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Table 1 PReCaP: intervention fidelity and moderating factors

From: The Prevention and Reactivation Care Program: intervention fidelity matters

  Adherence extent PReCaP Core Staff Moderating factor
Day 1    
1. Identification of patient at risk within 48 hours after admission Always Research nurse Recruitment
  (Performed in time-often)   Context
  (Performed later-sometimes)   
2. Assessment of risk factors for functional decline Always Research nurse  
  (Performed in time-sometimes)   
  (Performed later-sometimes)   
3. Consultation with patient and relatives to discuss vulnerability and risk factors Often Casemanager or geriatric nurse Participant responsiveness
Day 2    
4. Patient discussed in biweekly Multidisciplinary Team Meeting (MTM) Always Geriatrician Context
   Geriatric nurse  
   Nurse practitioner  
   Social worker  
   Transfer nurse  
   Casemanager  
Design GAS care plan including advice for additional treatment aimed at functional preservation Always Geriatrician Facilitation strategies
   Geriatric nurse  
   Nurse practitioner  
   Social worker  
   Transfer nurse  
   Casemanager  
Day 3 – 5    
5. Consultation following MTM Often Casemanager  
   Geriatric nurse  
   Transfer nurse  
   Geriatrician  
6. Consultation with patient and relatives to discuss vulnerability and risk factors Seldom Casemanager and/or geriatric nurse Comprehensiveness of policy description
7. Interdisciplinary consultation following MTM Often   
Psychiatrist, psychiatrist, occupational therapist, dietician    
Day 6 – 7    
8. Support and provide treatment to informal caregiver (conditional) Never Social worker Participant responsiveness
   Psychologist  
9. Medication use review by pharmacist Never   Context
10. Treatment by PReCaP Recovery Team (conditional)    
Casemanager Sometimes   
Art therapist Seldom   
Day 8    
11. MTM - Review prognosis and discharge destination (in some cases register patient at hospital replacement care facility) Sometimes Geriatrician  
   Geriatric nurse  
   Nurse practitioner  
   Social worker  
   Transfer nurse  
   Casemanager  
12. Weekly telephone consultation informal caregiver Always Casemanager  
13. Consultation with patient and relatives to discuss vulnerability and risk factors Seldom Casemanager and/or geriatric nurse Comprehensiveness of policy description
14. Hand out flyer ‘PReCaP Recovery Team’ to patient Always Casemanager Participant responsiveness
Day 9    
15. Execution PReCaP care plan    
Physiotherapist, dietician, occupational therapist Sometimes   
Before day 12    
16. Exit interview with patient and informal caregiver Sometimes Casemanager or transfer nurse Context
17. Send flyer ‘Prevention and Reactivation Centre’ to informal care giver’s home address (if transfer to PRC) (conditional) Always Casemanager Participant responsiveness
18. Handover GAS care plan to physician hospital replacement care facility Sometimes Casemanager or geriatrician  
  1. Never = 0%; Seldom = 1-33%; Sometimes = 34-66%; Often = 67-99%; Always = 100%.