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The multifaceted intervention developed for this project is novel, bringing together evidence-based elements for which local support also existed.
Areas were randomised to either receive an evidence-based, multifaceted intervention developed to facilitate an increase in chlamydia testing or to continue with usual care [ 9].
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Despite strong evidence supporting the individual elements of the CCM, there is a paucity of literature regarding implementation of the entire CCM as a multifaceted intervention, especially in developing countries.
Whereas some studies used single interventions [ 27], we developed multifaceted intervention, since multifaceted interventions are usually more effective [ 33].
The multifaceted intervention, Pressure Ulcer Prevention Program (PuPP), was developed by the first author, who is a registered nurse with 30 years experience in the peri-operative setting.
We have consequently developed a multifaceted intervention coordinated by a Nutritional Support Team (NST).
We developed a multifaceted intervention comprising care plans for both the practices and the patients (box 2). 10 By exploring practitioners' and patients' views, in accordance with the Medical Research Council framework, 7 we determined the duration and intensity of training within the practices and the frequency of patient recall.
They developed a multifaceted intervention that included cohorting of staff according to patients' VRE status, early infectious disease consultation, isolating patients with known VRE colonization and those whose VRE colonization status was undetermined, and limiting the use of specific antibiotics (e.g. vancomycin, imipenem) in addition to their standard practices.
CBT for regular attendance will be piloted with a view to developing this approach as part of a multifaceted intervention.
For this study, we developed a conceptual framework of likely barriers to optimal care and then designed the multifaceted intervention to address each of these barriers (Table 2).
A multifaceted intervention to raise influenza vaccination rates was tested among children with asthma.
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