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The global implementation score was 52%.
The global implementation score was a median 52 of 100.
A median fidelity of implementation score was calculated across all sessions, giving a score ranging from 1, which was considered poor, through satisfactory, good, and very good, to 5, which was considered excellent.
The modest global implementation score was caused primarily by disappointing implementation scores on separate components including partnerships with local authorities and other associations, high visibility components such as posters in public places and variants of street signs, and wide-ranging personal contact with citizens.
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The overall course rating, design and implementation scores were compared using Chi-square test across the three years by categorizing the percentage score as ">90%, 81-90%, 71-80%, 61-70%, 51-60% and 41-50%".
The narrower time period of 1996 1998 was chosen because the correlations between time and the Calman Hine implementation scores were reduced and this period also corresponded to the period in which the main guidance documents about service reform in colorectal cancer were published, and the rate of change in practice towards the Calman Hine recommendations should have been greatest.
Pre- and post-implementation scores are provided for each of the factors.
In one implementation, the score was highest for "your understanding of class content".
After 1 year of implementation, the mean score was 80%.
CONCLUSIONS: Most patients received a substantially implemented "3CM dose". Even within this high implementation, however, a higher fidelity score was associated with better outcomes.
An implementation of the SVM pairwise score was obtained from Liao et al. [60].
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