The sentences
The direct feedback intervention method resulted in highly significant (p ≤ 0.01) improvement in the percent of sign-outs documenting five of the checklist items (pre, post): mental status (67.0, 80.0 %), decisionality (51.1, 67.5 %), degree of sick (59.1, 68.5 %), absence of confusing or conflicting information (90.9, 95.3 %), and absence of vague language (61.2, 68.1 %).
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Attendings of intervention teams were observed examining patients more often than control teams, but this did not reach statistical significance (57 % vs. 48 %, p = 0.05).
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Low health literacy and speaking more Spanish than English had marginal significance ( p = 0.06) The table reports the multivariate analyses.
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The difference in the intervention effect on this outcome achieved borderline significance (difference of 15 percentage points, p < 0.10).
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There was also a positive trend between HFP and increased dietary adherence to saturated fat, such that each point increase in HFP was associated with a 0.84 increase in saturated fat adherence index (95 % confidence interval [CI]: −0.11, 1.79, p = .08).
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Adjusted logistic regression showed a trend toward adherence being inversely associated with death for all definitions, with the association being strongest for MPRp measures (adjusted OR 0.71 to 0.78 [95 % confidence interval (CI) 0.53, 0.86 to 0.58, 1.03] for MPRp measures; aOR 0.80 to 0.90 [95 % CI 0.59, 1.09 to 0.68, 1.19] for MPRi measures).
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There was a significant trend toward specialist familiarity with PACT varying by the presence of a primary focus on any patient population: specialists reporting any patient population focus in their work were more familiar with PACT than those without a population focus (30 and 45 % reporting not very familiar or never heard of PACT, respectively; p-value = 0.0542).
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Aquatic therapy referrals increased from 2 %(3/147) to 6.7 %(9/135), with a trend toward significance with a p-value of 0.056.
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The majority of journals listed funding disclosures at the end of the article, while a small but significant minority listed funding within the abstract.
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