Table 1 Eat Walk Engage program resources, intervention components, program goals, outcomes and evaluation methods. FTE full time equivalent. MDT existing multidisciplinary team

Trained Eat Walk Engage facilitator (0.4 FTE per ward)

Expert facilitation team

Trained Eat Walk Engage assistant (0.5 FTE per ward)

Under guidance of the facilitator:

• MDT develops shared understanding and improvement goals

• MDT identifies local barriers and enablers for nutrition, mobility and cognitive engagement

• MDT clarifies roles and opportunities for delegation to assistant

• MDT initiates small cycle improvements with re-evaluation

Higher proportion of older patients achieve:

• Early and adequate nutrition

• Early mobility and independence

• Meaningful activities and participation

Geriatric syndromes

Length of stay

Institutional discharge

Health care costs

Program staff costs

Training materials and time

i-PARIHS mapping

Baseline interviews, audits

MDT meeting minutes

Facilitator journals

Facilitator interviews

MDT service patterns

Patient interviews

Activity mapping

Mealtime audits

Geriatric syndromes

Length of stay

Discharge destination

30 day health status

Hospital readmissions