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Table 2 Findings of the process evaluation

From: Improving the participation of adults with visual and severe or profound intellectual disabilities: a process evaluation of a new intervention

Implementation process, adaptation, dose, fidelity, reach
Implementation:
-Information conveyed to managementMay 2017
-Information conveyed to the DSPsJune 2017
-Arrangements made within the residential facilitySeptember–November 2017
Adaptation of the CFP+ during trainingTwo components were added during the training:
Explanations provided by the coordinator of the volunteers
Demonstration of new activities developed for adults with VSPID
Dose: Number of DSPs who received CFP+ training14/16 present on the first day of training
13/16 present on second day of training
14/16 present on the third day of training
Dose: Intended training timeN = 12 h: 66.7% of intended training time
Feedback session replaced by telephone contact
Dose: Time spent practicing CFP+ during the interval between the completion of training and T2bN = 8a: 1 DSP spent 40 min, 1 DSP spent 30 min, 6 DSPs spent 0 min; Eight missing values
Fidelity: carrying out assignments during the training program, as reported by DSPsN = 1: 7.1%: good
N = 6: 42.9%: neutral
N = 5: 35.7%: moderate
N = 2: 14.3%: insufficient
Two missing values
Fidelity: Use of the worksheets during and after the trainingDuring the training: n = 169: 88% completed
T2b: 0% completed (not used)
Fidelity: Concrete application of CFP+ up to T2, as reported by DSPs in the areas of:12/16 reported
-self-management for adults with VSPIDN = 10: 83.3%
-new activities for adults with VSPIDN = 12: 100%
-involvement of adults with VSPID in existing activitiesN = 8: 66.7%
-new roles for adults with VSPIDN = 6: 50%
Reach: dissemination of the CFP+ by DSPs within the team up to T2N = 3: 25%: no dissemination
N = 9: 75%: partial dissemination
Four missing values
Mechanisms generated by CFP+ itself that could have influenced the outcomes: DSPs responses and mediators
Quality of trainer’s teaching, as reported by DSPs just after the training programN = 7: 43.8%: good
N = 8: 50%: neutral
N = 1: 3.1%: moderate
One missing value
Practical applicability of teaching material, as reported by DSPs just after the training programN = 4: 26.7%: good
N = 2: 13.3%: neutral
N = 8: 53.3%: moderate
N = 1: 6.7%: insufficient
One missing value
Appropriateness in relation to DSPs’ work, as reported by DSPs just after the training programN = 1: 6.3%: good
N = 2: 12.5%: neutral
N = 6: 37.5%: moderate
N = 7: 43.8%: insufficient
Understanding of the assignments provided in the worksheets during the training sessions, as assessed by the researcher (GH)N = 129: 74.6%: well understood
N = 29: 17.2%: reasonably understood
N = 10: 5.9%: moderately understood
N = 4: 2.4%: insufficiently understood
Responses in successive worksheets completed during the training sessions reflect logical choices, as assessed by the researcher (GH)N = 29: 45.3%: satisfactory logical sequence
N = 7: 10.9%: reasonably logical sequence
N = 6: 9.3%: moderate logical sequence
N = 5: 7.8%: absence of a logical sequence
17 missing values
Trainer’s feedback about the training group and the DSPs’ use of the CFP+ during the training programDifficult to foster self-reflection
Not aware of the added value of CFP+
Trainer’s feedback regarding the behavior of the group during the training programNot focused and poor concentration
Dominance of some of the DSPs
Contextual factors that affected the implementation of CFP+
 DSPs’ feedback on positive and negative conditions for implementing the CFP+ interventionNot consulted by the manager or trainer to provide inputs prior to the training
Lack of time to implement CFP+ up to T2
Nonavilability of volunteers for implementing new activities up to T2
 Trainer’s feedback on positive and negative conditions for implementing the CFP+ interventionLack of commitment to the training demonstrated by DSPs
 Manager’s feedback on positive and negative conditions for implementing the CFP+ interventionConvinced of CFP + ‘s added value both before and after the training program
Convinced of the existence of opportunities for implementing CFP+ before and after the training program
DSPs’ lack of commitment to the training program
  1. DSP direct support professional, CFP+ Care for participation+
  2. aThree DSPs could not be interviewed because they had changed jobs and were no longer employed by the residential facility; one DSP was absent; bT2 = 6 months after the training