Outcomesa | Variable type | Criteria for success | Outcome measure | Method of analysis | |
---|---|---|---|---|---|
A. Feasibility outcomes | |||||
 Primary feasibility outcomes | Participant recruitment rates | Continuous (%) | ≥ 30% of those eligible will be considered success | Percentage recruited and rate of recruitment (of those screened, of those eligible, and of those approached). Percentage of those recruited (signed informed consent) who complete the end of study assessment at 3 months. | Count of percentages and rates over time |
Participant retention rate | Continuous (%) | ≥ 90% is considered success | |||
Study resource utilization | Continuous ($CND) | < $1500 per patient recruited and completing the study | Study costs per patient recruited | Cost of personnel, supplies, travel, etc., to run the study/# patients recruited | |
 Secondary feasibility outcomes | Process assessments Management assessments Scientific assessments | Mix of continuous, categorical, and qualitative data | Implementation is successful and feasible, questionnaires are acceptable, and data gathered are reliable and valid | Detailed questions in feasibility assessment | Descriptive |
B. Clinical outcomes | Hypothesis | ||||
 Primary clinical outcome | Adverse anticoagulant safety event composite (AASE) | Continuous (%) | Intervention group will have fewer AASE compared to the control group | Count of AASE at the end of the study (3 months). Rates will be expressed as mean rate per patient-year by research assistant. | Chi-square test |
 Secondary clinical outcomes | Coordination and continuity of care | Continuous | Intervention will have higher ratings than control | Coordination and continuity of care questionnaire partially administered post-discharge and finalized at study end (3 months) by telephone. | T tests |
Patient quality of life | Continuous | Intervention will improve more than control | EQ5D-5L—difference in mean change scores at the end of the study. | T tests | |
OAC management knowledge - patient | Continuous | Intervention will have higher scores than control | OAC knowledge questionnaire | T tests | |
Satisfaction with care (providers & patients) | Continuous | Intervention will have higher scores than control | Satisfaction questionnaires | Descriptive analysis | |
Medication Problems | Continuous | Intervention will have fewer medication problems than control | Composite of OAC-APEQ, COMPETE adherence, and medication error scores | T tests | |
Cost-effectiveness | Continuous | Intervention will be cost-effective compared to control using a threshold of $50,000 per QALY. | Cost per AASE avoided and cost per quality-adjusted life-years (QALYs) | Economic analysis | |
Individual Clinical Events: a) Bleeding events (clinically relevant), b) Thromboembolic events (all); c) Deaths; d) Hospitalizations or ED visits | Continuous | Intervention will have lower event rates than control | Event rate counts from end-study interviews | T tests |