Rationale for evaluation
CMO
LITTLE
The care home resident population is ageing in the UK [PA interventions may be an excellent means of improving multidimensional health in older adults [Increasingly, innovative digital resources have been developed to influence PA in care home residents positively. For successful implementation of digital health interventions designed for older adults, understanding the feasibility regarding organisational and systems readiness and the acceptability of digital interventions are fundamental. Recent systematic reviews showed that digital resources to promote PA in older adults were reported as feasible and well accepted [Further, when designing and testing interventions in the complex situations that care homes reside in, it is crucial to address 'what works, for whom, under what circumstances, and how' [To this end, following the realist evaluation framework, a context (C), Mechanism (M), and outcome (O) configuration [Context-Mechanism-Outcome (CMO) hypothesis1.Collect information about context, mechanism and outcome to evaluate the programme2.The programme intends to cause a change1.What information will be needed and could be collected about contexts? Mechanisms? Outcomes?2.What change (outcome) does the trial intend to createQuantitative: Feasibility, adherence, surveys about psychosocial health markersQualitative: Interviews and focus groups about acceptability, engagement, delivery and feasibility1.Identifies intended outcomes2.Identifies the data necessary to test the programme theorySituationalHigh burden of the COVID-19 pandemic on the care home system in Scotland Little time and resources for the staff (already happening before COVID-19)Programme1.Implementation of the danceSing care programme2.Flexibility from research staff and stakeholders from the danceSing care team1.Improve psychosocial health markers of residents2.Improve programme delivery and engagement