Fidelity of implementation of CUSP to support the delivery of the cardiovascular risk factor evidence bundle will be measured using the Stages of Implemented Completion (SIC) tool [58]. The SIC assesses milestone achievement across eight stages of implementation; these stages have been shown to be generalizable across multiple types of interventions. We tailored the universal SIC measure to include specific milestones relevant to the proposed study. The SIC will be updated on a weekly basis by the study coordinator, who will track the dates of completion of each milestone at each study site.
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