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The intervention comprises three phases (predisposing; enabling; reinforcing).
Codes in the rows of the TCM represented 4 conceptual themes: Predisposing, Enabling, Reinforcing factors and Need.
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This score indicated the total extent of favourable predisposing, enabling and reinforcing factors observed at a given clinic.
Barriers to quitting smoking identified by participants were analysed thematically then categorised as those predisposing, enabling and reinforcing continued smoking.
The Precede/Proceed model defines three types of factors which influence behavior: predisposing, enabling, and reinforcing [ 10].
Initiatives focused at enabling and reinforcing adherence to effective prevention practices among nurses in HDU are strongly needed.
The video and Navigator modules were developed for their potential to address all predisposing, enabling and reinforcing factors.
These are summarised in box 2 based on our PRECEDE-PROCEED map of predisposing, enabling and reinforcing factors for patients.
The enabling and reinforcing stages are delivered by one of two GetREAL intervention teams comprising a senior occupational therapist, an activity worker and a service user.
At the PROCEED stage, the National Chagas Programme (indicated as "Chagas Programme" in Figure 3) programmed and directed the surveillance implementation by enabling and reinforcing the local health service.
Previous research has shown that implementation strategies focusing on predisposing, enabling and reinforcing factors have better results than other strategies [ 37- 39].
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