Outcome domain | Details of measurement |
---|---|
Guideline adherence | |
 Exercise guideline adherence | Full adherence when: a) Clinician checklist explicitly references a discussion about current physical activity levels, and; b) Specific needs and barriers to physical activity are identified, and; c) Treatments/strategies recommended are clinical indicated based on needs/barriers, and; d) A written treatment plan for physical activity or exercise is provided to the person with dementia |
 Occupational therapy guideline adherence | Full adherence when: a) Home environment assessment has occurred (where applicable), and; b) Clinician checklist explicitly references identification of primary concern/s of person with dementia and carer, and; c) A written treatment plan to address needs of person with dementia and carer or give specific advice about suitable activities (that are tailored, of interest, and match capabilities) is provided |
 Carer support guideline adherence | Full adherence when: a) Clinician checklist explicitly references that the needs of the carer have been discussed during the consultation, and; b) Clinician checklist explicitly references clinically indicated provision of information about programs providing respite for the carer and/or other carer support services, and; c) A written treatment plan detailing key carer concerns and strategies to manage these is provided |
Implementation | |
 Uptake | • Exposure: the extent to which clinicians use the materials and online training course • Initial use: initial changes in adherence to guideline recommendations |
 Sustainability | • Continued changes in adherence to guideline recommendation. |
 Feasibility | • Recruitment: attraction of implementation clinicians and participating organisations • Consent rate for people with dementia and their carers agreeing to be contacted for follow-up • Maintenance: involvement in the program and contribution to data collection • Withdrawals |
 Acceptability | • Interviews with implementation clinicians regarding participation in the program and the acceptability of the intervention and process • QIKAT-R tool: a three-item tool that identifies the skills and knowledge of the implementation clinicians in quality improvement (i.e. how well they can assess the need for change and identify appropriate strategies) • NOMAD tool: a validated method of exploring why clinicians change their practice and why they do not, and this is a key aim of process evaluation. |
 Fidelity | • Fidelity determined via checklists on the content of clinician-patient/carers interactions. Data captured via clinician self-report checklist and phone call surveys with patients and carers |
 Penetration | • Context: information about the sites and funding models, as well as the different types of clinicians (professional background, level of seniority, and type of role). • Reach: does the project reach a variety of different sites and people with dementia and carers |
 Costs | • Calculation of costs of providing the intervention (personnel, technology, stipends, development and distribution of educational materials) and in-kind contribution required for each site estimated using a ‘bottom-up’ micro-costing approach. • Willingness to pay questionnaire |
 Impact of involvement of people with dementia and carers at all levels of the project | • Impact of involvement of people with dementia and carers on intervention quality, success • Expectations and experiences of people with dementia and carers involved in the project |
Service | |
 Safety | • Implementation clinicians will record any adverse events and discuss any unintended consequences |
Client | |
 Satisfaction | • Amended version of the Patient Satisfaction Questionnaire Short-Form |
 Function/QOL | • DEMQOL assesses the quality of life of clients with dementia (exercise and OT groups only) • ZBI assesses the burden experienced by carers of people with dementia (‘carer support’ group only) |