Design
ADVERSE EVENTS, SECONDARY
This study combined two evaluation approaches: first, a mixed methods feasibility approach and a realist evaluation approach. Initially, a mixed-methods research approach to a 12-week feasibility trial in care homes with pre- and post-intervention collection of quantitative and qualitative data about feasibility (adherence, safety, adverse events) and participants' multidimensional health. This was to determine (1) an appropriate way to deliver the programme in this setting and (2) the appropriate secondary outcome measures for a future RCT. This was preceded by implementing an expert advisory group (AG). The AG consisted of danceSing Care staff, the research team, representatives from care homes and older adult members of the 'Stirling 1000 Elders' (Second, the evaluation questions and scope evolved beyond initial questions regarding feasibility throughout the evaluation because the capability of delivering the programme and engaging the residents by the activity coordinators was lower than expected. To uncover the underlying factors that explained the implemented situation (such as relevant context (C), mechanisms (M), and outcomes (O)), we additionally used the realist evaluation methodology based on RAMESES II reporting standards [