Page 100 - Demo

Chapter 498The first author coded data and discussed the findings with the second and third author. This led to preliminary adaptations of EPOC%u2019s professional implementation interventions, creating a better fit with the data. Subsequently, the first author recoded the data of 12 group homes and a research assistant independently recoded data of 7 group homes. They also made narrative descriptions for each group home in accordance with the 6 consecutive phases of MDET (Table 1) to follow the implementation process. When rich data were available, implementation interventions in phases 1-5 were easily recognisable. Group homes with less available data showed gaps in the completion of the phases. In a few cases the sixth phase (follow-up) was mentioned in the data, although we did not find any notes reflecting this phase. Therefore, implementation interventions could not be coded for phase 6. In the results we excluded phase 6. The first and second author and the research assistant reviewed the adapted coding scheme for reliability. Developing the adaptations in EPOC%u2019s implementation interventions was an iterative process. Doubts and questions were discussed with the project leader, until consensus was reached. This resulted in a new adapted coding scheme, presented in Table 2. Data and narrative descriptions of 15 group homes were independently reviewed by two researchers. The data of 4 group homes were so limited that review was not necessary. Differences in coding of data were discussed until consensus was reached. In the final step, the first author did a check on all 19 group homes to make sure data was coded in line with the final coding scheme. For each group home, an excel-overview of implementation interventions used in each phase of MDET was made. If an implementation intervention was coded several times in a single phase of MDET, this intervention was counted only once. Table 3 shows the range of implementation interventions, adapted for MDET, used in 19 group homes. The numbers present the total amount of group homes were an implementation intervention was used, which implementation interventions were most commonly used, and in which phase.