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The steps to develop guidelines include the following: (a) assess the need for change in practice, (b) link the problem interventions and outcomes, (c) synthesize the best evidence, (d) design the practice change, (e) implement and evaluate the change in practice that has occurred since the guidelines were set up, and (f) integrate and maintain the changes that has come about in practice.
However, as many factors affect physician guideline adherence, it is likely that besides CME additional interventions are needed to change behaviour and maintain the changes over time.
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Even those who seek marital therapy before deciding to divorce have considerably less than a 50-50 chance of achieving and maintaining the changes that would make for a more peaceful union.
Additional interventions are probably necessary to change behaviour and to maintain the changes [ 19].
However, translation of these findings into preventive strategies has proven difficult, as it requires that individuals are motivated to adopt and maintain the behavioural changes necessary to prevent T2D [ 94].
Successful change in return may lead to positive feelings and sensations, which confirms the whole process and motivates clients to maintain the changes.
The lack of internal resources to implement and maintain the required menu changes, inconstant customer demand, organisational and operational complexities represent the key barriers.
The main objective of an ecosystem sustainable management is to preserve its capacity to respond and adapt to current disturbances and/or future changes, and maintain the provision of environmental goods and services.
To express and maintain the knowledge of chemical concentration changes using the Petri net, we design a mapping algorithm for generating the Petri net from production rules.
The flexible aCNT network can alleviate the strain from the MnO2 volume change and maintain the electrode integrity during rapid charge/discharge.
In ruling that the FSA should apply retroactively, Judge Merritt wrote that "new knowledge" about the old law's discriminatory impact must overtake the "judicial instinct to avoid change and maintain the status quo".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com