Table A1 Interview topic guide

A. Introduction

Question

Prompts

1. Can I ask you to introduce yourself and describe your role in commissioning, supporting, promoting or delivering dementia-friendly exercise- and activity-based interventions?

• Can you tell me about your professional background and work in your organisation?

2. Have you previously heard of, or been involved in, the PrAISED programme?

• [If Yes] Can you tell me about this?

• [If No] Provide brief summary of the programme

B. Requirements for adoption

Question

Prompts

Thinking now about the requirements for future adoption of dementia-friendly services…

3. Do you think there is a need for new dementia-friendly exercise- and activity-based interventions?

• Why do you think it is important to commission, promote or deliver new dementia-friendly exercise- and activity-based interventions?

4. Who are the key influential organisations/stakeholders who should be involved in the commissioning or implementation of a new dementia-friendly exercise- and activity-based intervention?

• To what extent will they influence others' use of the intervention?

• The success of the implementation?

5. What are the main factors which influence whether a new service is commissioned/funded and implemented?

• What kind of local or national policy or measures would influence your decision to commission or implement a new exercise- and activity-based intervention for people with dementia?

• What do you think the policy drivers are in this area (local/national priorities)?

• Performance measures, regulations, or guidelines?

C. Future funding and commissioning

Question

Prompts

I would like to ask you some questions about what helps to get dementia-friendly services funded or commissioned…

6. What dementia-friendly exercise- and activity-based interventions do you currently commission/fund, promote or deliver?

7. What would persuade you to commission/fund, promote or deliver new exercise- and activity-based interventions (like PrAISED) in the future?

What else would be required to support the commissioning:

• What role does research evidence/other kinds of evidence play in that decision?

• Commissioning/funding process

• Integrated Care Systems (ICSs)

• NHS Long Term Plan

• [National Dementia Strategy]

8. Who do they think could fund a dementia-friendly exercise- and activity-based intervention such as PrAISED?

• Who do you think would fund such an intervention?

D. Barriers and facilitators to adoption

Question

Prompts

I would like to ask you some questions about commissioning and implementing new dementia-friendly services…

9. What are the main barriers to commissioning or implementing new exercise- and activity-based interventions for people with dementia into clinical practice?

10. What are the main facilitators for commissioning or implementing new exercise- and activity-based interventions for people with dementia into clinical practice?

E. Long-term sustainability

Question

Prompts

I would like to ask you some questions about the long-term sustainability of dementia-friendly services…

11. What do you think it would take to make an exercise- and activity-based intervention for people with dementia sustainable as a service?

• Who should pay for it in the future?

• Could it be self-funding?

• Is the delivery model sustainable?

• Is there a demand for it?

12. How do you think the PrAISED training could be delivered?

• Who could provide the training?

• Format and structure e.g., face to face or e-training/digital?

• Content?

• Frequency/refresher sessions?

• Community of Practice?

13. Which professional groups do you believe will be able to deliver new exercise- and activity-based interventions for people with dementia?

• Please give examples of who e.g., exercise instructors?

14. Are you aware of any dementia-friendly services that patients could be referred to after completing an exercise- and activity-based intervention to support long-term participation in activity?

• [If Yes] Can you please describe these?

F. Closing questions

Question

Prompts

15. Is there anything we haven’t covered that you think we ought to know about commissioning, promoting or delivering PrAISED in routine practice or what we have discussed today?

• What advice would you give to the provider of a new exercise- and activity-based intervention for people with dementia in relation to getting the intervention commissioned, supported and promoted?

16. Is there anyone else who you think we should interview in relation to this topic?