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Theory guides the link between intervention components and outcomes.
31 Our approach reflected current best practice guidelines, by addressing context, collecting the best evidence, developing a conceptual model to explain the links between intervention components and outcome, and standardising the intervention.
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The process evaluation will be carried out in line with a framework provided by Saunders et al. [ 51] to examine the implementation of the MasterYourBreath study protocol and the relationship between specific intervention components and outcomes.
In the other studies, which included patients with any combination of conditions, the focus tended to be on older patients and the interventions had multiple components, making comparison between studies and between intervention components difficult.
While demonstrating actual reductions in levels of domestic violence was not possible, the evaluation shows a strong association between exposure to intervention components and a range of intermediary factors indicative of, and necessary to bring about social change.
Clearly, more insight in the association between reach, dose and fidelity of intervention components and efficacy is needed.
More insight in the association between reach, dose and fidelity of intervention components and effects is needed.
By linking these indicators to efficacy, we meet the call for more insight in the association between the process of delivery of intervention components and efficacy, contributing to a more transparent evaluation of a public health intervention and being able to indicate facilitators and barriers in translating such an intervention into practice.
The aim of the exploratory analysis is to gain more insight into possible causal relations between the rate of success of the intervention components and the outcomes.
Also, exploratory analyses will be performed, in order to gain insight into barriers and facilitators for implementation and the possible causal relations between the rate of success of the intervention components and the outcomes.
There was good agreement between therapist checklist ratings of delivery of target intervention components and independent ratings based on recorded sessions (κ=0.82).
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