Therefore future work should also consider investigating this framework at the organizational or practice level by aggregating implementation climate perceptions if possible.
These output indicators enable funders, governments and training program staff to aggregate implementation data across a variety of topic areas and types of training encounters (for example, workshops, lectures, distance education and long-term mentoring).
The research team is studying the entire process of implementation, aggregating data on the implementation, and feeding back information to the core team to assist in tailoring and facilitating uptake.
For each change concept, and for the aggregate, increasing implementation of the activities reflected on the Key Activities Checklist was associated with higher PCMH-A scores over time (p <.0001 for each change concept, and for overall scores).
Important future challenges surrounding system optimisation include standardisation of data so that these can be aggregated across systems for meaningful secondary uses, and implementation of data exchange with organisations outside the hospital.
The individual items under each change concept are aggregated to compute a subscale score reflecting the level of implementation of each change concept, and change concept scores were averaged to produce an overall PCMH implementation score.
To coincide with the implementation period of the study intervention, daily data were aggregated into 1-year periods.
Our model uses aggregated data that are easy to collect for most multichannel retailers, facilitating its implementation in similar settings.
That data were then aggregated monthly at the block, district, regional, and state levels, and then used to identify gaps in implementation.
The implementation of this modelling was done with WINBUGS and GeoBugs software [ 42] for modelling aggregated data with plots and convergence diagnostic tests done using the coda package in R [ 43].
Instead we aggregated the teacher data for fidelity, dose delivered, and dose received to the school level in order to assess the implementation level at each school.
