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Different effect sizes as well as differences in interventions likely contributed to the heterogeneity found in this analysis.
In practice, sufficiently accurate prediction of the lines based on previous data is difficult because of sampling variability in the estimates of the intercepts and slopes of each line and because each previous study will likely generate a different line, even without sampling variability, due to differences in interventions.
Given these differences in interventions and that each study was set in different countries (the UK, Canada and Denmark), would not have provided meaningful results from a meta-analysis.
There was no clear evidence that could be drawn from the available literature about best practice and intervention, due to the differences in interventions and the lack of replication studies.
For the remaining included studies, analyses were descriptive, due to differences in interventions.
Inconsistency among studies arose from differences in interventions, populations, and outcome measures.
Similar(43)
One modest strategy might involve simply evaluating the differences in intervention specifics when different strategies are explored to minimize differences in patient sample and/or in the control of confounding from included covariates.
However, we found no differences in intervention effects between adolescents from different ethnicities.
Yet labelling components 'transtheoretically' across interventions with nominally different modalities may better account for heterogeneity in effect sizes than comparatively minor differences in intervention philosophy.
However, differences in intervention format and intervention design, as well as possible mediators of change, have never been reviewed.
We suggest that differences in intervention between the study areas should not be overlooked as a policy tool in tackling the impact of climate change.
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