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.