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Delivery of protocols was monitored by formal assessment of audio-taped consultations with all intervention participants and a sample of standard care participants [ 10].
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Fidelity of implementation was acceptable, but time constraints and inadequate reach (i.e., the relatively healthy older people participated) negatively influenced complete delivery of protocol elements, such as interdisciplinary cooperation and follow-up of older people over time.
Figure 5 shows the packet successfully delivery of different protocols.
Dashed lines represent gaps in the data resulting from the delivery of other protocols.
By addressing these issues it is possible that we will be able to improve healthcare staff fidelity to the protocol and potentially allow greater flexibility in delivery of the protocol amongst healthcare staff whilst not adversely impacting on the active components of the SVP.
In JJ-TRIALS, GAT fidelity procedures included a two-day, in-person tutorial on overall study procedures and on delivery of GAT protocol materials (i.e., GSS and DDDM presentation slides, the agency-level feedback report, the implementation action plan template, and activity worksheets).
Random sessions are recorded with a voice recorder and checked for correct delivery of the protocol.
The team felt that patients were not accessing expert generalist care, largely because systems of care were organised around the technical delivery of specialist-defined protocols of care.
The adoption of dynamic variations is limited in some situations [ 12], but can significantly simplify the delivery of fluid optimization protocols.
Given the potential importance of long duration light delivery for a variety of protocols we determined if stable responses could be elicited from individual neurons for at least 2 hrs.
The intervention coach was trained in the delivery of the intervention protocol by the investigators.
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