This study investigated the use of brief observations to measure implementation of small group interventions using the Quality of Intervention Delivery and Receipt (QIDR) tool. Videos of 10-min segments representing the beginning, middle, and end of each 30-min intervention lesson were coded for implementation. Results indicated that (a) reliability can be achieved when observing a portion of a lesson; (b) QIDR scores obtained from 10-min segments are significantly correlated with the 30-min observations; and (c) post hoc analysis indicate the tool may be sensitive to changes in implementation quality at the intervention group level across time. Implications for research and practice are discussed, including the utility of shorter observations to increase the monitoring of intervention implementation to potentially improve outcomes.

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Background: Planning and executing healthcare for the patient or resident living with obesity can be a challenging task that has implications to the occupational health professional. Methods: Leading global experts in the areas of occupational health, ergonomics, bariatrics, technology, and patient care were identified and invited to participate in a round table discussion. Questions posed to experts were based on literature that addressed patient handling and mobility, architectural design recommendations, clinical care of the person with obesity, and ergonomic guidelines. Findings: Experts agreed that special considerations must be in place to care for the person who is obese. These special considerations should address not only clinical care of the patient, but ways to protect workers from occupational injury associated with clinical care. Experts suggested that, in some situations, a bariatric training suit may be helpful in better understanding space and design challenges, as well as a better understanding of the physical limitations associated with a larger body habitus (although simulated). Further, experts agreed that insensitivities often stem from failure to have proper space, technology and design accommodations in place. Conclusions/Application to Practice: The occupational health professional is a key resource to teams charged with planning and executing healthcare for the patient or resident living with obesity. Interprofessional understanding and communication can lead to a more comprehensive approach to space, design and technology that not only addresses the patient, but the worker providing direct care.