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Reviews of interventions aimed at change in primary care show that while no intervention is effective in all circumstances, systematically developed, multi faceted interventions tailored to and engaging the target group and addressing barriers and facilitators to change are more likely to be effective [ 15- 17].
One notable point regarding the varied research programs that these papers represent is that many of these activities are aimed at change on more than one level of analysis; by examining a different set of the data from the same project, the same project at a different point in time, or the data in a different way, changes at other levels of analysis could be highlighted.
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I had a conversation with the Cardinal and there are several initiatives by the Cuban Church in several areas, aimed at changes in economic, educational and other areas.
Phone counselling trials for weight loss, including trials primarily aimed at changes in diet and/or physical activity, showed mixed results [ 12- 15].
Regular treatment consisted of non-manualized individual counselling sessions of about one hour, principally aimed at changes in drug-use behaviour.
Changes in the society influenced the system of education, bringing forth the need of gradual reform aimed at changes in structure, management and funding as well as curriculum of the schools.
Ultimately, the development of new biomarkers would involve identifying high-risk individuals who may benefit from a reduction in modifiable risk factors, including treatments aimed at changes in life style and pharmacological interventions.
There is low quality evidence that PrT is inferior to educational approaches, which aim at change in behaviour and attitude.
Participants recommended several system changes aimed at changing HCPs' behaviours.
Using implementation strategies aimed at organizational change, next to behavioral change, was also associated with reduced mortality.
One is aimed at physical change the other is aimed at spiritual change.
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