Implementation fidelity trajectories of a health promotion program in multidisciplinary settings: managing tensions in rehabilitation care

Table 1 Core components and related items used to assess organizational-level implementation fidelity

Core components and related items	Moment of measurement	Source
1. Intake session on exercise and sports
▪Takes place	T0, T1, T2	PL
▪As standard component of rehabilitation^a	T0, T1, T2	PL
2. Exercise and sports during rehabilitation
▪‘Sports and exercise during rehabilitation’ is part of the official policy of the organization	T0, T2	M
▪ The topic ‘sports and exercise’ is discussed during a multidisciplinary team meeting^b	T0, T1, T2	Ph
3. Referral to SCC
▪ Takes place	T0, T1, T2	PL
▪ Is a standard component of rehabilitation^a	T0, T1, T2	PL
4. Face-to-face consultation
▪Is a standard component of rehabilitation^a	T0, T1, T2	PL
▪All counselors use MI during almost every consultation	T0, T1, T2	C
5. Counseling sessions
▪ Takes place	T0	PL
▪Is a standard component of rehabilitation^a	T0, T1, T2	PL
▪Takes place according to the guidelines^c	T1, T2	C
6. Collaboration between SCC and external sports and exercise facilities
▪Collaboration between SCC and external exercise and sports facilities	T0, T1, T2	C
▪All counselors have knowledge of sports and exercise facilities in the region	T0, T1, T2	C

Note. ^a1 point if it is a standard component for (almost) all outpatients or for only some groups of outpatients, 0 point if it is not a standard component at all or I do not know. ^b1 point if it is discussed always or most of the time, 0 point if it is discussed never or sometimes. ^c1 point if all counselors never or sometimes deviate from the guidelines, 0 point if all or some counselors often or most of the times deviate from the guidelines
PL project leader, M manager, Ph physician, C counselor, MI motivational interviewing, SCC Sports Counseling Center

ISSN: 1748-5908