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Being a cluster-randomised complex intervention, a process evaluation nested inside the trial was started in order to clarify causal mechanisms and to identify obstacles or other contextual factors contributing to the variation, success, or failure of the interventions [ 25].
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The purpose of this study, however, was not limited to merely explaining variation in success based on student behaviors, but to identify and explain mediating relationships among the components of success.
Variation of success rates is possibly due to different periods of follow-up with a gradual decrease in persistent success rates over time.
Temporal variation in success was also assessed by repeating the experiment in Indonesia.
Yet, when the variation in success is larger between groups than within groups, group selection can be a potent force.
Similarly, there was a wide variation in success rates and adverse event rates across the EDs.
Variability in practice may also have contributed to the wide variation in success rates across SSSs.
This may account for at least some of the variation in success rates.
Alternatively, differences in the experience level of fieldworkers may explain the variation in success of this approach.
However, there is significant variation in success rates across the approximately 150 services, some of which may be due to variation in practice.
The current failure to achieve this level of specification may account for at least some of the variation in success rates.
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