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Equally, intervention effectiveness is also likely to be enhanced if the teachers feel able and empowered to adapt programme content.
Decisions shaping local implementation were reported to be largely at the discretion of individual NHS boards and strategic stakeholders viewed the freedom to adapt programme activities to each board's unique context as an essential component of Childsmile's PT.
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We need to scale up and adapt programmes so that refugees can integrate as quickly as possible in their new homes and make best use of their skills.
The adapted programme consists of six weekly 30 45 minute sessions (Table 1).
We now proceed to describe the evaluation study of the adapted programme, called Familien stärken.
The aims of this study were to a) adapt the LWWCOPD programme for use in pulmonary rehabilitation and b) conduct a process evaluation of the adapted programme.
Pulmonary rehabilitation sites used the adapted programme, the LWWCOPD programme for pulmonary rehabilitation, to deliver the education component of pulmonary rehabilitation.
This paper describes the successful adaptation of the LWWCOPD programme for use in pulmonary rehabilitation, and summarises the findings of a comprehensive process evaluation of the adapted programme.
The aims of this study were: 1) to adapt the self-management programme Living Well with COPD (LWWCOPD) programme, for embedding in pulmonary rehabilitation; and, 2) to conduct a process evaluation of the adapted programme.
For instance, facilitators reported frequently adapting programme materials to increase the resonance of specific examples and/or to better suit the students' existing knowledge.
Despite several studies using CE to enable the cultural adaptation of survey instruments and the cultural appropriateness of the programme (4, 18, 59, 60, 62, 68, 69), only one study clearly demonstrated the cultural validity of the adapted programme (59).
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