Table 3. Summary of feasibility study variables and data sources.
Outcome variables | Variable description/definition | Data source (and data type1,2) | Data collection timeframe |
---|---|---|---|
Objective 1a: monitor respondents to the outreach strategies and describe IAC visitors | |||
Respondents to outreach strategies | The proportion of individuals/organizations who respond to each outreach strategy used to promote the IAC (e.g., % of GPs who received the promotional video about the IAC and subsequently referred older adults or % of hospitals who referred older adults to the IAC after an outreach meeting) | • IAC administrative data1 • IAC administrative data1 |
• Weekly |
Number of visitors and appointments | The total number of visitors to the IAC or home-based appointments, and the number of appointments | ||
Reason for appointment/ contacting the IAC and referral source | The primary reason for contacting the IAC/booking an appointment and the source of referral for each older adult who visits the IAC | ||
Type of service received by visitors | The number of older adults who during their IAC appointment receive either a) health promotion and prevention as well as social and financial support; b) a full CGA; c) a brief assessment to confirm whether a nursing home referral is warranted; or d) other | ||
Objective 1b: assess the implementation outcomes and processes | |||
Implementation outcomes (i.e., essential proximal outcomes to assess within the overall system before we can measure effectiveness outcomes [43]) | |||
Adoption | The intention or action of the IAC staff to employ the care model [45]*, which will be determined through the researchers’ perceptions during the meetings with IAC staff and the staffs’ documentation in the IAC health record. | • IAC staff meeting log2 • IAC health record1 |
• Regular meetings will be held with the IAC staff |
Acceptability | The perception among IAC staff and service users that the care model is agreeable [45]*. | • IAC staff meeting log2 • Older adults & informal caregiver interviews2 |
• Regular meetings will be held with the IAC staff • Interviews will be held within two-weeks of second appointment |
Feasibility | The extent to which the care model can be successfully implemented within the IAC of the care region [45]*. Feasibility will be assessed for each component of the care model and overall. | • IAC staff meeting log2 • Older adults & informal caregiver interviews2 |
|
Fidelity | The degree to which the core components of the care model is implemented according to protocol [45]*, largely based on the assessments conducted. | • IAC health record1 • IAC staff meeting log2 |
• Weekly and at the end of the study |
Implementation processes | |||
Implementation processes–collaboration | The implementation processes related to collaboration between IAC staff and external health and social care professionals to coordinate care for an older adult [46]. This will be captured from the perspective of the external professionals who collaborate with the IAC staff. | • The Normalization MeAsure Development questionnaire (NoMAD 1) [46] | • Towards the end of the study |
Objective 2: assess implementation costs | |||
Implementation costs (i.e., costs related to the implementation strategies) | The time-driven activity-based cost related to the planning and delivery of implementation strategies [32] | • IAC administrative data1 and INSPIRE document-ation1 | • Daily |
1 Quantitative;
2 Qualitative;
* Definitions adapted from Proctor et al. (2011)