In the 'implementation' phase we develop and deliver implementation strategies tailored to the key factors identified.
Given the brief 2-week time period over which the intervention was delivered, implementation of the intervention was high.
Such pre-planned process evaluations performed alongside the effect evaluation allow for in-depth information to differentiate between interventions that have shortcomings in itself (intervention failure) and those that are badly delivered (implementation failure) [ 19, 20].
The effect of the "user related factors" that influence the distal coverage outcomes may vary depending on the way the intervention was delivered (implementation related factors), or there may be external factors that modify the distal coverage outcomes.
Pairing implementation intentions with text message goal reminders has been shown to be successful for weight-loss and participation in physical activity [ 31]; the aim of the study is to not only deliver implementation intention, but also mental imagery goal reminder text messages based on the HAPA.
We encouraged indicators to be developed in consultation with the teams responsible for delivering each implementation plan, including contractors and collaborators from outside the Department of Health and NIHR family.
Delivering the implementation program within communities of practice allows for co-constructing and tailoring knowledge to the personal learning needs [ 41].
Finally, we felt that health research system managers responsible for delivering individual implementation plans were better placed than us to identify which stakeholder groups could best comment on the development of programme specific metrics.
It delivers an implementation period and a commitment to negotiate a new relationship with tariff- and quota-free trade.
The perceptions of the key informants who design and deliver the implementation are important for understanding pertinent factors related to service sustainability.
The design therefore delivers pertinent implementation strategies that correspond with each EPIS stage and measure key variables (e.g., outer and inner context indicators; community, staff, and client outcomes) at the beginning of Exploration and at the end of each subsequent stage.
