Conclusion
diabetes
DIABETES
Our concurrent quantitative, implementation evaluation of a complex pragmatic trial to prevent diabetes in safety-net settings, found moderate-to-high adherence to the core components of the intervention, as well as moderation of several fidelity measures by implementation site, with no impact of the baseline patient-activation measure on fidelity measures. Analyses of implementation fidelity of complex interventions such as this trial, advances the field of implementation science. This implementation evaluation will inform our analyses of the study outcomes and may be useful for other researchers conducting complex behavioral interventions.