Table 1 GetREAL staff training intervention fidelity assessment

Predisposing Visit

Predisposing meeting held with the unit’s senior team members attended by at least one of the REAL research steering group’s senior psychiatrists (HK, FH, TC) to explain the purpose of the GetREAL intervention and gain senior staff “sign up” to support the GetREAL team’s work

Dates for the first GetREAL training day/s for unit staff, and release of staff to attend, are agreed with the unit manager before the GetREAL team arrive

Unit manager agrees to provide unit keys and, where possible, IT access/email accounts for the GetREAL team OT and Activity Worker

Initial Training

At least two members of the GetREAL team deliver the initial training

At least 50% of the unit staff attend

Initial evaluation forms are completed by all staff attending

Action plans are agreed for the next 4 weeks

Enabling Phase

GetREAL team work alongside unit staff for at least 5 weeks including the training days

At least one structural change/enhancement is agreed to facilitate service users’ (SU) activities

Note whether any other unit structural/process changes made secondary to the GetREAL team’s suggestions that may not directly relate to SU activities

Individual SU goal setting (regarding activities) is carried out and recorded in care plans for at least 50% of SUs on the unit

Final Training

At least two members of the GetREAL team deliver the final training

At least 50% of the unit staff attend

The certificate of attendance is awarded to at least 50% of unit staff (staff have to attend both the initial and final training to receive the certificate)

Sustainability and Reinforcing Phase

At the end of the 5 weeks, a written action plan for the unit to continue the GetREAL work for the next 12 months is agreed

The 12 month action plan is circulated to all unit staff by the GetREAL team

At the end of the 5 weeks, activity is included in at least 50% of SUs’ individual care plans

A link person is identified to keep email contact with the GetREAL team/steering group members for up to 12 months

GetREAL team/steering group members make email contact at least twice with the unit in the 12 months following the 5 week visit

The link person contacts the GetREAL team at least once during the 12 month period

Supervision and Support of the GetREAL Team

GetREAL SU consultants are supported by the OTs through face to face/email/telephone discussion as required

GetREAL Activity Workers are supervised by the OTs weekly during each intervention period

GetREAL OTs are supervised at least three times per intervention period by the REAL research OT and/or the REAL organisational change psychologist by phone, skype, email or face to face contact

GetREAL OTs attend line management meeting with the REAL senior OT once per intervention period

Total Score = total number of Y’s (max 24)