Description as stated in report/paper |
Location in text (pg & ¶/fig/table) |
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Group name | ||
No. randomly assigned to group (specify whether no. of people or clusters) |
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Theoretical basis(include key references) | ||
Description(include sufficient detail for replication, e.g. content, dose, components) | ||
Duration of treatment period | ||
Timing(e.g. frequency, duration of each episode) | ||
Delivery(e.g. mechanism, medium, intensity, fidelity) | ||
Providers (e.g. no., profession, training, ethnicity, etc., if relevant) |
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Co‐interventions | ||
Economic variables (i.e. intervention cost, changes in other costs as a result of intervention) | ||
Resource requirements to replicate intervention (e.g. staff numbers, cold chain, equipment) |
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Notes: |