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Table 6 Data analysis of domains of intervention

From: Process evaluation of the implementation of dementia-specific case conferences in nursing homes (FallDem): study protocol for a randomized controlled trial

Domain

Research question

Data source

Theoretical basis

Method of data analysis

Method of data integration

Delivery of clusters (intervention)

1. Was the intervention delivered as intended for each nursing home (cluster)?

A

attendance lists of in-service training in performing case conferences (I), training on the job (II) and case conferences without support (III)

▪ Case conference model (key characteristics)

▪ Descriptive statistics [45]

▪ DNA double helix

▪ Blending

▪ Transformation

B

standardized protocols of dementia-specific case conferences

▪ Case conference model (process structure and key characteristics)

▪ Documentary analysis [46]

C

written documentation of in-service training in performing case conferences (I)and training on the job (II) (deviation from curriculum)

▪ Curriculum (in-service training in performing case conferences (I) and on-the-job training (II))

▪ Documentary analysis [46]

Response and reach of individuals (intervention)

2. Which learning processes of the target population took place in response to the intervention?

D

audiotapes of case conferences of four nursing teams (n =24/6 per team); 2 teams using WELCOME-NEO and 2 teams performing WELCOME-IdA

▪ Act for teams, Kasseler competence inventory [47]

▪ Documentary method [48]

-

3. What is the attitude of the target population toward the intervention?

E

standardized questionnaire to assess attitudes towards case conferences

▪ Adoption model [49]

▪ Descriptive statistics [45]

▪ DNA double helix

▪ Blending

F

standardized questionnaire to evaluate in-service training in performing case conferences (I) and training on the job (II)

▪ Curriculum (in-service training in performing case conferences (I) and on-the-job training (II)

▪ Descriptive statistics [45]

▪ Transformation

G

semi-structured telephone interviews to evaluate case conferences (n = 96/6 per nursing team)

▪ Adoption model [49]

▪ Content analysis [50]

H

semi-structured group interviews to evaluate intervention (n = 12)

▪ Adoption model [49]

▪ Content analysis [50]

I

semi-structured group interviews to evaluate intervention (n = 24, 2 per cluster)

▪ Adoption model [49]

▪ Content analysis [50]

Response of cluster (intervention)

4. How was the intervention adopted by each nursing home (cluster)?

G

semi-structured telephone interviews to evaluate case conferences (n = 96/6 per nursing team)

▪ Adoption model [49]

▪ Content analysis [50]

▪ DNA double helix

▪ Blending

▪ Transformation

I

semi-structured group interviews to evaluate case conferences (n = 24/1 per team)

▪ Adoption model [49]

▪ Content analysis [50]

J

semi-structured group interview to evaluate case conferences (n = 12/1 per cluster)

▪ Adoption model [49]

▪ Content analysis [50]

H

semi-structured group interview to evaluate case conferences (n = 12/1 per cluster)

▪ Adoption model [49]

▪ Content analysis [50]

Recruitment of cluster (intervention)

5. How were the nursing homes (clusters) sampled and recruited for the FallDem study?

N

written documentation of recruitment procedure

-

-

-

6. Why have the nursing homes participated (or not) in the FallDem study?

K

semi-structured telephone interviews to assess ‘care as usual’ (n = 24/1 per team)

-

▪ Content analysis [50]

▪ DNA double helix

I

semi-structured group interviews (n = 24/1 per team)

-

▪ Content analysis [50]

 

J

semi-structured group interviews (n = 12/1 per cluster)

-

▪ Content analysis [50]

Recruitment and reach of individuals (intervention)

7. How were the participants of the intervention recruited by the cluster, and who in the target population actually received the intervention?

A

attendance lists of in-service training in performing case conferences (I), training on the job (II) and case conferences without support (III)

▪ Case conference model (key characteristics)

▪ Descriptive statistics [45]

▪ DNA double helix

J

semi-structured group interview (n = 12)

-

▪ Content analysis [50]

H

semi-structured group interview (n = 12)

-

▪ Content analysis [50]

Context (intervention)

8. What is the context in which the intervention is being implemented?

K

semi-structured telephone interviews to assess ‘care as usual’ (n = 24)

▪ Case conference model (process structure and key characteristics)

▪ Content analysis [50]

▪ DNA double helix

L

Dementia milieu assessment (DMA)

-

 

M

standardized questionnaire to assess organizational and structural characteristics of nursing homes/nursing wards

▪ Consolidated Framework for Implementation Research (CFIR) [51, 52]

▪ Descriptive statistics [45]

9. What contextual factors promote or inhibit the implementation of the intervention?

A-M

All data assessed throughout the evaluation process

▪ CFIR [51, 52]

▪ Content analysis [50]

▪ DNA double helix