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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)