Protocol for the process evaluation of the SENSE-Cog Sensory Support Intervention field trial to improve quality of life for older people receiving home care in Australia

Helen Gurteen; Melinda Toomey; Bronwyn Franco; Rebecca Bennett; Dayna R. Cenin; Najwan El-Saifi; Melanie Ferguson; Yuanyuan Gu; Chyrisse Heine; Lisa Keay; Sheela Kumaran; Sabrina Lenzen; Iracema Leroi; Judy A. Lowthian; Carly J. Meyer; Leander K. Mitchell; John Newall; Nancy A. Pachana; Marianne Piano; Smriti Raichand; Emma Scanlan; Hamid R. Sohrabi; Piers Dawes

doi:10.1111/hex.70305

Protocol for the process evaluation of the SENSE-Cog Sensory Support Intervention field trial to improve quality of life for older people receiving home care in Australia

Helen Gurteen^*, Melinda Toomey, Bronwyn Franco, Rebecca Bennett, Dayna R. Cenin, Najwan El-Saifi, Melanie Ferguson, Yuanyuan Gu, Chyrisse Heine, Lisa Keay, Sheela Kumaran, Sabrina Lenzen, Iracema Leroi, Judy A. Lowthian, Carly J. Meyer, Leander K. Mitchell, John Newall, Nancy A. Pachana, Marianne Piano, Smriti RaichandEmma Scanlan, Hamid R. Sohrabi, Piers Dawes^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

Background: A field trial of a home-delivered hearing and vision support intervention will assess its impact on the quality of life and well-being of home care recipients with hearing and/or vision impairment and their care partners.

Aims: This paper outlines the protocol for a process evaluation of the field trial. The process evaluation aims to identify discrepancies between expected and actual outcomes, understand contextual influences, assess implementation fidelity and evaluate the feasibility, appropriateness and acceptability of the intervention.

Methods: Data will be collected from 87 home care recipients with hearing/vision impairment, their care partner and the sensory therapist who will deliver the intervention at multiple points during the 3-month intervention. Likert-scale ratings for feasibility, appropriateness and acceptability will be gathered. Proxy measures of fidelity, such as intervention session completion rates, will be obtained to ascertain whether the intervention was delivered as designed. Post-intervention, 20% of participants will complete semi-structured interviews to explore contextual and causal factors. Data analysis will include descriptive statistics, regression analysis and thematic qualitative analysis.

Discussion: The process evaluation will elicit the perspectives of home care recipients and their care partners regarding the intervention experience. Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.

Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.

Original language	English
Article number	e70305
Pages (from-to)	1-12
Number of pages	12
Journal	Health Expectations
Volume	28
Issue number	3
DOIs	https://doi.org/10.1111/hex.70305
Publication status	Published - Jun 2025

Bibliographical note

© 2025 The Author(s). Health Expectations published by John Wiley & Sons Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

dementia
hearing
home care
older adults
process evaluation
vision

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10.1111/hex.70305Licence: CC BY

Publisher version (open access)Final published version, 1.3 MBLicence: CC BY

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Gurteen, H., Toomey, M., Franco, B., Bennett, R., Cenin, D. R., El-Saifi, N., Ferguson, M., Gu, Y., Heine, C., Keay, L., Kumaran, S., Lenzen, S., Leroi, I., Lowthian, J. A., Meyer, C. J., Mitchell, L. K., Newall, J., Pachana, N. A., Piano, M., ... Dawes, P. (2025). Protocol for the process evaluation of the SENSE-Cog Sensory Support Intervention field trial to improve quality of life for older people receiving home care in Australia. Health Expectations, 28(3), 1-12. Article e70305. https://doi.org/10.1111/hex.70305

@article{ad28d1d1026f478884eac950b92388aa,

title = "Protocol for the process evaluation of the SENSE-Cog Sensory Support Intervention field trial to improve quality of life for older people receiving home care in Australia",

abstract = "Background: A field trial of a home-delivered hearing and vision support intervention will assess its impact on the quality of life and well-being of home care recipients with hearing and/or vision impairment and their care partners.Aims: This paper outlines the protocol for a process evaluation of the field trial. The process evaluation aims to identify discrepancies between expected and actual outcomes, understand contextual influences, assess implementation fidelity and evaluate the feasibility, appropriateness and acceptability of the intervention.Methods: Data will be collected from 87 home care recipients with hearing/vision impairment, their care partner and the sensory therapist who will deliver the intervention at multiple points during the 3-month intervention. Likert-scale ratings for feasibility, appropriateness and acceptability will be gathered. Proxy measures of fidelity, such as intervention session completion rates, will be obtained to ascertain whether the intervention was delivered as designed. Post-intervention, 20\% of participants will complete semi-structured interviews to explore contextual and causal factors. Data analysis will include descriptive statistics, regression analysis and thematic qualitative analysis.Discussion: The process evaluation will elicit the perspectives of home care recipients and their care partners regarding the intervention experience. Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.",

keywords = "dementia, hearing, home care, older adults, process evaluation, vision",

author = "Helen Gurteen and Melinda Toomey and Bronwyn Franco and Rebecca Bennett and Cenin, \{Dayna R.\} and Najwan El-Saifi and Melanie Ferguson and Yuanyuan Gu and Chyrisse Heine and Lisa Keay and Sheela Kumaran and Sabrina Lenzen and Iracema Leroi and Lowthian, \{Judy A.\} and Meyer, \{Carly J.\} and Mitchell, \{Leander K.\} and John Newall and Pachana, \{Nancy A.\} and Marianne Piano and Smriti Raichand and Emma Scanlan and Sohrabi, \{Hamid R.\} and Piers Dawes",

note = "{\textcopyright} 2025 The Author(s). Health Expectations published by John Wiley \& Sons Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2025",

month = jun,

doi = "10.1111/hex.70305",

language = "English",

volume = "28",

pages = "1--12",

journal = "Health Expectations",

issn = "1369-6513",

publisher = "Wiley-Blackwell, Wiley",

number = "3",

}

Gurteen, H, Toomey, M, Franco, B, Bennett, R, Cenin, DR, El-Saifi, N, Ferguson, M, Gu, Y, Heine, C, Keay, L, Kumaran, S, Lenzen, S, Leroi, I, Lowthian, JA, Meyer, CJ, Mitchell, LK, Newall, J, Pachana, NA, Piano, M, Raichand, S, Scanlan, E, Sohrabi, HR & Dawes, P 2025, 'Protocol for the process evaluation of the SENSE-Cog Sensory Support Intervention field trial to improve quality of life for older people receiving home care in Australia', Health Expectations, vol. 28, no. 3, e70305, pp. 1-12. https://doi.org/10.1111/hex.70305

TY - JOUR

T1 - Protocol for the process evaluation of the SENSE-Cog Sensory Support Intervention field trial to improve quality of life for older people receiving home care in Australia

AU - Gurteen, Helen

AU - Toomey, Melinda

AU - Franco, Bronwyn

AU - Bennett, Rebecca

AU - Cenin, Dayna R.

AU - El-Saifi, Najwan

AU - Ferguson, Melanie

AU - Gu, Yuanyuan

AU - Heine, Chyrisse

AU - Keay, Lisa

AU - Kumaran, Sheela

AU - Lenzen, Sabrina

AU - Leroi, Iracema

AU - Lowthian, Judy A.

AU - Meyer, Carly J.

AU - Mitchell, Leander K.

AU - Newall, John

AU - Pachana, Nancy A.

AU - Piano, Marianne

AU - Raichand, Smriti

AU - Scanlan, Emma

AU - Sohrabi, Hamid R.

AU - Dawes, Piers

N1 - © 2025 The Author(s). Health Expectations published by John Wiley & Sons Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2025/6

Y1 - 2025/6

N2 - Background: A field trial of a home-delivered hearing and vision support intervention will assess its impact on the quality of life and well-being of home care recipients with hearing and/or vision impairment and their care partners.Aims: This paper outlines the protocol for a process evaluation of the field trial. The process evaluation aims to identify discrepancies between expected and actual outcomes, understand contextual influences, assess implementation fidelity and evaluate the feasibility, appropriateness and acceptability of the intervention.Methods: Data will be collected from 87 home care recipients with hearing/vision impairment, their care partner and the sensory therapist who will deliver the intervention at multiple points during the 3-month intervention. Likert-scale ratings for feasibility, appropriateness and acceptability will be gathered. Proxy measures of fidelity, such as intervention session completion rates, will be obtained to ascertain whether the intervention was delivered as designed. Post-intervention, 20% of participants will complete semi-structured interviews to explore contextual and causal factors. Data analysis will include descriptive statistics, regression analysis and thematic qualitative analysis.Discussion: The process evaluation will elicit the perspectives of home care recipients and their care partners regarding the intervention experience. Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.

AB - Background: A field trial of a home-delivered hearing and vision support intervention will assess its impact on the quality of life and well-being of home care recipients with hearing and/or vision impairment and their care partners.Aims: This paper outlines the protocol for a process evaluation of the field trial. The process evaluation aims to identify discrepancies between expected and actual outcomes, understand contextual influences, assess implementation fidelity and evaluate the feasibility, appropriateness and acceptability of the intervention.Methods: Data will be collected from 87 home care recipients with hearing/vision impairment, their care partner and the sensory therapist who will deliver the intervention at multiple points during the 3-month intervention. Likert-scale ratings for feasibility, appropriateness and acceptability will be gathered. Proxy measures of fidelity, such as intervention session completion rates, will be obtained to ascertain whether the intervention was delivered as designed. Post-intervention, 20% of participants will complete semi-structured interviews to explore contextual and causal factors. Data analysis will include descriptive statistics, regression analysis and thematic qualitative analysis.Discussion: The process evaluation will elicit the perspectives of home care recipients and their care partners regarding the intervention experience. Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.Patient or Public Contribution: Older adults with lived experience with dementia and hearing and/or vision will contribute to the proposed research by shaping the interview topic guide to ensure its appropriateness and relevance for the target population. Their insights will result in a more rigorous study and improve the likelihood of the final intervention meeting real-world needs.

KW - dementia

KW - hearing

KW - home care

KW - older adults

KW - process evaluation

KW - vision

UR - https://www.scopus.com/pages/publications/105006427322

U2 - 10.1111/hex.70305

DO - 10.1111/hex.70305

M3 - Article

C2 - 40415281

AN - SCOPUS:105006427322

SN - 1369-6513

VL - 28

SP - 1

EP - 12

JO - Health Expectations

JF - Health Expectations

IS - 3

M1 - e70305

ER -

Protocol for the process evaluation of the SENSE-Cog Sensory Support Intervention field trial to improve quality of life for older people receiving home care in Australia

Abstract

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