Xuxi Zhang

of older persons enrolled in care ‐ pathways. As part of the UHCE study, process components of the implementation of the UHCE approach were evaluated as proposed by Steckler and Linnan. By evaluating these process components, we want to improve the understanding of the reasons for the low enrolment and minor effects found in the UHCE approach. The current evaluation could also aid the future development and implementation of similar interventions. THE STUDY Aims The aim of this study is to evaluate specific process components of the UHCE approach among older persons in community settings of five European cities. The following research questions are answered: 1) What population was reached by the UHCE approach? 2) What dose of the intervention was actually delivered and received and by which participants? 3) What was the satisfaction and experience of main stakeholders involved in the UHCE approach? Intervention The development of the UHCE approach intervention has been previously described. 25, 26 A general template for the UHCE approach was developed based on systematic literature searches of evidence ‐ based interventions and focus group discussions with main stakeholders. The general UHCE template consisted of three stages (Figure 1). Figure 1 The Urban Health Centres Europe approach (from Franse et al. 2017) 104 Chapter 5