Table 8 Allocation of identified facilitators and barriers to the context factors (individual/social/organizational/system) and suggestions for implementation strategies
Context/Point of interest | Individual | Social | Organizational | System |
|---|---|---|---|---|
Satisfaction with organization and processes of the FFP | F: Satisfaction of HCNs and seniors with information and organization F: Satisfaction of GP with expenditure of time for project participation F: High satisfaction of physiotherapists with time allocated for the home visit → Highlight satisfaction of physiotherapists, HCNs and seniors | B: Seniors and GPs not sufficiently informed → Information strategy tailored to target group | F: FFP is funded B: Concerns for the future → Programme funding has to be granted for the future | |
Strength and benefits of the FFP | F: Majority of seniors perceives general and specific benefits (such as insight into risk of falling); a concise majority executes instructed exercise and changes in their homes → Strengthen motivation and self-efficacy in seniors | F: Potential of the FPP to prevent falls and draw attention to the risk of falling accepted by GP and HCNs → Highlight confidence of GPs and HCNs in potential effectiveness of the FFP | ||
Barriers to the inclusion of seniors | B: Seniors don’t need or/and refuse participation → Highlight the importance that GP and HCNs invest efforts at convincibility, as they exert a great influence in their patients/clients. → Invest in information, awareness rising; self-efficacy, empowerment of seniors | B: Lack of clarity regarding the aim and target group of the project; B: no systematic recruitment procedure → Invest in clear messages about the aim of the project and in clear recruitment instructions | ||
Barriers to participation | B: Recruited seniors are not capable to do exercise or their home has already been checked for extrinsic risk factors → Invest in clear messages about the aim of the project and in clear recruitment instructions | B: Taboo character B: Costs: Participation not for free → Programme funding has to be granted for the future | ||
Barriers in interdisciplinary cooperation | B: Unsatisfactory information-flow → Invest in clear information, who should be informed when and how about the project | B: Procedure reports → Invest in clear instructions how to proceed with reports |