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Table 2 Treatment fidelity (italicized items: both treatment and control sites; items not bolded: treatment site only)

From: Reducing disability via a family centered intervention for acutely ill persons with Alzheimer’s disease and related dementias: protocol of a cluster-randomized controlled trial (Fam-FFC study)

Focus

Data

Evidence of treatment fidelity

Delivery

Assessment of the hospital environment and policy [54, 55] (Component I)

Completion of assessments by Fam-FFC research nurse.

Education: percentage of nurses exposed (Component II) [54, 55]

80% of all nursing staff working on participating nursing units (# exposed/total # nursing staff)

Goal attainment forms [69] (Component III)

Forms completed on all recruited patients in treatment units

Fam-Path Audit [54, 55] (Component III)

Completion of bedside goals and treatment plans, discharge checklist, post-acute follow-up and plan update

Receipt

Knowledge of Fam-FFC Test [54, 55]

Mean score of > 80% among nursing staff after education

Assessment of the hospital environment and policy [54, 55]

Conducted at the beginning and end of the study at each site to evaluate for evidence of change(s) made over the course of the study

Goal Attainment Scale [69]

Goal attainment scores incorporated into care plans

Enactment

Function Focused Care Behavior Checklist (FFC-BC) [54, 55, 71]

(Component IV)

Performance of Fam-FFC by nurses based on observations of care interactions in the hospital; evaluated on at least 50% of the patients per site