Complex interventions usually undergo some tailoring when implemented in different contexts. Capturing what is delivered in practice, with close reference to the theory of the intervention, can enable evaluators to distinguish between adaptations to make the intervention fit different contexts and changes that undermine intervention fidelity.9 10 Unresolved debates regarding adaption of interventions, and what is meant by intervention fidelity, are discussed at length in the full guidance.In addition to what was delivered, process evaluation can usefully investigate how the intervention was delivered.11 12 This can provide policy makers and practitioners with vital information about how the intervention might be replicated, as well as generalisable knowledge on how to implement complex interventions. Issues considered may include training and support, communication and management structures, and how these structures interact with implementers’ attitudes and circumstances to shape the intervention.Process evaluations also commonly investigate the “reach” of interventions (whether the intended audience comes into contact with the intervention pandora jewelry, and how).13 There is no consensus on how best to divide the study of implementation into key subcomponents (such as fidelity, dose, and reach), and it is currently not possible to adjudicate between the various frameworks that attempt to do this.

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