Health Web 1.0: A Web-based Occupational Therapy Group Intervention for Older Adults

The OBQ consists of 11 items that are graded on a 4-point ordinal scale from 0-3; these items range from "completely" disagree to "completely" agree and are summed to a total score ranging between 0 and 33. A higher score implies more satisfaction with the amount and variation of occupations, i.e., a higher level of occupational balance. Used to capture the satisfaction with, and the variation in daily activities.

Each item consists of a statement about one's ability to cope with demands in life. The participant rates each item on a scale from 1-4, where 1 represents "disagree" and 4 represents "strongly agree" with the statement; thus, a higher score (total score 10-40) indicates greater self-efficacy. Used to measure self-perceived self-efficacy

The developed measure consists of 24 items, each being a statement about strategies used for social participation. Each item is rated on a scale from 0-3, where 0 represents "disagree" and 3 represents "strongly agree" with the statement; thus, a higher score (total score 0-72) indicates greater use of strategies.

These registration forms contain questions about content and delivery for which answers are self-reported on a 5-point Likert scale ranging from very low agreement (1) to very high agreement (5). Older adults will score their level of agreement as follows: a) gain of new and useful knowledge, b) value of reflection assignments, c) value of and engagement in group discussions, and d) use of the digital communication platform. Space is also provided in the registration form to write their own comments.

These registration forms contain questions about delivery for which answers are self-reported on a 5-point Likert scale ranging from very low agreement (1) to very high agreement (5). The OTs will score their level of agreement with the following: a) compliance with the intervention guide, b) achieving the purpose of the session, c) perceived support from the intervention guide, d) confidence in the role as a group leader, e) satisfactory management of the digital communication platform and f) satisfactory management of the digital communication platform by older adults. Space is also provided in the registration form to write their own comments.

The preintervention questions aim to capture their current social participation, their motivators for participation and their expectations of participation in the intervention. Directly after the programme is completed, the interviews will explore experiences of the different parts of the intervention process and the perceived value of the intervention for their social participation and meaningful activities in daily life. The interview performed after three months will explore how progress has been made toward the established goals and plan. Furthermore, potential changes that have occurred in everyday life, as well as perspectives on future social participation.

The questions for the interview before delivery will explore the interest in and motivation to deliver the intervention, expectations of conducting a digital intervention and their role as a group leader. In the interviews after, the questions will explore experiences of delivering the intervention, compliance with the intervention guide, experiences of their role as a group leader, the digital delivery and time used, and the relevance of the content and the overall value of the intervention. Also, how the education programme prepared them for the delivery of the intervention.