Table 2.

Recommendations for Implementation

1- Intervention Characteristics

R1.1 Policy can be a formidable tool for health promotion  R1.2 Potential barriers need to be anticipated and addressed before implementation  R1.3 Programme components - standardised, simple, scalable and renewed  R1.4 Maintain cost to participant (do not increase)  R1.5 Plan for scale up  R1.6 Innovative ways of motivating participants not ready to change and ensuring continuity of care for those with intention to change behaviour to minimize false expectations  R1.7 Using ongoing research to assist organisations in maintaining fidelity to core principles  R1.8 Assess fidelity of delivery

2- Inner Setting

R2.1 Improvement of efficiency and reliability of the information and communication tools and databases

3- Outer Setting

R3.1 Need for local support  R3.2 Need for policy development  R3.3 Needs long-term funding  R3.4 Formalised coalition  R3.5 Increase media support  R3.6 Easier communication to participants  R3.7 Improve coordination to avoid duplication  R3.8 Need to work in partnership with organisations and agencies working in target groups, especially in hard to recruit groups  R3.9 More research focus is needed on fidelity to implementation strategies

4- Individual Characteristics

R4.1 More attention for stakeholders’ skills and involvement across contexts is recommended to improve self-efficacy

5- Processes of Implementation

R5.1 Planning with clear steps for implementation  R5.2 Collaboration between all aspects of community and setting from start of programme implementation and before programme is introduced. This introduces complexity to the process  R5.3 Use of social marketing principles  R5.4 Maintain program champion  R5.5 Maintain ease of delivery  R5.6 Understanding if and how implementation decisions are made and what trade-offs are made at the different levels of the intervention is important for understanding intervention implementation  R5.7 Intensity of contact between research team and providers may have contributed to level of adherence