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Therefore, we cannot guarantee a unique counselling effect for all counsellors.
In regard to the pictorial risk communication tool, it was not our intention to validate the tool independently of the counselling effect.
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After five years of counselling a significant effect on lifestyle was seen, with a substantial reduction in the prevalence of smoking, 15 improved dietary habits, 16 sustained physical activity (among men), 17 18 and a decrease in binge drinking.
Documentation of counselling regarding teratogenic effects and discussion of contraceptive issues by the prescribing psychiatrist occurred at a low rate (<50%) in our population studied.
Numbers are too small to see if Thai-speaking ability is associated with greater effect of counselling.
A lifestyle index based on national and international, achievable public health recommendations would be a practical tool for counselling people on the effect of living in accordance with the recommendations in relation to the risk of certain diseases.
The beneficial effect of counselling on knowledge about mode of action of the more complicated, medical (non-barrier) contraceptive methods suggests that the use of family planning counselling services in primary health care should be promoted; furthermore, counselling strategies and content should be re-structured for better efficacy.
20 21 Women should be counselled on the effects and side effects of both remifentanil and epidural analgesia.
The next two statements highlight again that the participants recognized they had trauma and anger issues, but did not receive counselling to ameliorate the effects of these events.
The objective of the study was to monitor the effects of counselling on combined hormonal contraceptive choice using a standardised counselling questionnaire (see Additional file 2) and guide.
Patients not receiving support were not asked for additional data, as to do so might have started to approximate or resemble counselling, and thus reduced our ability to observe additional effects of counselling.
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