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Thirty-three padhered adhered to the programme (attended ≥ 4 education sessions) (n=33/53; 62.3%).
In general, the rate of MTCT averted by the national PMTCT programme appears promising among those who adhered to the programme.
It is difficult to draw firm conclusions about the effects of interventions on health outcomes when it is unclear whether participants fully adhered to the programme of activity.
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While some participants mentioned stopping the exercises early when their symptoms improved, the main reason participants gave for not adhering to the programme was that the exercises induced dizziness and often worsened their symptoms to start with.
Conversely, others in the early rehabilitation group may have not returned to baseline function because the intervention was insufficiently intense or they did not adequately adhere to the programme after discharge.
This could suggest that the programme is equally effective in men and women, but may also reflect a tendency for men to only commence a referral if they are committed to adhering to the programme and the format is appealing to them.
Restricting the analyses to clients who adhered to the agreed programme, a large effect size (d=1.26) was observed with regard to psychological distress, and medium effect sizes were observed with regard to anxiety (d=1.18) and depression (d=1.19).
Respondents that reported to have completed eight months of taking medication without interruption, and submitted sputum at least twice post diagnosis - one time point being at eight months - were considered to have adhered to the treatment programme.
Restricting the analyses only to clients who adhered to the agreed programme, a large effect size (d=1.26) was observed with regard to general distress (GHQ-12); medium effect sizes were observed with regard to anxiety (HADS-A; d=1.18) and depression (HADS-D; d=1.19; table 3).
A decade later, despite every world region having developed a safe motherhood strategy, policies and programmes that adhered to the SMI agenda proved difficult to operationalise and sustain (19).
I adhered to the ACPO kidnap principles.
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