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The survey methodology was compliant with guidelines from a number of market research and pharma associations.
In addition, under time pressure participants were less compliant with guidelines on giving advice on lifestyle, especially, concerning smoking habits.
Twenty one percent more participants were considered compliant with guidelines post intervention (79%) compared with (58%) at baseline (Table 3).
Baseline compliance, Positive effect estimates indicate that participants that were compliant with guidelines learned more than those that were not compliant at baseline.
We hypothesised, therefore, that if health professional knowledge and practice were less compliant with guidelines at baseline, the effect on learning should be improved.
Another limitation is the restriction of the study to MTB decision compliance with guidelines without analysing how frequently the final treatment plan was actually compliant with guidelines.
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The survey revealed all of the responding sites were compliant with guideline-based program elements with minor variations in 2 of 16, namely they did not include peak flow monitoring or behavior modification techniques (Table 1).> -wrap-foot> * N = 32 primary sites with survey responses; N = 36 primary sites with service delivery information in survey and/or in the public domain.
All cases non-compliant with guidelines in the NA group had 'small' PSP according to BTS but 'large' according to ACCP, which favours apical pneumothorax identification.
In order to increase the likelihood of including participants who may be non-compliant with guidelines, we set up two participant recruitment strategies as outlined below.
In order to test this hypothesis, it would be necessary to include a sample of participants whose knowledge and practice was identified as non-compliant with guidelines at baseline.
A third key difference with the current implementation strategy was the recruitment strategy chosen to ensure that a proportion of the participants would be non-compliant with guidelines at entry to the study.
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