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Efforts from implementation of interventions depends on communication between participants and the work. The community, materials, participants apprehensive, and other resources collectively play a role in the feedback loop.

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-Complex systems cannot be reduced to the sum of agents forming the system. The focus is rather on the interactions between the agents since these are causal for the system's behavior.
-Because of the variety of relationships and their non-linear character, the system behavior is generally not predictable

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A complex adaptive system:
-This system consists of a number of heterogeneous agents, and each of those agents makes decisions about how to behave. Those decisions will evolve over time.
-The second characteristic is that the agents interact with one another. That interaction leads to the third—something that scientists call emergence: In a very real way, the whole becomes greater than the sum of the parts.
-The key issue is that you can’t really understand the whole system by simply looking at its individual parts.

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The implementation process will depend on the quality of the intervention components, the degree of participants discretion over resource mobilisation and actors' contributions, the elasticity of contexts and the extent of normative and relational structuring. The consequences of the negotiation of intervention components in practice have important implications for the design and conduct of rct trials of complex healthcare interventions.

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Collective Action
Context
Coupling
Elasticity
Emergence
Normative restructuring
Plasticity
Relational restructuring

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1. What factors promote or inhibit the routine incorporation of complex interventions in practice? How do they affect implementation processes and outcomes?
2. What factors promote or inhibit the implementation, embedding and integration of practices? How do they affect implementation processes and outcomes?
3. What factors promote or inhibit the mobilization of structural and cognitive resources for implementation? How do they affect implementation processes and outcomes?
4. What factors promote or inhibit adaptation and self-organization in complex systems? How do they affect implementation processes and outcomes?

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Theoretical focus:
1. User's interactions with objects.
2. Agency within implementation processes.
3.Resource mobilization in implementation processes.
4. Implementation as adaptive self-organizing in complex systems

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Theory:
Complex Adaptive Theory.
1. This theory adds emphasis on fundamental rules govern how the systems constructs are applied to an emergent behavior.