From: The Prevention and Reactivation Care Program: intervention fidelity matters
 | Adherence extent | PReCaP Core Staff | Moderating factor |
---|---|---|---|
Day 1 | Â | Â | Â |
1. Identification of patient at risk within 48 hours after admission | Always | Research nurse | Recruitment |
 | (Performed in time-often) |  | Context |
 | (Performed later-sometimes) |  |  |
2. Assessment of risk factors for functional decline | Always | Research nurse | Â |
 | (Performed in time-sometimes) |  |  |
 | (Performed later-sometimes) |  |  |
3. Consultation with patient and relatives to discuss vulnerability and risk factors | Often | Casemanager or geriatric nurse | Participant responsiveness |
Day 2 | Â | Â | Â |
4. Patient discussed in biweekly Multidisciplinary Team Meeting (MTM) | Always | Geriatrician | Context |
 |  | Geriatric nurse |  |
 |  | Nurse practitioner |  |
 |  | Social worker |  |
 |  | Transfer nurse |  |
 |  | Casemanager |  |
Design GAS care plan including advice for additional treatment aimed at functional preservation | Always | Geriatrician | Facilitation strategies |
 |  | Geriatric nurse |  |
 |  | Nurse practitioner |  |
 |  | Social worker |  |
 |  | Transfer nurse |  |
 |  | Casemanager |  |
Day 3 – 5 |  |  |  |
5. Consultation following MTM | Often | Casemanager | Â |
 |  | Geriatric nurse |  |
 |  | Transfer nurse |  |
 |  | Geriatrician |  |
6. Consultation with patient and relatives to discuss vulnerability and risk factors | Seldom | Casemanager and/or geriatric nurse | Comprehensiveness of policy description |
7. Interdisciplinary consultation following MTM | Often | Â | Â |
Psychiatrist, psychiatrist, occupational therapist, dietician | Â | Â | Â |
Day 6 – 7 |  |  |  |
8. Support and provide treatment to informal caregiver (conditional) | Never | Social worker | Participant responsiveness |
 |  | Psychologist |  |
9. Medication use review by pharmacist | Never | Â | Context |
10. Treatment by PReCaP Recovery Team (conditional) | Â | Â | Â |
Casemanager | Sometimes | Â | Â |
Art therapist | Seldom | Â | Â |
Day 8 | Â | Â | Â |
11. MTM - Review prognosis and discharge destination (in some cases register patient at hospital replacement care facility) | Sometimes | Geriatrician | Â |
 |  | Geriatric nurse |  |
 |  | Nurse practitioner |  |
 |  | Social worker |  |
 |  | Transfer nurse |  |
 |  | Casemanager |  |
12. Weekly telephone consultation informal caregiver | Always | Casemanager | Â |
13. Consultation with patient and relatives to discuss vulnerability and risk factors | Seldom | Casemanager and/or geriatric nurse | Comprehensiveness of policy description |
14. Hand out flyer ‘PReCaP Recovery Team’ to patient | Always | Casemanager | Participant responsiveness |
Day 9 | Â | Â | Â |
15. Execution PReCaP care plan | Â | Â | Â |
Physiotherapist, dietician, occupational therapist | Sometimes | Â | Â |
Before day 12 | Â | Â | Â |
16. Exit interview with patient and informal caregiver | Sometimes | Casemanager or transfer nurse | Context |
17. Send flyer ‘Prevention and Reactivation Centre’ to informal care giver’s home address (if transfer to PRC) (conditional) | Always | Casemanager | Participant responsiveness |
18. Handover GAS care plan to physician hospital replacement care facility | Sometimes | Casemanager or geriatrician | Â |