Table 2.
Findings of the process evaluation
| Implementation process, adaptation, dose, fidelity, reach | |
| Implementation: | |
| -Information conveyed to management | May 2017 |
| -Information conveyed to the DSPs | June 2017 |
| -Arrangements made within the residential facility | September–November 2017 |
| Adaptation of the CFP+ during training |
Two components were added during the training: Explanations provided by the coordinator of the volunteers Demonstration of new activities developed for adults with VSPID |
| Dose: Number of DSPs who received CFP+ training |
14/16 present on the first day of training 13/16 present on second day of training 14/16 present on the third day of training |
| Dose: Intended training time |
N = 12 h: 66.7% of intended training time Feedback session replaced by telephone contact |
| Dose: Time spent practicing CFP+ during the interval between the completion of training and T2b | N = 8a: 1 DSP spent 40 min, 1 DSP spent 30 min, 6 DSPs spent 0 min; Eight missing values |
| Fidelity: carrying out assignments during the training program, as reported by DSPs |
N = 1: 7.1%: good N = 6: 42.9%: neutral N = 5: 35.7%: moderate N = 2: 14.3%: insufficient Two missing values |
| Fidelity: Use of the worksheets during and after the training |
During the training: n = 169: 88% completed T2b: 0% completed (not used) |
| Fidelity: Concrete application of CFP+ up to T2, as reported by DSPs in the areas of: | 12/16 reported |
| -self-management for adults with VSPID | N = 10: 83.3% |
| -new activities for adults with VSPID | N = 12: 100% |
| -involvement of adults with VSPID in existing activities | N = 8: 66.7% |
| -new roles for adults with VSPID | N = 6: 50% |
| Reach: dissemination of the CFP+ by DSPs within the team up to T2 |
N = 3: 25%: no dissemination N = 9: 75%: partial dissemination Four missing values |
| Mechanisms generated by CFP+ itself that could have influenced the outcomes: DSPs responses and mediators | |
| Quality of trainer’s teaching, as reported by DSPs just after the training program |
N = 7: 43.8%: good N = 8: 50%: neutral N = 1: 3.1%: moderate One missing value |
| Practical applicability of teaching material, as reported by DSPs just after the training program |
N = 4: 26.7%: good N = 2: 13.3%: neutral N = 8: 53.3%: moderate N = 1: 6.7%: insufficient One missing value |
| Appropriateness in relation to DSPs’ work, as reported by DSPs just after the training program |
N = 1: 6.3%: good N = 2: 12.5%: neutral N = 6: 37.5%: moderate N = 7: 43.8%: insufficient |
| Understanding of the assignments provided in the worksheets during the training sessions, as assessed by the researcher (GH) |
N = 129: 74.6%: well understood N = 29: 17.2%: reasonably understood N = 10: 5.9%: moderately understood N = 4: 2.4%: insufficiently understood |
| Responses in successive worksheets completed during the training sessions reflect logical choices, as assessed by the researcher (GH) |
N = 29: 45.3%: satisfactory logical sequence N = 7: 10.9%: reasonably logical sequence N = 6: 9.3%: moderate logical sequence N = 5: 7.8%: absence of a logical sequence 17 missing values |
| Trainer’s feedback about the training group and the DSPs’ use of the CFP+ during the training program |
Difficult to foster self-reflection Not aware of the added value of CFP+ |
| Trainer’s feedback regarding the behavior of the group during the training program |
Not focused and poor concentration Dominance of some of the DSPs |
| Contextual factors that affected the implementation of CFP+ | |
| DSPs’ feedback on positive and negative conditions for implementing the CFP+ intervention |
Not consulted by the manager or trainer to provide inputs prior to the training Lack of time to implement CFP+ up to T2 Nonavilability of volunteers for implementing new activities up to T2 |
| Trainer’s feedback on positive and negative conditions for implementing the CFP+ intervention | Lack of commitment to the training demonstrated by DSPs |
| Manager’s feedback on positive and negative conditions for implementing the CFP+ intervention |
Convinced of CFP + ‘s added value both before and after the training program Convinced of the existence of opportunities for implementing CFP+ before and after the training program DSPs’ lack of commitment to the training program |
DSP direct support professional, CFP+ Care for participation+
aThree DSPs could not be interviewed because they had changed jobs and were no longer employed by the residential facility; one DSP was absent; bT2 = 6 months after the training