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Table 2 Questionnaire to document implementation activities (A2)

From: Tailored Implementation for Chronic Diseases (TICD): a protocol for process evaluation in cluster randomized controlled trials in five European countries

 

Yes

Partly

No

Intervention component 1: Please describe the intervention component in sufficient detail (specify content, duration, frequency, coverage if applicable)

Did you use this item as described in terms of duration? (if applicable)

Did you use this item as described in terms of frequency? (if applicable)

Did you use this item as described in terms of coverage? (if applicable)

Did you find this item helpful for the implementation of the recommendation/to reach the targets?

Did you adapt the content or format of this item in any way? If yes, please specify below!

Intervention component 2: Please describe the intervention component in sufficient detail (specify content, duration, frequency, coverage if applicable)

Comments:

Free text field: Can you think of other intervention components which might have been more helpful in order to improve the implementation of the recommendations/to reach the targets?