On examination of the mean scores for all of the ICU team member areas, it was apparent that both pilot sites were providing high-quality care (aggregate mean score, 4.20) and that communication was above average (aggregate mean score, 4.22) prior to the initiation of the CCFAP. In this longitudinal study of the two pilot sites for the CCFAP, satisfaction with communication and care continued to increase for families participating in the program. Examination of the effect sizes provides some insight into those areas in which the CCFAP appears to be having a greater impact. In communication, the largest effect sizes are seen both in the areas of social work and nursing. In fact, there was a statistically significant increase in family satisfaction with communication in the social work area. Larger effect sizes are also found in the areas of social work care and respiratory care. These findings allow the sites to further investigate the reasons for the increases in these areas and the smaller increases in other areas. For example, reflection by the project teams on the findings revealed that the increase in the ratings of the respiratory care area might be attributed to the new flexibility of visiting hours and an increased interaction between families and the respiratory therapists during treatments. A major goal of the CCFAP is to strengthen the relationships between the ICU care team and families, ultimately improving family satisfaction. With the positive effect sizes for all team areas, it appears that the program is achieving its goal.