TY - JOUR
T1 - Sustaining program effectiveness after implementation
T2 - The case of the self-management of well-being group intervention for older adults
AU - Goedendorp, Martine M.
AU - Kuiper, Daphne
AU - Reijneveld, Sijmen A.
AU - Sanderman, Robbert
AU - Steverink, Nardi
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Objective The Self-Management of Well-being (SMW) group intervention for older women was implemented in health and social care. Our aim was to assess whether effects of the SMW intervention were comparable with the original randomized controlled trial (RCT). Furthermore, we investigated threats to effectiveness, such as participant adherence, group reached, and program fidelity. Methods In the implementation study (IMP) 287 and RCT 142 women participated. We compared scores on self-management ability and well-being of the IMP and RCT. For adherence, drop-out rates and session attendance were compared. Regarding reach, we compared participants’ baseline characteristics. Professionals completed questions regarding program fidelity. Results No significant differences were found on effect outcomes and adherence between IMP and RCT (all p ≥ 0.135). Intervention effect sizes were equal (0.47–0.59). IMP participants were significantly less lonely and more likely to be married, but had lower well-being. Most professionals followed the protocol, with only minimal deviations. Conclusion The effectiveness of the SMW group intervention was reproduced after implementation, with similar participant adherence, minimal changes in the group reached, and high program fidelity. Practice implications The SMW group intervention can be transferred to health and social care without loss of effectiveness. Implementation at a larger scale is warranted.
AB - Objective The Self-Management of Well-being (SMW) group intervention for older women was implemented in health and social care. Our aim was to assess whether effects of the SMW intervention were comparable with the original randomized controlled trial (RCT). Furthermore, we investigated threats to effectiveness, such as participant adherence, group reached, and program fidelity. Methods In the implementation study (IMP) 287 and RCT 142 women participated. We compared scores on self-management ability and well-being of the IMP and RCT. For adherence, drop-out rates and session attendance were compared. Regarding reach, we compared participants’ baseline characteristics. Professionals completed questions regarding program fidelity. Results No significant differences were found on effect outcomes and adherence between IMP and RCT (all p ≥ 0.135). Intervention effect sizes were equal (0.47–0.59). IMP participants were significantly less lonely and more likely to be married, but had lower well-being. Most professionals followed the protocol, with only minimal deviations. Conclusion The effectiveness of the SMW group intervention was reproduced after implementation, with similar participant adherence, minimal changes in the group reached, and high program fidelity. Practice implications The SMW group intervention can be transferred to health and social care without loss of effectiveness. Implementation at a larger scale is warranted.
KW - Aging and health
KW - Dissemination and implementation
KW - Integrity
KW - Program fidelity
KW - Reach
KW - Self-management ability
KW - Target group
KW - Well-being
KW - Adherence
KW - n/a OA procedure
UR - http://www.scopus.com/inward/record.url?scp=85009742104&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2017.01.006
DO - 10.1016/j.pec.2017.01.006
M3 - Article
C2 - 28089311
AN - SCOPUS:85009742104
SN - 0738-3991
VL - 100
SP - 1177
EP - 1184
JO - Patient education and counseling
JF - Patient education and counseling
IS - 6
ER -