Skip to main content

Table 1 Process evaluation questions and data collection tools per component of the process evaluation plan

From: Nurse-led home visitation programme to improve health-related quality of life and reduce disability among potentially frail community-dwelling older people in general practice: a theory-based process evaluation

Component Process evaluation questions Data collection tools
Fidelity (quality of implement-tation) 1) To what extent were all elements of the home visitation programme implemented as planned? Semi-structured interviews GP/PN; structured registration forms
2) Is care delivery for older people within general practices successfully redesigned?
a. Did GPs and PNs change their mindset from delivering reactive care to proactive care?
b. To what extent were linkages established with other professionals or organisations?
c. Did general practices receive useful decision-aids to support decision-making?
d. Is a registration system realised that is (practically) useful for general practices?
Dose delivered (completeness) 3) To what extent did PNs follow all steps of the intervention protocol (see Figure 1)? Semi-structured interviews GP/PN and older people; structured registration forms
Dose received (exposure) 4) To what extent were older people compliant with follow-up actions formulated in the care and treatment plan? Structured registration forms
Dose received (satisfaction) 5) To what extent were GPs and PNs satisfied with organising care according to the home visitation programme? Semi-structured interviews GP/PN
6) To what extent were older people satisfied with the home visit? Semi-structured interviews older people
7) To what extent did older people benefit from the home visit and, if necessary, subsequent follow-up actions? Structured registration forms
Reach (participation rate) 8) What proportion of the intended target population participated? Registration trial database
9) What were the reasons for non-participation of older people? Reminder non-responders and notes in trial database
10) Was the right target population reached according to GPs/PNs? Semi-structured interviews GP/PN
11) What proportion of older people completed all steps of the intervention protocol? Registration trial database
12) What were the reasons for drop-out of older people enrolled? Notes in trial database
Recruitment 13) What procedures were used to recruit general practices and older people for participation? Narrative report by project team
Context 14) What barriers and facilitators influenced implementation of the home visitation programme within general practices? Semi-structured interviews GP/PN
15) To what extent did the control group receive the intervention or similar types of proactive care (contamination)? Short semi-structured interview GP by phone
Interactional workability 16) To what extent was congruence accomplished between PNs and older people and GPs and PNs regarding detected (health) problems and/or follow-up actions? Semi-structured interviews GP/PN and older people
Relational integration 17) Did PNs have sufficient knowledge, expertise and skills to perform the activities as part of the home visitation programme? Semi-structured interviews GP/PN and older people; evaluation form during training session
18) To what extent did PNs feel confident that they could assess and address older people’s health problems?
Skill-set workability 19) Was the division of work between GP and PN acceptable? Semi-structured interviews GP/PN
Contextual integration 20) Did the home visitation programme fit within the range of health care services offered by general practices? Semi-structured interviews GP/PN
21) Were sufficient resources (e.g., time, staff, and money) available for the adequate performance of the home visitation programme by general practices?