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Several researchers have recognised the need for a broader range of tools in evaluating complex health interventions, with suggested approaches including process evaluation,89 systems perspectives90 91 and realist evaluation.92 Common elements of these approaches include attention to context, recognition that the impact of interventions depends on interactions with existing systems and processes, and use of theory as a framework for interpreting and synthesising empirical evidence

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It ranges from a perfect positive correlation (+1) to a perfect negative correlation (1) or no correlation (r = 0)