Component | Process evaluation questions | Data collection tools |
---|---|---|
Fidelity (quality of implement-tation) | 1) To what extent were all elements of the home visitation programme implemented as planned? | Semi-structured interviews GP/PN; structured registration forms |
2) Is care delivery for older people within general practices successfully redesigned? | ||
a. Did GPs and PNs change their mindset from delivering reactive care to proactive care? | ||
b. To what extent were linkages established with other professionals or organisations? | ||
c. Did general practices receive useful decision-aids to support decision-making? | ||
d. Is a registration system realised that is (practically) useful for general practices? | ||
Dose delivered (completeness) | 3) To what extent did PNs follow all steps of the intervention protocol (see Figure 1)? | Semi-structured interviews GP/PN and older people; structured registration forms |
Dose received (exposure) | 4) To what extent were older people compliant with follow-up actions formulated in the care and treatment plan? | Structured registration forms |
Dose received (satisfaction) | 5) To what extent were GPs and PNs satisfied with organising care according to the home visitation programme? | Semi-structured interviews GP/PN |
6) To what extent were older people satisfied with the home visit? | Semi-structured interviews older people | |
7) To what extent did older people benefit from the home visit and, if necessary, subsequent follow-up actions? | Structured registration forms | |
Reach (participation rate) | 8) What proportion of the intended target population participated? | Registration trial database |
9) What were the reasons for non-participation of older people? | Reminder non-responders and notes in trial database | |
10) Was the right target population reached according to GPs/PNs? | Semi-structured interviews GP/PN | |
11) What proportion of older people completed all steps of the intervention protocol? | Registration trial database | |
12) What were the reasons for drop-out of older people enrolled? | Notes in trial database | |
Recruitment | 13) What procedures were used to recruit general practices and older people for participation? | Narrative report by project team |
Context | 14) What barriers and facilitators influenced implementation of the home visitation programme within general practices? | Semi-structured interviews GP/PN |
15) To what extent did the control group receive the intervention or similar types of proactive care (contamination)? | Short semi-structured interview GP by phone | |
Interactional workability | 16) To what extent was congruence accomplished between PNs and older people and GPs and PNs regarding detected (health) problems and/or follow-up actions? | Semi-structured interviews GP/PN and older people |
Relational integration | 17) Did PNs have sufficient knowledge, expertise and skills to perform the activities as part of the home visitation programme? | Semi-structured interviews GP/PN and older people; evaluation form during training session |
18) To what extent did PNs feel confident that they could assess and address older people’s health problems? | ||
Skill-set workability | 19) Was the division of work between GP and PN acceptable? | Semi-structured interviews GP/PN |
Contextual integration | 20) Did the home visitation programme fit within the range of health care services offered by general practices? | Semi-structured interviews GP/PN |
21) Were sufficient resources (e.g., time, staff, and money) available for the adequate performance of the home visitation programme by general practices? |