Article Figures & Data
Tables
- Table 1.
Characteristics of Participating Practices and Clinician Staffing Levels (n = 21)
Practice Characteristics Values RUCA code*, n (%) Isolated rural 11 (52.4) Small rural 5 (23.8) Large rural 5 (23.8) Practice type, n (%) Rural health clinic 10 (47.6) Federally qualified health center 2 (9.5) Other (private/hospital owned) 9 (42.9) Practice ownership, n (%) Hospital owned 11 (52.4) Privately owned 8 (38.1) Board owned 2 (9.5) Number of staff, median (range) FTE MDs/DOs 4 (2–23) FTE advanced practice providers 3 (0–6) DO, doctor of osteopathic medicine; FTE, full-time equivalent; MD, doctor of medicine.
↵* RUCA code refers to rural-urban commuter area codes. Large rural core refers to areas in which primary flow is within an urban cluster of 10,000 to 49,999; small rural core refers to areas in which the primary flow is within an urban cluster of 2,500 to 9,999; isolated rural refers to areas in which the primary flow is to a tract outside any urban area or cluster.
- Appendix.
Interview Guide Based on Constructs and Subdomains of the Consolidated Framework for Implementation Research
Overall decision-making/motivation Why did your practice decide to participate in the RE-POWER trial? How was the decision made? How important were factors related to improving care for obesity, improving overall patient experience, improving your training in weight loss counseling, gaining experience in research, and the financial incentives (each rated on 5-point scale) Intervention characteristics Relative advantage What are your thoughts about whether or not the intervention will be a better alternative to what you are already doing or have tried in the past? Design quality and packaging What has been your experience with the intervention materials so far? Adaptability Is there anything that would make the intervention fit better for your practice? Complexity How difficult do you think it will be to implement the intervention? Inner setting Climate, tension for change How much do other people at your practice feel that this program is needed to better help your patients lose weight? Climate, compatibility How does this program fit within the overall approach to improving patient care at your practice? Climate, relative priority How important is this program compared to other priorities in your practice? Available resources Do you feel you have sufficient information, resources, and space to make the study work? Process, planning* What issues did you encounter when planning the implementation of the study? Characteristics of individuals* How is the extra work distributed among staff? Does it seem fair, reasonable, sustainable? ↵* These domains were asked but not reported on in this study.
RE-POWER, Rural Engagement in Primary Care for Optimizing Weight Reduction.
