Clinician and Staff Survey Results Before and After TOPMED Trial
| Survey/Scale | N | Intervention | Control | Difference-in-Difference (Intervention − Control) | P† | ||||
|---|---|---|---|---|---|---|---|---|---|
| Pre | Post | Difference | Pre | Post | Difference | ||||
| TDM Pre: N = 137; Post: N = 83 | Mean (95% CI) | Mean (95% CI) | Mean (95% CI) | Mean (95% CI) | |||||
| Score | 220 | 59.1 (57.3 to 60.8) | 62.0 (59.4 to 64.6) | 2.96 | 59.9 (56.9 to 62.8) | 60.4 (58.3 to 62.6) | 0.59 | 2.38 | .312 |
| CSQ Pre: N = 210; Post: N = 104 | N | Mean (95% CI) | Mean (95% CI) | Difference | Mean (95% CI) | Mean (95% CI) | Difference | Diff-in-Diff | P |
|---|---|---|---|---|---|---|---|---|---|
| Adaptive reserve | 276 | 3.8 (3.7 to 3.9) | 3.8 (3.6 to 3.9) | -0.01 | 3.7 (3.5 to 3.8) | 3.9 (3.7 to 4.1) | 0.21 | −0.21 | .139 |
| Community knowledge | 285 | 3.8 (3.7 to 3.9) | 3.7 (3.6 to 3.9) | -0.04 | 3.7 (3.5 to 3.8) | 4.0 (3.8 to 4.3) | 0.35 | −0.38* | .030 |
| Health IT integration | 309 | 3.8 (3.7 to 3.9) | 3.9 (3.8 to 4.0) | 0.10 | 3.8 (3.7 to 3.9) | 3.6 (3.4 to 3.8) | -0.15 | 0.25 | .080 |
| Cultural sensitivity | 313 | 4.1 (3.9 to 4.2) | 4.0 (3.9 to 4.2) | -0.02 | 4.1 (3.9 to 4.2) | 4.2 (4.0 to 4.4) | 0.11 | −0.13 | .473 |
| Patient safety culture | 312 | 3.5 (3.4 to 3.6) | 3.7 (3.5 to 3.8) | 0.16 | 3.4 (3.2 to 3.6) | 3.8 (3.6 to 4.1) | 0.42 | −0.26 | .139 |
| CPAT Pre: 119; Post: 101 | N | Mean (95% CI) | Mean (95% CI) | Difference | Mean (95% CI) | Mean (95% CI) | Difference | Diff-in-Diff | P |
|---|---|---|---|---|---|---|---|---|---|
| Mission, meaningful purpose, goals | 213 | 5.6 (5.2 to 5.9) | 6.0 (5.8 to 6.3) | 0.45 | 6.1 (5.9 to 6.3) | 5.9 (5.7 to 6.2) | −0.16 | 0.61* | .013 |
| General relationships | 215 | 6.0 (5.6 to 6.3) | 6.1 (5.9 to 6.3) | 0.09 | 6.4 (6.3 to 6.5) | 6.2 (6.0 to 6.4) | −0.26 | 0.35 | .127 |
| Team leadership | 206 | 5.0 (4.6 to 5.3) | 5.7 (5.5 to 6.0) | 0.76 | 5.7 (5.6 to 5.9) | 5.7 (5.5 to 5.9) | −0.08 | 0.85* | <.001 |
| General role, responsibility, autonomy | 204 | 5.0 (4.7 to 5.3) | 5.4 (5.2 to 5.6) | 0.42 | 5.5 (5.4 to 5.7) | 5.3 (5.1 to 5.5) | −0.21 | 0.63* | .002 |
| Communication and information exchange | 215 | 5.2 (4.8 to 5.6) | 5.7 (5.5 to 6.0) | 0.52 | 5.8 (5.6 to 6.0) | 5.8 (5.5 to 6.0) | −0.06 | 0.58* | .036 |
| Community linkages and coordination of care | 217 | 4.7 (4.4 to 5.1) | 5.4 (5.1 to 5.7) | 0.72 | 5.3 (5.0 to 5.5) | 5.4 (5.1 to 5.7) | 0.15 | 0.57 | .057 |
| Decision-making and conflict management | 209 | 4.5 (4.3 to 4.7) | 4.3 (4.2 to 4.5) | -0.21 | 4.3 (4.2 to 4.4) | 4.3 (4.2 to 4.5) | 0.02 | −0.23 | .153 |
| Patient involvement | 211 | 5.7 (5.3 to 6.2) | 6.1 (5.8 to 6.3) | 0.33 | 6.2 (6.0 to 6.4) | 6.0 (5.8 to 6.2) | −0.16 | 0.49 | .092 |