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. 2022 Jun 22;11(6):e34550. doi: 10.2196/34550

Table 4.

Overview of concepts, measures, and measurements to assess the implementation of the STIP-Method, a personalized integrated stepped-care method.

Source and assessment Measurement instrument Time of measurement



Start implementation End implementation
Advisory board meetings



  • Facilitators and barriers

  • Advisory boards at each facilitya


  • Collective advisory board meeting (all 4 facilities)b


  • Project groupc


Patient records



  • Availability and date of completion of 5 phases of clinical reasoning + 4 stepped-care interventions

  • Quality standard: STIP-Method

  • Quality check patient records with a 4-point scale (good, sufficient, insufficient, and missing)

  • Quality standard: STIP-Method

BPSDd Care



  • Neuropsychiatric symptoms

  • Neuropsychiatric Inventory

  • Broad needs assessment

  • Inventory of causes based on Dynamic System Analysis

  • Cognitive functioning

  • Mini-Mental State Examination

  • Activities of daily living

  • Barthel Index

  • Pain

  • Pain Assessment in Impaired Cognition

Pharmacists’ electronic patient records



  • Medication use

  • Use of the ATCe classification system on psychotropic medication: antipsychotics (N05A), anxiolytics (N05B), hypnotics (N05C), antidepressants (N06A), anti-dementia medication (N06D), and anti-epileptic medication (N03)

Patient records



  • Demographics

  • Organization and facility

  • Type of dementia

  • Date of admission to nursing home

  • Demographics: sex, date of birth

  • Restraint use

  • Reported aggression incidents

Online survey



  • Evaluation of the STIP-Method

  • Short evaluation of ongoing implementation of the STIP-Method, including the BPSD web application. To assess feasibility, satisfaction, job satisfaction

  • Process evaluation advisory board meetings

  • Evaluation of using advisory board groups. Focusing on frequency, composition, utility, and effects


Semistructured interview



  • Process evaluation of the STIP-Method

  • Board members and local project leaders


aEvery 6 weeks (12 in total).

bEvery 6 months (4 in total).

cEvery 3 months (8 in total).

dBPSD: Behavioural and Psychological Symptoms of Dementia

eATC: Anatomical Therapeutic Chemical.