Table 1

PReCaP: intervention fidelity and moderating factors
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

Never = 0%; Seldom = 1-33%; Sometimes = 34-66%; Often = 67-99%; Always = 100%.

de Vos et al.

de Vos et al. BMC Health Services Research 2013 13:29   doi:10.1186/1472-6963-13-29

Open Data