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Table 2 Summary of trial client outcomes and implementation processes
| 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 | ||
