tailieunhanh - Association of intervention outcomes with practice capacity for change: Subgroup analysis from a group randomized trial

itaker*1,2, Mary Ruhe3, Sharon Weyer3,4 and Kurt C Stange3,5 Address: 1Department of Medicine, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA, 2Mannheim Institute for Public Health, Social and Preventive Medicine, University of Heidelberg, Germany, 3Department of Family Medicine, Research Division, Case Western Reserve University, Cleveland, Ohio, USA, 4Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA and 5Department of Sociology, Case Western Reserve University, Cleveland, Ohio, USA Email: David Litaker* - ; Mary Ruhe - ; Sharon Weyer - ; Kurt C Stange - * Corresponding author Published: 16 May 2008 Implementation Science 2008, 3:25. | Implementation Science BioMed Central Open Access Short report Association of intervention outcomes with practice capacity for change Subgroup analysis from a group randomized trial David Litaker 1 2 Mary Ruhe3 Sharon Weyer3 4 and Kurt C Stange3 5 Address Department of Medicine Louis Stokes Cleveland VA Medical Center Cleveland Ohio USA 2Mannheim Institute for Public Health Social and Preventive Medicine University of Heidelberg Germany 3Department of Family Medicine Research Division Case Western Reserve University Cleveland Ohio USA 4Frances Payne Bolton School of Nursing Case Western Reserve University Cleveland Ohio USA and 5Department of Sociology Case Western Reserve University Cleveland Ohio USA Email David Litaker - Mary Ruhe - Sharon Weyer - Kurt C Stange - Corresponding author Published 16 May 2008 Received 30 March 2007 Implementation Science 2008 3 25 doi l748-5908-3-25 Accepted 16 May 2008 This article is available from http content 3 1 25 2008 Litaker et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Background The relationship between health care practices capacity for change and the results and sustainability of interventions to improve health care delivery is unclear. Methods In the setting of an intervention to increase preventive service delivery PSD we assessed practice capacity for change by rating motivation to change and instrumental ability to change on a one to four scale. After combining these ratings into a single score random effects models tested its association with change in