Leveraging practice-based research networks to accelerate implementation and diffusion of chronic kidney disease guidelines in primary care practices: a prospective cohort study

Table 5 Pre- and post-intervention priority, change capacity, and change process content scores

Instrument	Wave I				Wave II
	n	Pre-intervention	Post-intervention	pvalue*	n	Pre-intervention	Post-intervention	pvalue*
	n	Mean (SD)	Mean (SD)	pvalue*	n	Mean (SD)	Mean (SD)	pvalue*
Priority for improving CKD care	28	6.1 (2.4)	6.4 (2.1)	0.46	39	6.0 (2.1)	6.4 (1.90)	0.27
CPCQ:
Organizational factors	26	14.5 (11.4)	16.8 (9.0)	0.29	39	13.2 (9.8)	15.0 (7.9)	0.25
Previous history of change	28	2.4 (3.1)	3.2 (2.3)	0.25	39	2.4 (2.3)	2.5 (2.5)	0.95
Plans for organizational refinement	29	3.6 (2.6)	4.2 (1.7)	0.21	40	3.0 (2.7)	3.7 (2.0)	0.08
Ability to initiate and sustain change	26	8.3 (6.7)	9.4 (6.2)	0.43	40	8.0 (5.9)	9.1 (4.8)	0.22
Strategy count	25	3.3 (4.1)	18.6 (4.5)	<0.0001	37	5.5 (7.8)	16.7 (7.9)	<0.0001
PPC-PCMH-R:
Health systems	28	45.8 (32.3)	50.0 (30.8)	0.27	28	41.1 (28.9)	40.5 (31.2)	0.90
Clinical information system	28	48.8 (16.0)	56.3 (16.5)	0.016	28	53.2 (16.2)	58.9 (20.2)	0.12
Decision support	28	45.8 (17.1)	63.3 (19.6)	0.0001	28	52.8 (18.4)	60.5 (24.5)	0.14
Delivery system design	25	25.0 (14.8)	34.8 (22.7)	0.013	28	32.8 (18.6)	34.4 (20.0)	0.73
Patient self-management support	28	21.8 (12.5)	32.1 (16.8)	0.005	28	26.5 (17.4)	30.8 (18.6)	0.23

*The paired t test was used to generate the p values.
SD standard deviation, CPCQ Change Process Capability Questionnaire, PPC-PCMH Physician Practice Connections—Patient-Centered Medical Home Research Version.