Table 2.
Domain | Definition for Pisando Fuerte | Measurement |
---|---|---|
Reach | Number and characteristics of individuals willing to participate in a program. |
Number of participants in the program compared to the number of individuals invited to participate. Overall sociodemographic characteristics of participants. |
Outcomes | The health outcomes associated with the intervention |
Number of falls per person during 6 months post intervention compared to 6 months pre intervention, collected during interviews, and corroborated with the use of tracking calendars that were submitted during the study period. The Timed Up and Go (TUG) [23] and Shortened Fall Behavioral Scale (FaB) scale [24] were used as intermediary outcomes; these were measured at baseline and 6 months post intervention. |
Adoption | Characteristics of adopting organizations, and barriers and facilitators to adoption by the organizations. | Content analysis of semi-structured interviews of leaders, coordinators and administrators after the workshops were completed. |
Implementation | At the organization level, it refers to the fidelity of delivery of the intervention, time/cost to implement the program. |
Fidelity of delivery – Evaluation was performed at sessions 1, 3, and 7, by a trained expert, who used a pre-defined checklist created using the key elements of Stepping On. Time/cost to implement the program according to budgets and hourly invoices submitted by adopting organizations. |
At the individual level, it refers to the use of the intervention by participants |
Fidelity of enactment – the degree to which the participants apply the skills learned in their daily life [25]. It was assessed at completion of the program and 6 months post intervention using content analysis of semi-structured interviews of participants and demonstration of exercises. Workshop completion was defined as attending 6 out of 8 sessions. |
|
Maintenance | At the organization level refers to the capacity to keep implementing the program | N/A – Because Pisando Fuerte was only available for research purposes, we could not assess the maintenance of the program. |
At the individual level, refers to the long-term fidelity of enactment of the health behavior of interest. | Maintenance is the degree to which the participants apply the learned skills long-term in their daily life [25]. Measured using content analysis of semi-structured interviews of participants 6 months post completion. |