Construct | Determinant example |
---|---|
‘Facilitation strategies’ | • Experts used by clinicians for support (16, 24, 35, 39, 48, 52, 53, 65). • Specific tools used to deliver an intervention (35, 39, 50, 51, 53, 63, 66, 67, 72, 73, 79) • Naturalistic environments, e.g. home environment, in which to deliver the intervention (49, 69, 72, 79, 80). |
‘Patient needs and resources’ | • Acceptability, or not, of the intervention by the patient and or carer is part of this construct and was noted in the majority of studies. Reasons for acceptability were not always explored. • Equipment, e.g. a DVD with practice exercises to watch, could not be used by all patients (72); batteries failed (73); unavailability of necessary equipment (16, 35, 38, 55); uncomfortable or inconvenient equipment (63, 68) • Participation difficult due to competing work commitments of patients and or carers (72, 50, 75, 47, 57, 74, 54) |
‘Readiness for implementation’ | • The organisation’s ability to provide appropriate environments and appointments (16, 48, 62, 63, 64, 69, 74, 79,) or not (16, 35, 54, 55, 62, 64, 74) • Difficulties obtaining staff backfill, or not receiving additional staff for which research funds had been allocated (24, 65) • The availability of appropriate training to deliver the intervention (16, 24, 38, 39, 51, 52, 53, 54, 55, 62, 80, 82) • Not using training resources (24, 62) • Delay between training and starting intervention delivery (24, 54) |
‘Participant responsiveness’ | • Age, disease severity, physical limitations, sensory impairment, and symptoms such as fatigue were reported across most studies. Other aspects of participant responsiveness is reported in patient needs and resources above |
‘knowledge and beliefs of the intervention’ | • Reports by clinicians that training was only useful if adhered to (39) • Clinicians’ acceptance of the intervention was reported across most studies |