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To collect experiences and to identify the main facilitators and barriers for the implementation process of large scale communication training programs. Using a multiple case study design, data was collected from leaders of the individual programs in Australia, Ireland, Austria and Denmark. The RE-AIM framework was used to evaluate the components Reach, Effectiveness, Adoption, Implementation, and Maintenance of the programs. The programs, all based on the Calgary-Cambridge Guide, succeeded in reaching the intended target groups correspo
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