Fig. 3From: Improving delivery of secondary prophylaxis for rheumatic heart disease in remote Indigenous communities: study protocol for a stepped-wedge randomised trialEvaluation framework. The central panel of this summarised schematic of the theory-driven evaluation framework illustrates the interplay between implementation (delivery of the intervention to clients, intervention (the agents of change that affect determinants), determinants (change mechanisms) and outcomes (improved adherence). Underpinning theories shown in the right hand panel are action theory (the intervention’s power to affect determinants), and conceptual theory (the determinant’s ability to affect outcomes). External moderators to be accounted for (the environment, organisation factors and team factors) are shown in the left hand panelBack to article page