Patient-Reported and Health Care Utilization Outcomes Related to Effectiveness
| Variable | Intervention (n = 257) | Control (n = 255) | Effect Estimate (95% CI) | ||
|---|---|---|---|---|---|
| Baseline | 6-Month | Baseline | 6-Month | ||
| No. hospitalizations, mean (SD)a | 0.14 (0.45) | 0.13 (0.44) | 0.18 (0.50) | 0.17 (0.43) | IRR = 0.79 (0.48-1.30) |
| Total physical activity, median (Q1, Q3), mina | 1,646 (692, 3,329) | 1,386 (558, 2,592) | 1,689 (693, 3,261) | 1,278 (438, 3,013) | MD = −0.26 (−1.18 to 0.67) |
| No. ED or urgent care visits, mean (SD) | 0.33 (0.99) | 0.30 (1.12) | 0.26 (0.59) | 0.19 (0.55) | IRR = 1.18 (0.74-1.88) |
| No. primary care visits, mean (SD) | 3.49 (3.49) | 4.51 (3.68) | 3.47 (2.92) | 3.63 (3.16) | IRR = 1.18 (1.01-1.37)b |
| No. medications, mean (SD) | 4.54 (3.51) | 4.63 (3.93) | 4.48 (3.55) | 4.54 (3.50) | IRR = 0.99 (0.91-1.09) |
| Walking, median (Q1, Q3), min | 225 (90, 420) | 210 (90, 420) | 210 (103, 420) | 180 (90, 420) | MD = −0.21 (−0.44 to 0.03)c |
| Sitting, median (Q1, Q3), h | 6 (5, 9) | 7 (5, 10) | 6 (5, 8) | 6 (5, 8) | MD = 0.08 (−0.01 to 0.16)c |
| Moderate-vigorous physical activity, median (Q1, Q3), min | 1,160 (555, 2,310) | 960 (480, 1,680) | 1,260 (620, 2,160) | 1,060 (480, 1,935) | MD = −0.02 (−0.83 to 0.80)d |
| Patient enablement score, mean (SD) | 3.86 (3.60) | 2.89 (3.39) | 3.36 (3.38) | 2.58 (3.29) | MD = 0.13 (−0.41 to 0.67) |
| Quality of life score, mean (SD) | 0.79 (0.17) | 0.79 (0.18) | 0.78 (0.17) | 0.79 (0.17) | MD = −0.01 (−0.03 to 0.02) |
| Treatment burden score, median (Q1, Q3) | 0 (0, 5) | 0 (0, 5) | 2.5 (0.0, 7.5) | 0 (0, 5)) | MD = 0.10 (−0.14 to 0.34) |
| Disease burden score, median (Q1, Q3) | 7 (4, 11) | 7 (4, 12) | 9 (5, 14) | 7 (4, 12) | MD = 0.05 (−0.10 to 0.20) |
| No. falls, mean (SD) | 0.06 (0.23) | 0.09 (0.32) | 0.08 (0.27) | 0.05 (0.22) | IRR = 1.73 (0.84-3.56) |
ED = emergency department; IRR = incidence rate ratio; MD = mean difference; MET = metabolic equivalent of task; Q1 = first interquartile range point; Q3 = third interquartile range point.
Note: Physical activity reported in MET minutes. Patient enablement scores ranged from 0-12; higher scores represent higher patient enablement or better ability to cope with or have control over their health as a result of health visits. Quality of life scores ranged from -0.148 to 0.949; higher scores represent higher quality of life. Treatment burden scores ranged from 0-100; higher scores represent higher burden (ie, a patient’s effort needed to take care of oneself). Disease burden scores ranged from 0-130; higher scores represent higher burden (ie, burden of multimorbidity).
↵a Co-primary outcomes
↵b P <.005
↵c Log transformed data
↵d Cube-root transformed data