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To examine how the source of information about SCALE-UP might affect implementation, we created two indices from survey responses, 'active indicator' and 'studio match', to gauge the fidelity of the pedagogical and structural use of SCALE-UP, respectively.
Concerns were also raised about the complexity of the programme and how this might affect implementation.
Further, a context analysis was performed to evaluate those environmental aspects that might affect implementation of the intervention program or the outcomes.
Studying units within the same hospital had the advantage of standardizing many of the organizational factors that might affect implementation outcomes (e.g., organizational culture, senior management support, training) [ 8]; the identified behaviors may differ in effectiveness in other organizational contexts.
What health behavior change theories offer is a mechanism to understand how both internal (e.g., motivation, self-efficacy), and external (e.g., environmental context, resources), barriers might affect implementation, and a means by which tailored and theoretically underpinned interventions can be designed to address those barriers.
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Table 1 summarizes the various contextual factors that might affect successful implementation of a fall prevention program at VAGLAHS.
45 Our mixed methods in-depth approach will enable us to consider factors that might affect the implementation of an intervention from the outset.
Differences in background, culture, and capacity can affect implementation.
The qualitative work focused on factors which might affect the uptake and implementation of MEND for both providers (particularly those responsible for deciding whether to commission MEND) and users (children and their families).
HPT is a useful tool to explore different factors that might affect health policy and its implementation [ 25].
Future studies might explore whether expanding health insurance coverage to states with uninsurance rates twice and three times as high might affect readmissions, as will occur with implementation of the Affordable Care Act.
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might limit implementation
might affect vaccine
might enable implementation
might include implementation
might affect prey
might follow implementation
might inform implementation
might affect labor
might affect well-being
might facilitate implementation
might affect decomposition
might address implementation
might put implementation
might affect employment
might be implementation
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