Table 1 Research questions per subcategory of adherence and assessed moderating factor
Adherence subcategory | Intervention component | Research question | Measurements | Data source or procedure |
|---|---|---|---|---|
Coverage | Geriatric assessment | What proportion of participants received at least one assessment? | 6, 12, 18 and 24 months after start of intervention | RAI-CHA database |
Care plan | What proportion of participants received a care plan after each assessment? | 6, 12, 18 and 24 months after start of intervention | Digital copies care plans | |
MTCs | What proportion of primary care practices delivered at least two MTCs? | 6, 12, 18 and 24 months after start of intervention | Geriatric expert team logbooks | |
MTC reports | ||||
Frequency | Geriatric assessment | How often were assessments delivered? | 6, 12, 18 and 24 months after start of intervention | RAI-CHA database |
Care plan | How often were care plans delivered? | 6, 12, 18 and 24 months after start of intervention | Digital copies care plans | |
Care team meetings | How many care team meetings took place? | Alongside the intervention | Geriatric expert team logbooks and minutes of care team meetings | |
MTCs | How often were MTCs delivered? | 6, 12, 18 and 24 months after start of intervention | Geriatric expert team logbooks | |
MTC reports | ||||
Community network meetings | How many community network meetings took place? | Alongside the intervention | Geriatric expert team logbooks | |
Duration | Assessment Care plan MTCs | What was the average duration (in minutes) of activities involving the assessment/care plan/MTC? | Alongside the intervention | Time sheets practice nurses |
Content | Geriatric assessment Care plan Care team meetings | How were the geriatric assessments, care plans and care team meetings delivered? | Alongside the intervention | Semi-structured interviews practice nurses and geriatric expert team members |
MTCs | How were the MTCs delivered, and who attended the MTCs? | Alongside the intervention and at the end of the intervention period | Semi-structured interviews practice nurses, geriatric expert team members and primary care physicians | |
Geriatric expert team logbooks | ||||
Community network meetings | How were the community network meetings delivered? | Alongside the intervention | Semi-structured interviews with geriatric expert team members | |
Moderating factor | ||||
Availability of facilitation strategies | Educational sessions | How many educational session took place? | At the end of the intervention period | Geriatric expert team logbooks |
Minutes of team meetings | ||||
Pre-intervention training sessions | How many practice nurses attended the pre-intervention training sessions? | At the end of the intervention period | Geriatric expert team logbooks | |
Minutes of team meetings | ||||
Nurses’ experiences with educational and training sessions | What were practice nurses’ experiences with the educational and training sessions? | Alongside the intervention | Semi-structured interviews practice nurses | |
Participant responsiveness | Satisfaction Involvement | How satisfied were practice nurses and primary care physicians with the intervention, and how involved did they feel? | At the end of the intervention period | Nurses/physicians were asked to rate their satisfaction and involvement on a 1-10 scale. |
Other moderating factors | What other factors modified adherence? | Alongside the intervention | Semi-structured interviews practice nurses, geriatric expert team members and primary care physicians |