II (Cross-over, second intervention period) | (n = 133) | (n = 139) | |
Intervention | GIA | GIA plus ComRem | |
Primary outcome | |||
No. of split tests (out of 8) per practice, mean (SD) | 3.41 (2.96 – 3.94) | 3.81 (3.41 – 4.26) | 0.1030 |
Secondary outcomes | |||
Practices with >0% of recommended split tests performed, fraction (95% CI) | 0.71 (0.63 – 0.78) | 0.81 (0.74 – 0.87) | 0.0406 |
Practices with ≥75% of recommended split tests performed, fraction (95% CI) | 0.30 (0.23 – 0.38) | 0.31 (0.24 – 0.40) | 0.7614 |
Period III (Final follow-up after ComRem has been discontinued for both groups) | (n = 131) | (n = 132) | |
Intervention | GIA | GIA | |
Primary outcome | |||
No. of split tests (out of 8) per practice, mean (SD) | 3.18 (2.75 – 3.66) | 2.83 (2.43 – 3.31) | 0.8800 |
Secondary outcomes | |||
Practices with >0% of recommended split tests performed, fraction (95% CI) | 0.70 (0.62 – 0.77) | 0.66 (0.57 – 0.73) | 0.4707 |
Practices with ≥75% of recommended split tests performed, fraction (95% CI) | 0.26 (0.19 – 0.34) | 0.22 (0.16 – 0.30) | 0.4345 |