Dimension | Measure | Research questions | Data source | Analysis type |
Implementation | Process | How was the intervention developed and delivered? What inputs, resources and structures were put into place? | Team activity logs Interviews/Focus groups | Quantitative descriptive |
Fidelity (adherence) | To which extent did the intervention align or diverge from the protocol or international practice? What types of adaptations were made to fit the specific context of care delivery? | Trial protocol Systematic review Interviews/Focus groups | Quantitative descriptive | |
Dose | What was the duration, coverage and frequency of the intervention? | Team activity logs Recruitment logs | Quantitative descriptive | |
Reach | What proportion of the target population (eligible patients) were enrolled in the intervention? What was the attrition rate? | Recruitment logs | Quantitative | |
Mechanisms | Participants’ responses to and interaction with intervention | How did the patients feel about being involved in the intervention? How did other staff members feel about the intervention? | Interviews/focus groups Data on patients’ satisfaction | Qualitative and quantitative |
Mediators | What aspects of the intervention influenced its implementation (people, operations, relations)? | Interviews/focus groups | Qualitative | |
Unexpected pathways and consequences | Was there something about the intervention that was unexpected and might have influenced its implementation? | Interviews/focus groups | Qualitative | |
Context | Barriers and facilitators | What factors external to the intervention influenced its implementation and in which way? Consider multiple levels: (1) individuals; (2) ED physical environment; (3) ED operations; (4) ED relations; (5) broader hospital or healthcare system | Interviews/focus groups | Qualitative |
Measures based on the Medical Research Council (MRC) Framework for process evaluations.1