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Table 3 Illustrative cases: Baseline Data

From: The value of social practice theory for implementation science: learning from a theory-based mixed methods process evaluation of a randomised controlled trial

 

Good tailoring

Poor tailoring

Good fidelity

Mary

74 year old female

Retired, non-smoker

HF for 3 years

Comorbid breast cancer, arthritis, chronic back pain, vaginal prolapse

Medications: A2 receptor agonist, beta-blocker, loop diureticNYHA Class II (Mild)

Ejection fraction Severe (< 35%)

HADS Anxiety (1) Depression (2)

MLHFQ (50)

Lives with husband in redeveloped semi-detached council house.

Cared for by her 3 daughters.

John

71 year old male

Retired, smoker

HF for 6 months

Comorbid chronic back pain and depression.

Medications: ACE Inhibitor, Aldosterone receptor agonist, beta-blocker, loop diureticNYHA Class II (Mild)

Ejection fraction Severe (< 35%)

HADS Anxiety (7) Depression (9)

MLHFQ (50)

Lives alone (divorced) in privately rented first floor flat, waiting to be rehoused in social housing.

Daughter visits, but not designated carer.

Poor fidelity

Helen

68 year old female

Retired, ex-smoker

HF for 7 months

Comorbid lung cancer, arthritis, back pain depression

Medications: A2 receptor agonist, beta-blocker, loop diuretic

NYHA Class III (Moderate)

Ejection fraction Severe (< 35%)

HADS Anxiety (19) Depression (11)

MLHFQ (Missing) Lives with husband (also her carer) in privately owned bungalow, built by her husband

Dorothy

73 year old female

Retired, non-smoker

HF for 6 months

No comorbid conditions

Medications: ACE Inhibitor, Aldosterone receptor agonist, beta-blocker, loop diuretic NYHA Class II (Mild)

Ejection fraction Severe (< 35%)

HADS Anxiety (4) Depression (2)

MLHFQ (Missing)

Lives alone (widowed) in privately owned semi-detached house.

Cares for her grandchildren.

  1. These four illustrative cases demonstrate the interplay between materials, meanings and competencies. Names are pseudonyms