Focus | Documentation/assessment | Measurement point |
---|---|---|
Feasibility of the intervention | Piloting of family conferences with two physicians/region: semi-structured telephone interview with physicians; semi-structured telephone interview with patients and relatives | Piloting, prior T0 |
Recruitment procedure of physicians and patients | Protocol/region | T0 |
Reasons for non-participation or drop-out | Structured inquiry and documentation of reasons | T0–T2 |
Description of crucial structure- and process-related factors (CRF) on cluster and patient level | CRF-baseline data/cluster and patient | T0 |
Conveyance of the intervention | Mandatory educational sessions: structured protocol of each educational session. Use of facultative educational session: standardised documentation Use of individual medication reviews in intervention and control group: standardised documentation | T0 (immediately after the educational intervention) T0 T0–T2 |
Evaluation of telephone study monitoring of physicians and patients | Structured protocol | T0–T2 |
Evaluation of training | All participants of the education programme: Standardised questionnaire → evaluation of the programme • Attitudes • Acceptance • Self-efficacy • Expectations | T0 (after the second education sessions) |
Application of training content | All physicians: semi-structured protocols evaluation of family conferences • Acceptance • Contents • Duration • Practicability • Need for change | T0, after 3 and 9 months (immediately after family conferences) |
Experiences of physicians (e.g., attitudes regarding intervention; changes in physician–patient communication; barriers and facilitators) | Four focus groups: two/region with 6 to 12 physicians Guideline-based telephone interviews: convenience sample of ten physicians/region | T2 T2 |
Experiences of families (e.g., consideration of preferences; changes in physician–patient communication; barriers and facilitators) | Guideline-based telephone interviews: ten patient–relative dyads/region | After 9 months (immediately after the last family conference) |