The current study applied the RE-AIM framework to the evaluation of the wide-scale dissemination of '10,000 Steps' beyond initial applications ('10,000 Steps Ghent').
In Australia, a preliminary dissemination of '10,000 Steps' was studied using the internet as a means of disseminating project resources [ 41].
As there were only 13 respondents from the dedicated 12-step unit in this county, dissemination of 12-step philosophy seem to be spreading to other units/wards in this county there.
Although it may improve surgical training and accelerate the dissemination of technical steps of surgical procedures, controversy exists regarding patient safety in live surgery.
However, the wide-scale dissemination of '10,000 Steps' outside the pilot project area requires further study.
Therefore, this paper reports on the impact of the wide-scale dissemination of '10,000 Steps' to the entire region of Flanders.
We thank the technical experts who provided support to one or more phases of the study and the participants in the project workshop that was held in Geneva to discuss the data-collection process, interim findings, and potential implications for dissemination and next steps.
We thank the technical experts who provided support to one or more phases of the study, the researchers who shared their questionnaires with us, and the participants in the project workshop that was held in Geneva to discuss the data-collection process, interim findings, and potential implications for dissemination and next steps.
Both the selected practitioners and the local team will be involved in the remaining step (Step 4: Dissemination of recommendations) and planning of individually tailored interdisciplinary interventions.
Outgrowth of metastases may occur as late as 20 years after diagnosis and treatment, although several studies in mouse models suggest that cancer cell dissemination, the initial step of metastasis, can be a very early event in the disease [ 2- 4].
