Table 4 Contextual factors collected as part of process evaluation

Barriers to delivering the intervention

Feedback from stakeholders

Care home staff interview

GP interview

PIP interview

NoMAD [16] survey to GPs/PIPs and care home staff

Other anecdotal feedback

Facilitators to delivering the intervention

Feedback from stakeholders

Care home staff interviews

GP interview

PIP interview

NoMAD [16] survey to GPs/PIPs and care home staff

Other anecdotal feedback

Site and participant factors

Inter PIP variation

Competency

Variation in outcomes

Review of PCPs for both safety and missed opportunity

GP interview

Care home interviews

Employment status

Baseline PIP questionnaire

Qualifications

Baseline PIP questionnaire

Inter-site variation

Care home factors

Baseline care home survey

Resident factors

Baseline resident data

Inter-location variation

Views of researchers

Meeting minutes

Normalisation of intervention into routine practice

Actions taken by participants to ensure the intervention works

Coherence

(Making sense of the service)

NoMAD survey [16] to PIPs, care home staff, GPs

GP interview

Care home staff interviews

PIP interview

Cognitive participation

(Engaging with the service)

NoMAD [16] survey to PIP, care home staff, GPs

Interviews (GP and care home staff)

PIP interview

Collective action

(delivering the service/responding to the service)

NoMAD [16] survey to PIP, care home staff, GPs

GP interview

Care home staff interviews

PIP interview

Reflexive monitoring

(appraising and reviewing the service)

NoMAD [16] survey to PIP, care home staff, GPs

GP interview

Care home staff interviews

PIP interview