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. 2013 May 21;25(4):352–356. doi: 10.1093/intqhc/mzt038

Table 1.

The five steps of spread

1 Bind to pre-existing receptors
2 Overcome resistance
3 Make the message readable and actionable while introducing slight changes for adaptability
4 Integrate into the DNA
5 Spread via existing networks with the help of changes in the environment