Table 3 Overview of process evaluation results
Intervention components | Feasibility outcomes | Barriers to implementation |
|---|---|---|
1. Systematic risk and needs assessment at care entry | • Participation rate was 46%. • Systematic risk and needs assessment was conducted for all included caregivers at enrollment (n = 76). | • Ad hoc assessment was considered sufficient by palliative care staff, resulting in reservations in conducting systematic assessment. • Shortage of time at the first home visit to conduct caregiver assessment. • Caution with confronting caregivers with severity of disease at first home visit and eliciting strong emotional responses. |
2. Interdisciplinary conference to prepare support plan | • Interdisciplinary risk and needs assessment and support plan was conducted for 75% of caregivers. | • Time shortage at conference • Concern that focus is directed away from patient. |
3. Targeted support from interdisciplinary team | • Targeted support was offered to 29% of caregivers. | • Indistinctness in professional role distribution. |
4. Establishment of electronic medical record for caregivers to document targeted support | • A medical record was established in accordance with the intervention blueprint in 62% of caregivers who received targeted support | • Ethical considerations about medical records for caregivers with no formal diagnosis. • Reservation regarding sharing information with emotional content. |