The intervention will be adapted, implemented and evaluated in nursing homes in six countries (Canada, United Kingdom, Republic of Ireland, Netherlands, Czech Republic, and Italy) using a multiple case study design approach. A case study approach will allow in-depth insight into the implementation process used to support the uptake of the educational intervention. Factors that act as barriers and facilitators to the implementation process will be identified within each care home.
We will use a formative design, generating hypotheses about the mechanisms that will lead to successful implementation, testing and refining these hypotheses by introducing the intervention into the care homes sequentially. The experiences and learning from the first wave will influence the implementation approaches taken in the second wave. A mixed methods sequential data collection approach is required to capture and make sense of the complexity of implementation and effectiveness of the FCDS intervention.
A Logic Model and TIDieR checklist have been created to outline the intervention in more detail.