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Sustaining the intervention will be the third area of focus for UNICEF.
The importance of sustaining the intervention within the school setting was recognised.
To improve comparability, the time horizon for each intervention is taken to be one year of sustaining the intervention.
After the first month or so of actual implementation, both staff and patients were comfortable with the technical details of EDM use and sustaining the intervention, once begun, was not burdensome.
This was crucial to sustaining the intervention and, once established, the PP role continued to incorporate CDPS in some of the practices, in some form, even after the BETTER Trial was completed.
They conclude by reflecting on the elements of their implementation process that led to its demonstrated success, including local engagement, collaborative needs assessment, integration into the existing health care infrastructure, task shifting to nonspecialized providers, "accompaniment" throughout the implementation process, and securing a leadership commitment to sustaining the intervention.
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They can serve as physician extenders to enhance attendance at interventional and follow-up visits and to sustain the intervention in the community if it proves to be effective.
Future research should examine the efficacy of PEP for improving other CVD biomarkers and seek to sustain the intervention's effects.
Nevertheless, with regard to patient retention rates physicians are of crucial importance in order to promote and sustain the intervention.
Cognitive participation: is the work of engaging and legitimising a complex intervention, exploring whether participants buy into and/or sustain the intervention.
Constraints within different clinics, such as high staff turnover, high workload and limited consultation time, may influence the ability of CDM team to implement and sustain the intervention.
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