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? |