Table 4.

NPT Ratings by Site

Site #NPT RatingsIntervention Outcomes
CoherenceCognitive ParticipationCollective ActionReflexive MonitoringReferral Rate T0, %Referral Rate T1, %P Valuea
All sitesMedium-lowMedium-lowMedium-lowMedium-high0.211.5<0.001
1Medium-lowLowMedium-highHigh0.55.6<0.001
2HighMedium-highMedium-highHigh0.34.4<0.001
3LowLowLowLow0.82.40.007
4HighMedium-highLowHigh0.68.1<0.001
5Medium-highMedium-lowMedium-lowMedium-high7.012.20.213
6Medium-lowMedium-lowMedium-lowHigh2.710.0<0.001
7LowMedium-lowMedium-lowHigh3.614.3<0.001
8Medium-highMedium-highMedium-lowHigh3.012.8<0.001
9Medium-highHighHighHigh4.019.9<0.001
10LowLowMedium-lowLow3.114.2<0.001
  • NPT = Normalization Process Theory.

  • Note: “Low” corresponds to scores in the lower quartile (1.5–2.1); “medium-low” to the second quartile (2.2–2.8); “medium-high” to the third quartile (2.9–3.4); “high” to the upper quartile (3.5–3.9).

  • * Percentage of patients (among all patients aged 55 years or older) referred to an audiologist for testing were compared with rates from 1 year immediately prior (T0) to the study period (T1) using Pearson’s X2 tests at each site.