Fidelity measure | CFIF constructa | Measurement tool | Data for extraction | Time point |
---|---|---|---|---|
Frequency Duration Intensity (time spent per session) Dose (number of sessions) Content (what was needed and delivered) | Adherence and moderating factors | Workwell Treatment Records part 1 and 2 WES-RC treatment notes and treatment log 6-month questionnaire | Intervention start date and end date Number of attended sessions Time spent (in minutes) on VR activities per session Description of problems identified, three priority problems, and interventions delivered in each session Work services received and sources | One record per participant at start (part 1), during/at discharge (or discontinuation) (part 2) Reasons for discontinuing (if applicable) One per participant: WES-RC, Treatment Notes and Treatment Log completed following each treatment session |
Therapist adherence Factors affecting adherence | Adherence and moderating factors | Training: Mock WES-RC Fidelity checklist Mentoring record forms | Ability and confidence to conduct and plan Workwell Components delivered, factors affecting delivery Workwell process followed Y/N Mentor’s comments on therapists’ delivery Factors affecting intervention delivery | Therapist questionnaire pre-post training; Workwell trainer evaluation of therapist mock WES-RC ability Applied to one selected completed case per Workwell therapist Completed at formal mentoring session by Workwell mentor |
Barriers and enablers to intervention delivery | Moderating factors | Interviews with Workwell Therapists | Factors affecting intervention delivery Potential solutions (developed by OT) | One Workwell therapists from each site (who delivered Workwell) |
Acceptability of the intervention Barriers and enablers to intervention delivery | Moderating factors | Interviews with Workwell participants, and their employers | Acceptability of intervention Factors affecting delivery Potential solutions to barriers | Interviews with selected participants (employed; no longer employed at 12m) Interviews with participants’ line managers/employers PPIE interviews with intervention and control group participants |