Figure 1
Logic model for the programme to improve IPT functioning.
Figure 2
Timing of data collection.
Table 1
Research questions and data collection methods.
| Interviews with chairpersons | Observations of IPT meetings | Questionnaire | Focus group meeting (+ additional interviews) | |
|---|---|---|---|---|
| 1. To what extent was the programme implemented? | X | |||
| 2. How did participants experience the programme? | X | X | ||
| 3. What was the programme’s potential impact on team climate, efficiency and person-centredness? | X |
Table 2
Characteristics of the participating interprofessional primary care team meetings.
| Team | Duration of meetings in minutes | Frequency of team meetings | Number of participants attending posttest observation | Disciplines |
|---|---|---|---|---|
| 1 | 60 | Once every two weeks | 10 | Case manager for dementia (1), remedial educationalist (1), district nurse (1), family physician (2), occupational therapist (1), psychologist (1), social worker (1), practice nurse (1), nurse specialist (1) |
| 2 | 60 | Once a month | 9 | Family physician (4), trainee family physician (1), practice nurse (1), physical therapist (1), district nurse (2) |
| 3 | 60 | Once every six weeks | 12 | Family physician (2), physical therapist (1), occupational therapist (1), district nurse (1), location manager (1), practice nurse (3), case manager for dementia (2), care process supervisor (1) |
| 4 | 60 | Once every two months | 14 | Family physician (1), case manager for dementia (1), practice nurse (2), physical therapist (2), occupational therapist (2), trainee occupational therapist (1), pharmacist (1), customer adviser (1), district nurse (3) |
| 5 | 60 | Once every two months | 7 | Family physician (2), practice nurse (1), physical therapist (1), doctor’s assistant (1), case manager for dementia (1), nurse (1) |
| 6 | 60 | Once every six weeks | 8 | Physical therapist (3), occupational therapist (1), district nurse (3), case manager for dementia (1) |
Table 3
Data collection.
| Team | Team meeting observations(n = 11) | Interviews with chairpersons and co-chairs (n = 6) | Number of pages transcribed | Completed questionnaires and response rate (n = 78) | Focus group meeting (n =7) | ||
|---|---|---|---|---|---|---|---|
| Pretest (n = 5) | Posttest (n = 6) | Post-test (n = 6) | Pretest (n = 29) | Post-test (n = 49) | |||
| 1 | X | X | Family physician | 15 | 4 (57%) | 6 (86%) | Practice nurse |
| 2 | X | X | Family physician (2)** | 20 | 4 (40%) | 9 (90%) | District nurse*** |
| 3 | X | X | Family physician and practice nurse** | 14 | 6 (67%) | 8 (89%) | Care process supervisor and district nurse |
| 4 | X | X | Practice nurse and family physician** | 20 | 7 (50%) | 9 (64%) | Practice nurse*** |
| 5 | X | X | Practice nurse and family physician** | 11 | 8 (67%) | 10 (83%) | Practice nurse |
| 6 | N/A* | X | Physical therapist and district nurse** | 20 | N/A* | 7 (88%) | Physical therapist*** |
[i] * Team 6 was set up at baseline.
** Chairperson and co-chair were interviewed together.
*** Individual interview.
Table 4
Mean scores of the questionnaire per team.
| Mean scores of the 6 participating teams Sum scores per domain | No. of Questions | Range | Team 1 (10 members) | Team 2 (9 members) | Team 3 (12 members) | Team 4 (14 members) | Team 5 (7 members) | Team 6 (8 members) | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Measurement | Pre N = 4 | Post N = 9 | Pre N = 6 | Post N = 8 | Pre N = 8 | Post N = 10 | Pre N = 7 | Post N = 9 | Pre N = 4 | Post N = 6 | Pre N = 0 | Post N = 7 | ||
| Communication and innovation | 20 | 1–5 | 4.18 | 3.94 | 3.86 | 3.91 | 3.45 | 3.88 | 3.62 | 3.95 | 3.98 | 3.87 | – | 3.69 |
| Objectives | 10 | 1–5 | 4.20 | 4.55 | 4.07 | 4.23 | 3.57 | 4.01 | 3.68 | 4.23 | 4.34 | 4.13 | – | 4.27 |
| Task style | 8 | 1–5 | 4.10 | 4.16 | 3.28 | 3.79 | 3.08 | 4.21 | 3.14 | 3.87 | 4.14 | 3.88 | – | 3.76 |
| Person-centredness | 6 | 1–7 | 5.58 | 5.57 | 5.00 | 5.38 | 5.12 | 5.18 | 4.98 | 5.33 | 5.63 | 5.17 | – | 5.10 |
| Team efficiency | 3 | 1–7 | 6.33 | 6.26 | 5.06 | 5.50 | 4.81 | 5.37 | 5.05 | 5.74 | 5.75 | 5.44 | – | 5.48 |
| Team functioning | 1 | Grade1–10 | 9 | 8.39 | 7.33 | 7.63 | 6.71 | 7.25 | 7.07 | 7.67 | 7.75 | 7.67 | – | 7.43 |