Process evaluation
This study also includes a qualitative process evaluation at the client and nurse level. Barriers and facilitators for effective use and implementation of GILL eHealth will be investigated. At the client level the goal is to understand participants’ experiences and perceptions with GILL eHealth, their responses to the different elements of the intervention, and their appreciation of the nurses’ support and coaching. At the nurse level the goal is to examine their experiences and perceptions with GILL eHealth and understand its feasibility and acceptability.To organise the semi-structured interviews, a topic guide will be developed based on study aims, the content and procedures of the GILL eHealth intervention, clients’ and nurses’ feedback during the rollout of the intervention, and the observations during the feedback meetings. The interviews will be conducted with 15 clients and 15 trained nurses. Other input for the process evaluation will come from an implementation group formed at the start of the project, to enhance the implementation and dissemination of the intervention. The group will consist of representatives of clients and family members, nurses, educators/teachers, and managers. They will provide input in at least three formal meetings on multiple aspects of implementation, such as the content of training and implementation strategies during the study.The results of the process evaluation will be translated into recommendations for the implementation guide, developed during the final stage of the project. The implementation guide will be developed using the framework of Fleuren et al. [