Implementation outcomes | Definition | Rationale | Method of evaluation |
---|---|---|---|
Acceptability and Satisfaction | The perception amongst users that the program is palatable and satisfactory [24] | Users consider the program acceptable | □ The Acceptability of Intervention Measure (AIM)a □ Client Satisfaction Questionnaire (CSQ)b □ Recruitment and withdrawal records □ Open-ended study-devised questionnaire items (e.g. perceived barriers and/or helpfulness of chapters) |
Appropriateness | The perceived fit and relevance of the program to users [24], indicated by proportion of people willing to try and complete the program | Consumers perceive it is worth trying and completing the program | □ The Intervention Appropriateness Measure (IAM)a □ Retention (proportion of enrolled participants who completed follow-up assessments; proportion of participants who completed each module of step 1; proportion of participants who completed step 2) □ Adherence to step 1 and step 2 (percentage of sessions attended, reasons for not completing sessions, number of days overdue for completed questionnaires). |
Feasibility of materials and CBT group attendance | The extent to which stepped care approach to CBT can be used for cancer fatigue | A majority of participants complete step 1 in 6 weeks and/or step 2 in 4 sessions | □ The Feasibility of Intervention Measure (FIM)a □ Open-ended study-devised questionnaire items (e.g. number of chapters of the self-management booklet attempted/completed) |
Cost | The resource cost of delivering the program per user | This self-help CBT program is expected to provide therapy at a lower cost compared to face to face, enabling more users to benefit | □ Booklet cost and records of therapist/administration time per person enrolled □ Proportion of participants requiring step 2 |
Fidelity | The degree to which the program was implemented as intended [24] | The adherence and deviations to program contacts and stepped care protocol | □ Field notes maintained by researchers □ Session checklist after each STEP 2 session to ensure all topics covered |