Table 3.

Usage and adaption of the intervention by PCP

Trigger Question Usage by PCPs	• Used as Intended: 1 PCP for all CHD patients and additional groups • Adapted Use: o 1 PCP used TQ only for patients with a recent myocardial infarction or non-ST elevated myocardial infarction o 1 PCP used TQ only for patients attending the CHD DMP o 4 PCPs used TQ more as a reminder and posed their own question to the patient, e.g. “Well, how are you? Do you have any complaints?” o 1 PCP rephrased TQ as “What impression does the patient make?”, “Could he/she have anything?” • Not Used: 2 PCPs
Screening Usage by PCPs	• Used as Intended: 1 PCP for all CHD patients • Adapted Use: 7 PCPs adapted screening individually and according to the situation, specific details include: o Screening conducted occasionally, if symptoms were reported o Screening was often shortened by only addressing individual questions or topics o Modifications in the wording of questions to better integrate into consultations. o 2 PCPs used other screening instruments: Dementia detection test, Mini-Mental-Status-Test • Not Used: 2 PCPs
Booklet	• Used as Intended: 3 PCPs used the booklet at least once after the training for reference • Not Used: 7 PCPs
Coat Pocket Cards	• Not Used: No PCP used the coat pocket cards.
Tear-off Sheets	• Partially Used: 4 PCPs used the tear-off sheets o included 1 PCP gave the sheet to the patients to complete themselves o included 1 PCP placed the sheets in the paper file to be able to compare the results in case of a repeat • Not used: 6 PCPs
Question Prompt Sheet for Patients: Issuance by PCPs	• Issuance as Intended: 1 PCP to all patients with CHD • Partially Issuance: 7 PCPs regularly or occasionally to patients • Not issued: 2 PCPs • Displayed in Waiting Room: 7 PCP offices also displayed the QPS in the waiting room