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Table 3 Development of the interview guide

From: Beyond Plan-Do-Study-Act cycle – staff perceptions on facilitators and barriers to the implementation of telepresence robots in long-term care

Research questions

Select relevant constructs and suggested questions from the CFIR Interview Guide Tool

(Using (1) Intervention Characteristics (Relative Advantages) and (2) Outer Setting (Patient Needs & Resources) as examples)

Generate interview questions in the context for telepresence robot implementation

Follow-up questions based on the suggested relevant questions

1. What are the anticipated facilitators and barriers to implementing telepresence robots in LTC from the perspective of frontline staff and leaders in LTC in Canada?

2. What are the possible strategies that help overcome the barriers to adopting the robots for virtual family visits?

Domain: Intervention Characteristics (IC)

Construct chosen:

Relative Advantages

Questions selected:

1. How does the intervention compare to other similar existing programs in your setting?

2. How does the intervention compare to other alternatives that may have been considered or that you know about?

1. What are the usual ways for resident-family communication and staff-family communication at your workplace?

1.1 How are telepresence robots different when compared to these usual ways of communications? (IC - Relative advantages) What are the challenges of using these existing ways of communication?

1.2 To what extent are new ideas adopted and used to make improvements at your workplace? (IS – Culture)

Domain:

Outer Setting (OS)

Construct Chosen:

Patient Needs & Resources

Questions selected:

1. How well do you think the intervention will meet the needs of the individuals served by your organization?

2. How do you think the individuals served by your organization will respond to the intervention?

3. What barriers will the individuals served by your organization face to participating in the intervention?

2. How can telepresence robots help residents with dementia?

2.1 What are these residents’ needs? And how do the robots meet the needs of residents? (OS – Patient Needs & Resources)

2.2 How do you feel when you picture yourself or residents using the robots? (COI - Knowledge & beliefs about the intervention)

2.3 How do you feel the residents will respond to the telepresence robot? (OS – Patient Needs & Resources)

3. What difficulties (may) happen when using telepresence robots at your workplace/ in a long-term care setting?

3.1 What difficulties will the residents face in using telepresence robots? (OS – Patient Needs & Resources)

3.2 How well does the telepresence robot work with existing working processes and routines in your setting? (IS - Adaptability)

3.3 What support would you prefer to help you implement and use the robot? (IS – Readiness for Implementation)

3.4 How will the infrastructure (physical layout, technical support) affect the use of telepresence robots? (IS – Structural characteristics)

3.5 How well does the telepresence robot fit with existing work processes and routines in your setting? (IS – Implementation climate)

3.6 How confident are you that you will be able to use the Telerobot? (COI – Self-efficacy)

Extra questions for leadership teams:

3.7 What (cost) will be considered when deciding to implement an intervention? (IC – Cost)

3.8 Do you expect to have sufficient resources to use the Telerobot? (IS – Readiness for Implementation)

4. What will lead your workplace/ LTC setting to keep the telepresence robots in use?

4.1 Can you describe a recent implementation of a new program? (IS - Learning climate)

4.2 Who are the key individuals to get on board with the use of telepresence robots? (P - Engaging)

4.3 What policies, restrictions or guidelines would affect the use of the robot? (IS – Readiness for implementation)

4.4 What kind of support or actions can you expect from leaders to help to use Telerobot at your workplace? (IS – Readiness for implementation)

4.5 What steps are usually taken to encourage staff to commit to using a new technology/ to a change in your organization? (P – Planning)

Extra questions for leadership teams:

4.6 How well does the telepresence robot fit the values and norms in your setting? (IS – Implementation climate)