Table 3 Overview of the aspects of the national implementation that are evaluated and the related measurement
Process | Definition/Measurement | Data Source |
|---|---|---|
Spread (promotion of GLA:D Back) Newsletter from professional organisations Information to GLA:D Knee/Hip deliverers Description of GLA:D Back in magazine for general practitioners Information on the GLA:D Back web site Use of social media | The extent to which the intended promotion activities are delivered (Table 2) | Web sites, social media, e-mails |
Clinician reach | The proportion of chiropractors and physiotherapists, on a contract with the universal health insurance, participating in GLA:D Back courses. Profile of enrolled clinicians. | Course registration |
Penetration and adoption (extent of implementation) | Geographical penetration measured as the number of municipalities with at least one GLA:D Back deliverer. Rate of adoption will be measured as the proportion of clinics with trained clinicians offering GLA:D Back (defined as having entered at least five patients in the clinical registry) within 6 months of course participation. The number of patients starting GLA:D Back | GLA:D Back registry |
Fidelity (quality of implementation) | The extent to which the core elements of the clinical intervention are delivered | Observations in selected clinics Patient 4 month surveys |
Determinants of implementation | The domains of knowledge, skills, beliefs about capability, beliefs about consequences, innovation, patients, intentions, organisation, social influences, social context, and behavioural regulation are captured by the Determinants of Implementation Questionnaire (DIBQ) [16]. | Clinician surveys |
Patient participation | Proportion of patients enrolled in GLA:D Back that complete the program Profile of enrolled patients and of completers/non-completers Reasons that patients do not want to participate | Patient surveys in the GLA:D Back Registry Clinician surveys |