BACKGROUND One of the major debates in implementation research turns around fidelity and adaptation. Fidelity is the degree to which an intervention is implemented as intended by its developers. It is meant to ensure that the intervention maintains its intended effects. Adaptation is the process of implementers or users bringing changes to the original design of an intervention. Depending on th...

BACKGROUND Implementation of intersectoral community approaches often fails due to a translational gap between the approach as intended and the approach as implemented in practice. Knowledge about the implementation determinants of such approaches is needed to facilitate future implementation processes. METHODS The implementation of five EPODE-derived intersectoral community approaches was st...

INTRODUCTION Extensive research has been undertaken over the last 30 years on the methods underpinning clinical practice guidelines (CPGs), including their development, updating, reporting, tailoring for specific purposes, implementation and evaluation. This has resulted in an increasing number of terms, tools and acronyms. Over time, CPGs have shifted from opinion-based to evidence-informed, i...

BACKGROUND While there are number of frameworks which focus on supporting the implementation of evidence based approaches, few psychometrically valid measures exist to assess constructs within these frameworks. This study aimed to develop and psychometrically assess a scale measuring each domain of the Theoretical Domains Framework for use in assessing the implementation of dietary guidelines w...

Organisations are always focussed on ensuring that their business operations are performed in the most cost-effective manner, and that processes are responsive to ever-changing cost pressures. In many organisations, however, strategic cost-based decisions at the managerial level are not directly or quickly translatable to process-level operational support. A primary reason for this disconnect i...

Some probability inequalities are obtained, and some liminf results are established for a two.parameter Wiener process by using these inequalities. The results obtained improve those of Lacey (1989) and get the watershed between the Chung type laws of the iterated logarithm and the Lacey type laws of the iterated logarithm.

In this paper, we propose a global tracking service for mobile agents, which is scalable to the Internet and accounts for security issues as well as the particularities of mobile agents (frequent changes in locations). The protocols we propose address agent impersonation, malicious location updates, as well as security issues that arise from profiling location servers, and threaten the privacy ...

Simulation at the gate level is computationally very expensive. Parallel processing is one technique to reduce simulation time. Possessing knowledge of the distribution of computational activity in simulation can aid in parallelizing it eeciently. We present a new characterization of the distribution of the computational workload in fault simulation. Our empirical analysis shows that the worklo...

OBJECTIVES To investigate the effects of a multifaceted implementation strategy on behaviour, behavioural determinants, knowledge and awareness of healthcare workers regarding the use of recommendations to prevent hand eczema. METHODS The Hands4U study is a randomised controlled trial. A total of 48 departments (n=1649 workers) were randomly allocated to the multifaceted implementation strate...