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Table 2 Elements of the process evaluation

From: Family conferences and shared prioritisation to improve patient safety in the frail elderly (COFRAIL): study protocol of a cluster randomised intervention trial in primary care

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)