Table 1 Process evaluation data collection
Time points of data collection within each of the nine blocks | |||||||||
|---|---|---|---|---|---|---|---|---|---|
Data collection method | Aim | Evaluation component | Key Indicators | Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 |
1. Service profile survey (n = 2,160) | 2 | Ward characteristics: To identify contextual factors associated with variation in outcomes and to map barriers and enablers against the characteristics of each ward | Insight into staffing profile to compare the eight wards (four networks) and consideration of service changes that may impact My Therapy implementation | ✓ Each block | |||||
2. Ward compliance audit (n = 2,160) | 1 | Staff adoption: To measure adoption of My Therapy | Within control conditions, determine the presence of self-management programs and once wards cross over to experimental conditions determine the presence of My Therapy programs | ✓ Each block | |||||
3. Audit of medical record/timetabling (n = 120) | 1 | Staff outcome: To measure fidelity with maintaining usual care. | Usual care therapy dose is maintained by reviewing therapy attendance within supervised sessions | ✓ In blocks 1,5 and 9 | |||||
4. Audit of PTXa (n = ~ 80) | 1 | Staff outcome: To measure staff fidelity with, and feasibility of, prescribing and modifying My Therapy; quality of implementation; as well as patient adoption and compliance with My Therapy tasks and exercises | My Therapy program is developed by occupational therapists and physiotherapists with at least one review/amended program completed over the 7-day period. Patient adoption and compliance is indicated by patients completing their My Therapy program as recommended | ✓ In blocks 5 and 9 | |||||
5. Exercise self-efficacy scale (n = 120) | 2 | Patient reported outcomes: To measure participants’ self-efficacy and exercise behaviours to determine confidence with My Therapy (or a self-management program that meets the defined criteria in the control conditions) and motivation to complete their exercises and activities independently. | Self-efficacy scores are determined for those patients who participate in a My Therapy Program (or self-management program) | ✓ In blocks 1,5 and 9 | |||||
6. Patient survey (n = 120) | 2 | Patient reported outcomes: To understand the impact of My Therapy (or a self-management program that meets the defined criteria in the control conditions) on self-management and feelings of empowerment, patients’ ability to self-manage health, if My Therapy is perceived to be a joint patient-clinician led experience, acceptability, appropriateness, and the barriers and enablers to participation | Reporting qualitative data regarding patients perceptions. | ✓ In blocks 1,5 and 9 | |||||
7. Activity log (n = 120) | 1 | Patient outcome: To measure patient fidelity with the recommended My Therapy program (or a self-management program that meets the defined criteria in the control conditions) | The My Therapy Program (or self-management program) is completed at the frequency that was recommended. | ✓ In blocks 1,5 and 9 | |||||
8. Activity monitoring (n = 36) | 1 | Patient outcome: To measure patient fidelity with the recommended My Therapy program | Participant activity levels are reported during the My Therapy Program (or self-management program) | ✓ In blocks 1,5 and 9 | |||||
9. Staff survey (n = 24) | 1 & 2 | Staff outcome: To measure fidelity, quality of implementation and factors influencing the implementation of My Therapy. For the staff who are working on the control wards, this is their perceptions regarding self-management programs. | Reporting qualitative data regarding therapists perceptions. | ✓ In blocks 1,5 and 9 | |||||
10. Staff focus groups (n = 24) | 1 & 2 | Staff outcome: To measure fidelity, quality of implementation and factors influencing the implementation of My Therapy | Reporting qualitative data regarding therapists perceptions. | ✓ In blocks 1,5 and 9 | |||||