Outcome Variables by Intervention, All Clusters (14 CME Groups) Contributing to Every Analysis
| Variable | Intervention Groupa | Control Groupa | Estimated ICC of CME Group/Practice | Difference Intervention – Control (95% CI) | Adjusted F Statistic | P Valuea |
|---|---|---|---|---|---|---|
| CME = continuing medical education; CVD = cardiovascular disease; ICC = intraclass correlation; SDM = shared decision making. | ||||||
| a Values are adjusted estimated means, numbers of patients (n) and P values in mixed models adjusted for confounders (see Methods) and cluster structure (CME group, practice nested within CME group, patients nested within practice). | ||||||
| b Lower scores denoting higher participation and satisfaction. | ||||||
| c Mean change of CVD risk (%) was calculated by Framingham risk points for all patients, including patients with diabetes and secondary prevention (focus on relative change). | ||||||
| Evaluation after index consultation | ||||||
| Patient participation and satisfactionb | 6.76 (501) | 7.56 (536) | 0.00/0.06 | −0.80 (−1.23 to −0.37) | 13.55 | <.001 |
| SDM steps reported | 9.48 (407) | 7.49 (442) | 0.00/0.07 | 1.99 (1.27 to 2.71) | 30.21 | <.001 |
| Knowledge | 2.03 (535) | 1.92 (576) | 0.001/0.06 | 0.11 (−0.01 to 0.24) | 3.36 | .07 |
| Follow-up examination | ||||||
| Mean change of CVD riskc | −3.00 (415) | −3.33 (407) | 0.006/0.02 | 0.32 (−0.30 to 0.95) | 1.07 | .31 |
| Decisional regret | 14.69 (372) | 18.08 (372) | 0.00 /0.02 | −3.39 (−6.26 to −0.53) | 6.58 | .02 |