Table 2.

Determinants of success and barriers to the OT intervention

Facilitators	Barriers
Innovation
- Computerized decision support system which detects physically frail older adults or older adults at risk of physical frailty - System that links evidence to the electronic health record (e.g., Evidence Linker) - Secure digital information exchange system - Intervention is evidence based	- Lack of supportive electronic devices
Individual professional
- Health professionals involved receive basic education and training in collaborating with patients with complex chronic conditions - Local health professionals know each other - Health professionals have knowledge of the evidence-based practice method - Methodology for health literacy is part of the basic competences of occupational therapist and other involved health professionals - Freely available scientific evidence translated to local context - Professional pride	- Professionals not believing in the added value of the interventions
User
- Congruence between personal expectations of user(s) and set goals - Insight into the problem, potential cause, and potential consequences for user and, if relevant, informal caregiver - Actions tailored to the pace of user with special attention to actions of assessment phase - Experienced support from peers and family	- Denial of the problem - Lack of motivation - Additional costs of intervention such as the purchasing of assistive devices - Experienced social stigma
Social context
- Congruence between expectations of informal caregiver and set goals - Insight into the problem, potential cause, and potential consequences for informal caregiver - Positive attitude of colleagues towards innovation - Opinion leaders who support the innovation - Collaborative leadership	- Denial of the problem - Lack of motivation or interest of informal caregiver - Content and value of OT in primary care not well known by informal caregivers and health professionals
Organizational context
- Structurally embedded procedure which detects physically frail older adults or high-risk individuals - Integrated care is routine in primary care - OT is already integrated in the daily clinical practice - Innovative intervention implemented within routine actions - Innovative intervention adapted to local context - Indicators (effect-process-structure) available at start of implementation of the intervention	- Ingrained, inflexible organizational system
Economic and political context
- Sufficient allowances for assistive devices and home adaptations - Sufficient compensations for OT intervention	- OT not structurally embedded in primary care in Belgium