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Schools with a decrease in implementation level (D ): The intervention was implemented to a lower extent by the end of the intervention period compared to the beginning of the intervention (numeric decrease).
Schools with an increase in implementation level (I ): The intervention was implemented to a higher extent by the end of intervention period compared to the level at the beginning of the intervention (numeric increase).
The school- and class range were reported to describe variations in implementation level in the various classes and schools.
That is, the state should demonstrate a clearer responsibility for ensuring community-directed health promotion supported by the health facility and district health services and other relevant sectors in implementation level collaboration.
In summary, there is a lack of knowledge about the implementation level of strategies to increase availability and accessibility of FV to adolescents at schools, the reach of strategies in different subgroups of pupils; changes in implementation level over time, and characteristics of schools with high implementation levels.
Indicators cover the roles of all those involved (supervisors, anchor personnel as receivers and providers, targets), in each intervention-related groups (IRG: basic setting in which a given intervention is planned by the programme and may differ in implementation level) and for every intervention period.
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This is a hypothesis to be tested in the future e.g. by interviewing teachers about the reasons for positive and negative changes in implementation levels.
Our findings suggest that changes in implementation levels over time vary between the different process measures of the two intervention components.
However, more than five years after FCTC came into effect, large differences in implementation levels exist among FCTC ratifying countries [ 4].
As teachers are often responsible for several year 7 classes it was not possible to link the teacher data on implementation to specific school classes and examine between class variations in implementation levels.
The present study evaluates the effect of fifteen practices applied concurrently and takes variation in implementation levels into account while assessing the impact of diabetes care management practices on glycemic and lipid monitoring.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com