Focus and operationalisation | Method | Analysis |
---|---|---|
1.Implementation Reach & Recruitment: Reasons for participation and reasons to decline participation. | Records from telephone interviews | Content analysis of records from telephone interviews by research assistant with referring professionals and with people who seemed willing to participate. |
Adherence: Intervention dose delivered and intervention dose received by participants. | Case vignettes and medical records | Focussed analysis through predefined checklists to assess case vignettes and medical records. The checklist focussed on: elements of the problem analysis, use of shared-decision making during goal setting, intervention delivery (consistency between treatment plan and intervention goals, consistency between goals and intervention delivery, and interdisciplinary cooperation) |
Fidelity: Quality of intervention delivery. Adaptations: Changes that undermine fidelity. | Medical records from OT and PT professionals involved in intervention delivery using checklists | Analysis of medical records, focused on: - Description of intervention delivery and adaptations - Consistence of the intervention goals with the problem analysis - Professionals’ evaluation of intervention delivery |
2.Context of intervention delivery: External elements influencing implementation or effects. | Focus groups and interviews with professionals involved in intervention delivery, using a structured topic list | Content analysis on elements influencing implementation or effects Focus group evaluation of the Social Fitness Programme, topics: - The guideline - Individual knowledge, skills and behaviour - Client and caregiver factors - Interactions with other professionals - Incentives and recourses - Required organisational changes |
3.Impact of intervention delivery: Potential impact of intervention delivery on participants | Interviews with client-caregiver couples assigned to the intervention group, using a structured topic list | Content analysis on participants’ evaluations on participating in the study. Interview topic list: - How did you evaluate participation in the Social Fitness Programme? - Did you gain anything? - Were your expectations met? - What should be changed to improve the programme? |