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Furthermore, designs are insufficiently robust to attribute any observed changes to the intervention.
Feedback from these consumer focus groups resulted in substantial changes to the intervention materials, with the end result striking a balance between what was considered theoretically important to improving health outcomes for ex-prisoners, and what was considered acceptable and relevant (i.e., face validity) by consumers.
Project staff initiated changes to the intervention in Vulindlela.
Any changes to the intervention are widely publicised and consulted on with changes to the intervention being readily identifiable.
No changes to the intervention components were required based on this consultation process.
If treatment integrity is low, it will be difficult to assign the observed changes to the intervention measures.
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We will maintain a detailed record of the timing and scope of any changes to the interventions (if any).
19, 20 The impact of the response can be captured by the surveillance system and can inform further iterative changes to the interventions.
Hence we feel confident about attributing change to the intervention.
However, it is not possible to attribute this change to the intervention as no control group was involved.
A significant time trend indicates that perceived quality has changed, independent of respondent demographics, but the time trend is insufficient to attribute the change to the intervention.
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