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For the dissemination of the programme, a "train-the-trainer" model resulting in a peer-to-peer approach for teachers was implemented by the scientists of Ulm University [21].
Inferential statistics will be part of later phases of the project, which will deal with dissemination of the programme.
Payer support, such as covering or funding some intervention costs and imposing financial penalties on hospitals when patients develop CLABSIs, could encourage uptake and dissemination of the programme.
The Chronic Disease Initiative in Africa has a more regional vision and if the intervention is effective will assist with the dissemination of the programme.
The study design does not allow us to identify the relative importance of these components, which is important for planning wider dissemination of the programme.
The preparation for a state-wide dissemination of the programme includes financial (grant applications), organisational (test of the dissemination concept) and personnel aspects.
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This network will remain after the project is finalized and provides a solid foundation for the future dissemination of the TRAMPOLINE programme.
Further dissemination of this programme could contribute to reduce some aspects of the burden of chronic diseases and of the health inequalities that have arisen as a consequence of social inequities.
The F-MARC team has gained experience during the years of dissemination of the injury-prevention programmes.
This will be achieved by a global communication and media campaign, the dissemination of Save Food programme findings and results, and the organization of Regional SAVE FOOD Congresses.
Given these results and the programme's broad dissemination, testing the programme in a randomised control trial is appropriate.
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