Table 3 Fidelity Scale
Intervention Components | Data Source | Yes | No |
|---|---|---|---|
Staffing and Supervision | |||
RNs and PSWs receive standardized training | Attendance record | Â | Â |
RNs and PSWs meet with investigators on a monthly basis | Attendance record | Â | Â |
Follow-Up | |||
In-home visits by trained RN at least once per month for 6 months | Monthly visit records | Â | Â |
In-home visits by trained PSW at least once per month for 6 months | Monthly visit records | Â | Â |
Standardized Screening Tools | |||
Depressive symptoms monitored once per month using the GDS-15 [92] | Depression care booklet | Â | Â |
Cognitive status monitored at baseline, 3 and 6 months using the SMMSE [81] | Depression care booklet | Â | Â |
Presence of delirium monitored at baseline, 3 and 6 months using the CAM [135] | Depression care booklet | Â | Â |
Anxiety monitored at baseline, 3 and 6 months using the GAD-7 [107] | Depression care booklet | Â | Â |
Nutritional status monitored at baseline, 3 and 6 months using the SCREEN II [137] | Depression care booklet | Â | Â |
Caregiver stress monitored at baseline, 3 and 6 months using the Modified CSI [136] | Depression care booklet | Â | Â |
Behavioural problems due to cognitive problems and mood disorders monitored once per month by PSW using the GIP-28 [93] | Depression care booklet | Â | Â |
Problem-solving ability monitored at baseline, 3 and 6 months using the problem-solving test [84] | Depression care booklet | Â | Â |
Depression Education | |||
Received education about depression and treatment options using printed educational materials | Depression care booklet | Â | Â |
Interprofessional Care | |||
Participants are discussed at a case conference at least once per month for 6 months | Monthly case conference record | Â | Â |
Referred to health and social services, as needed | Depression care booklet | Â | Â |
Interprofessional client service plan developed | Client service plan | Â | Â |
Evidence of communication between RN, PCP and other IP providers | Depression care booklet Client service plan | Â | Â |
Treatment Planning and Delivery | |||
Problem-solving therapy delivered at least once per month for 6 months | Depression care booklet | Â | Â |
Social and behavioural activation provided by RN and PSW | Depression care booklet | Â | Â |
Antidepressant medication management is provided using evidence-based guidelines | Depression care booklet Client service plan | Â | Â |