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Table 6 Differences in minimal-to-adequate guideline adherence between intervention and control group. Number of medical records in which guideline-based care was minimal-to-adequate (score 1 and 2) consistent with the guideline, their percentage scores (performance rate) and differences (p-value, risk differences and 95% confidence interval) between intervention group and control group (chi-square test)

From: Effectiveness of a tailored implementation strategy to improve adherence to a guideline on mental health problems in occupational health care

Performance indicator Intervention group (n = 56) Control group (n = 58) P-value (Pearson Chi-square) Risk difference (%), 95% CI
N % N %
PI1 Process diagnosis 24 42.9 12 20.7 .011* 22.2% [5.5, 38.8]
 1.1 Monitoring recovery phase worker 32 57.1 17 29.3 .003* 27.8% [10.4, 45.3]
 1.2 Assessment of worker’s recovery tasks 40 71.4 22 37.9 <.001* 33.5% [16.3, 50.7]
 1.3 Assessment of the employers’ perspective 37 66.1 39 67.2 .895 −1.1% [−18.5, 16.1]
PI2 Problem orientation 30 53.6 18 31.0 .015* 22.5% [4.9, 40.2]
 2.1 Problem identification 56 100.0 53 91.4 .025* 8.6% [1.4, 15.8]
 2.2 Assessment of symptoms 24 42.9 15 25.9 .056 17.0% [−0.2, 34.2]
 2.3 Diagnosis 50 89.3 46 79.3 .144 10.0% [−3.2, 23.2]
PI3 Interventions/treatment 30 53.6 18 31.0 .015* 22.5% [4.9, 40.2]
 3.1 Evaluation of the worker’s course of the recovery process 39 69.6 24 41.4 .002* 28.3% [10.8, 45.8]
 3.2 Treatment in accordance with the worker’s recovery process 34 60.7 24 41.4 .039* 19.3% [1.3, 37.3]
PI4 Relapse prevention
 4.1 Relapse prevention 16 28.6 7 12.1 .028* 16.5% [2.0, 31.0]
PI5 Continuity of care 23 41.1 30 51.7 .254 −10.7% [−28.9, 7.6]
 5.1 Rapid first consultation 36 64.3 42 72.4 .351 −8.1% [−25.2, 8.9]
 5.2 Regular contact with the worker 36 64.3 37 63.8 .956 0.5% [−17.1, 18.1]
 5.3 Regular contact with the employer 12 21.4 12 20.7 .923 0.7% [−14.2, 15.7]
  1. OP Occupational physician, PI Performance indicator
  2. * Significant difference p < .05