Table 4 Professionals’ experiences with intervention delivery
| Â | Barriers for intervention deliverya) | Facilitators for intervention deliverya) |
|---|---|---|
Theme 1 | Social Fitness Programme guideline factors | |
Categories theme 1 | - Intervention length too short for structural behaviour change | - Professionals were motivated to participate in the SF study - Goal setting focused the intervention - Additional attention for caregiver |
Theme 2 | Individual health professional factors | |
Categories theme 2 | - Lack of clarity regarding own role during intervention delivery - Reservations in referring clients to welfare professionals - Little experience in SF programme performance - Illness of volunteer | - Professionals put more effort into treatment as a result of their clients participating in research - GP supported participation in the SF programme and coordinated all care initiatives |
Theme 3 | Client and caregiver factors | |
Categories theme 3 | - Lack of internal motivation to increase social participation expressed by people with cognitive problems - Increased caregiver burden during intervention delivery - Changing needs (i.e. as a result of physical problems) - Client was unwilling to transfer from own PT to intervention PT - Caregiver had limited time available - Caregiver/client had difficulties in handling cognitive decline - Client had difficulties in prioritising | - Expressed need for support to maintain or increase functioning in the home environment - Clients’ motivation to contribute in research and therefore participate in the SF programme (i.e. contribute to society) - Client was motivated to participate (i.e. to prevent necessity of client for going to day-care; happy to share her story) |
Theme 4 | Professional interactions | |
Categories theme 4 | - Suboptimal sharing of information among SF professionals - Lack of coordination, too many people involved alongside SF Programme - Difficulties in reaching WP | - Collaboration improved during the study - Professionals were already used to working together - Dementia Casemanager motivated clients for OT |
Theme 5 | Incentives and resources | |
Categories theme 5 | - Limited availability of organised social activities in the community which suit the participants with cognitive problems - Lack of PT reimbursement by health insurance | - Not applicable |
Theme 6 | Organisational resources | |
Categories theme 6 | - Rearrangement resulted in discontinuity of welfare professionals | - Not applicable |