Clearly, the provision of training has a moderating effect on the quality of the intervention delivery, which, in turn may affect the intervention fidelity.
In order to monitor fidelity to the intervention and gather information about site activities such as changes in personnel, administration, or policies that may affect the intervention, site research teams complete a quarterly assessment of fidelity in the Experimental sites and a monthly site activity assessment in both Experimental and Control sites.
Few studies have investigated how heroin use may affect smoking cessation intervention outcomes [ 19].
These cultural effects will lead to early detection or delay in detection of autism, thus may affect the early intervention and outcome of autism.
For example, caregivers' health, wealth, and cultural norms, and care recipients' education [ 3] may affect adherence to intervention [ 4], caregiving activities, and care recipient outcomes.
The realist evaluation approach takes a somewhat different tack by asking "what works for whom in what circumstances and in what respects, and how?" [ 51] Here the emphasis is on elucidating the relationships among context, change mechanisms, and outcomes to identify factors that may affect both the intervention and its outcome.
From a realist evaluation perspective, context comprises the individual capabilities of key actors, the interpersonal relationships supporting the intervention, the institutional setting and the wider contexts that occur independently of the intervention and may affect the implementation of the intervention, the choices of the participants and/or the outcomes.
Concern has been expressed that acute intrapartum and postpartum complications may arise in spite of careful assessment of low-risk women and that transfer delays may affect lifesaving medical interventions such as caesarean section or advanced neonatal resuscitation.
Few intervention descriptions described a theory of change that outlined how interventions may affect different subgroups of children, even though interventions were implemented in complex and dynamic environments with ongoing adversity threatening mental health and well-being.
For SDM-Q-9 and knowledge on hypertension, the respective T0 data were considered as baseline values, since the intervention may affect both outcomes directly at the first visit after intervention (T1).
