Table 2 Implementation fidelity
From: A mixed methods process evaluation of a person-centred falls prevention program
RESPOND program component | Median (IQR) | Protocol requirement | Protocol requirement met by those remaining in the study at the time point of interest, n (%) | % of total intervention cohort who met requirement (n = 263) |
|---|---|---|---|---|
Intervention participants who received at least one intervention session (home visit) n = 224 | ||||
Number of intervention contacts (home visit plus telephone calls) | 7 (5, 8) | 1 home visit + 2 telephone calls | 211 (94.2) | 80.2 |
Total duration of direct intervention provided per participant (hours) | 2.9 (2.1, 4) | ≥ 10 h | 0 (0) | 0 (0) |
Total duration of intervention (days) | 171 (158, 178) | 6 months (> 182 days) | 38 (17.0) | 14.5 |
Duration of home visit (minutes) | 45 (30, 50) | ≥ 45 mins | 114 (50.9) | 43.3 |
Days from ED discharge to home visit (days) | 18 (12, 30) | ≤14 days | 85 (38.1) | 32.3 |
Intervention participants who received at least 1 follow up coaching call n = 221 | ||||
Duration of each telephone contact (minutes) | 20 (15, 25) | ≥ 45 mins | 2 (0.9) | 0.8 |
Days from the home visit to the first coaching call (days) | 14 (9, 17) | ≤ 14 days | 148 (67.0) | 56.3 |
Intervention participants who received at least 2 follow up coaching calls n = 211 | ||||
Days from the first to the second coaching call (days) | 21 (14, 30) | ≤ 3 months (91 days) | 207 (98.1) | 78.7 |
Audio-recordings of intervention sessions n = 93 | ||||
RPAD 1) Clinician explains the clinical issue or nature of the decision | 1 (1, 1) | Scored 1 | 92 (98.9) | |
RPAD 2) Clinician discusses uncertainties associated with the situation | 0.5 (0, 1) | Scored 1 | 43 (46.2) | |
RPAD 3) Clarification of agreement with the management plan | 1 (0.5, 1) | Scored 1 | 51 (54.8) | |
RPAD 4) Examining barriers to follow-through with management plan | 1 (1, 1) | Scored 1 | 78 (83.9) | |
RPAD 5) Participant asks questions | 0.5 (0.5, 0.5) | Scored 1 | 17 (18.3) | |
RPAD 6) Clinician’s medical language matches participant | 1 (1, 1) | Scored 1 | 93 (100) | |
RPAD 7) Clinician asks, “any questions?” | 0 (0, 0) | Scored 1 | 4 (4.3) | |
RPAD 8) Clinician asks open ended questions | 1 (1, 1) | Scored 1 | 87 (93.6) | |
RPAD 9) Clinician checks their understanding | 1 (1, 1) | Scored 1 | 88 (94.6) | |
RPAD total score | 7 (6.5, 7.5) | Scored 9 | 0 (0) | |
Falls risk and management education provided | Yes | 89 (95.7) | ||
Linkage to community falls prevention services provided | Yes | 88 (94.6) | ||
Motivational interviewing: Open-ended questions | Yes | 87 (93.6) | ||
Motivational interviewing: Affirmation | Yes | 88 (94.6) | ||
Motivational interviewing: Reflection | Yes | 80 (86.0) | ||
Motivational interviewing: Summary | Yes | 79 (85.0) | ||