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This paper attempts to fill this gap by providing systematic assessment of implementation process to provide lessons on how such programs can be implemented and scaled up.
The fast observation questionaire used in this study allowed rapid assessment of implementation of hygiene principles.
However, the influence of specific aspects of the implementation process on observed outcomes may be missed if assessment of implementation success is not built into the implementation design.
Common approach to assessment of implementation and its success rate is through benchmarking.
Other challenges include insufficient infrastructure to support advanced technologies (9%), insufficient resources (7%) and inadequate initial assessment of implementation scope (7%).
They indicated strong interest in program evaluation and the assessment of implementation efforts.
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We describe a new tool, the Physicians' Practice Assessment Questionnaire (PPAQ), designed for the global self-assessment of implementation of asthma and COPD guidelines, as determined by the percentage of patients in whom physicians estimate that they implement guidelines key recommendations.
Finally, immediately after they had finished teaching the two-day math lesson, teachers were administered a six-item self-assessment of implementation fidelity asking about their adherence of this lesson plan.
Finally, we obtained preschool directors' self-reports of practices related to physical activity with interviews and research personnel assessments of implementation and preschool environments using rating scales.
Both the assessment of guideline implementation and the design of programs for improving implementation require a specific methodology.
In addition, assessment of the implementation processes is essential for assessing internal and external validity of the intervention.
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