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While our respondents admired this, five participants pointed out that it also impacted on programme delivery.
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This study proposes two models using the AMPR framework that illustrate the extrinsic and intrinsic motivations of participants and how this impacts on programme participation, where nonhuman agency forms an explicit part of extrinsic motivation.
Although (as our analysis shows) low compliance with surveillance would have a relatively modest influence on cost-effectiveness, it would adversely impact on programme effectiveness.
This means collecting data, not just about programme impacts or the processes of programme implementation, but about the specific aspects of programme context that might impact on programme outcomes and about the specific mechanisms that might be creating change.
The data collected in this study do not allow us to assess how frequent these deviations were, what caused them and how they impacted on the programme's results.
Nevertheless, such events elicited large attention by the media and, in many cases, negatively impacted on the vaccination programmes due to concern in the public.
have not impacted sufficiently on programme functioning and health outcomes [ 25].
The project manager provided another line of supervision for the intervention sites, and this may have impacted significantly on programme outcomes as staff may perform better when they feel they are being supported in their work.
Factors impacting on the programme's implementation were collated from stakeholders' feedback and observations made by the implementation team.
Furthermore, the programme impacted on health behaviours, lifestyles and personal routines and attitudes towards medication.
Prison workers said overcrowding was impacting on rehabilitation programmes and leading to increased levels of reoffending.
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