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The draft intervention was pilot-tested in Gweru district, which is adjacent to the SHINE trial districts, between September 2011 and January 2012.
A draft intervention was designed as 5 core modules to deliver these key messages to mothers sequentially (Table 1; full modules and tools are included in the Supplementary Appendix, Documents 1 and 2).
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Asked for advice on the inaugural address, Sherman offered a draft threatening intervention in Cuba, then in rebellion against Spain; the suggestion was ignored.
On the following day, the VHW delivered module 1 of the draft IYCF intervention.
The focus groups allowed patients and clinicians to discuss the draft leaflet intervention from their separate perspectives.
On the following day, the VHW delivered module 2 of the draft IYCF intervention; the enumerator assessed understanding and uptake of module 2 one week later.
Receipt of the draft IYCF intervention by 19 mothers participating in this pilot evaluation was associated with increased maternal knowledge and evidence of transformational learning.
The task force then drafted the intervention protocol with close collaborative with representative health care providers from the 4 regions, and has finalized intervention protocol.
The UK Medical Research Council point out that evaluations of draft complex interventions are frequently undermined by numerous practical and methodological problems, and recommend a period of feasibility testing and piloting prior to full scale evaluation.
A more theory-driven approach would have been to have identified a potentially useful theory at the outset and drafted an intervention as others have done [ 34] via multidisciplinary discussion.
This first draft of the intervention was introduced to potential participants.
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