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Table 2 Summary of trial client outcomes and implementation processes

From: A protocol for a pragmatic randomized controlled trial using the Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) platform approach to promote person-focused primary healthcare for older adults

Client outcomes

Variable/outcome

Hypothesis

Outcome measure

Timing

Methods of analysisa

Goal attainment

GAS score will be higher in the intervention arm compared to the control arm at 6-months; proportion of participants who report maintaining or improving in the top priority goal area will be higher in the intervention arm than the control arm at 6-months

Goal attainment scaling score [53] obtained from a structured interview; proportion of participants who report maintaining or improving in their top priority goal area

T6, T12

Linear regression for continuous variables; logistical regression for categorical variables

Self-efficacy

Higher self-efficacy, quality of life, optimal aging, social support, access, comprehensiveness, patient empowerment, patient-centeredness, and satisfaction of care and lower caregiver strain, hospital admissions, and emergency room visits will be reported in the intervention arm compared to the control arm at 6-months

Self-efficacy for managing chronic disease [55]; self-report

T0, T6, T12

Quality of life

EQ5D-5L [56]; self-report

T0, T6, T12

Optimal aging

Single-item optimal aging question from the Canadian Longitudinal Study on Aging [57]; self-report

T0, T6, T12

Social support

DUKE social support index [58]; self-report

T0, T6, T12

Access

CIHI common indicators; self-report [59]

T0, T6, T12

Comprehensiveness of care

T0, T6, T12

Patient empowerment

T0, T6, T12

Patient-centeredness

T0, T6, T12

Caregiver strain

4-item Zarit screen [60]; self-report

T0, T6, T12

Satisfaction with care

Single item, satisfaction rated from 1 to 10; self-report

T0, T6, T12

Hospitalizations and emergency room visits

EMR abstraction

T0, T6, T12

  1. Demographic information including age, gender, level of education, marital status, ethnicity, language spoken, and number of medications, falls, adverse events, and economic analysis not included in the above table
  2. T 0 baseline, T 3 3-month collection, T 6 6-month collection, T 12 12-month collection
  3. aAnalyses will be adjusted for participant gender and MFHT site (McMaster Family Practice or Stonechurch Family Health Centre)