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Individuals with severe injuries and more functional impairments encounter more difficulties in participation, and community-based programs that address these impediments and promote participation are indicated.
The remaining two RCTs were conducted with people with TBI and found that people in the control group were significantly more likely to have difficulties in participation (as measured by the Rivermead Head Injury follow up Questionnaire) than those in the intervention group [ 34, 35].
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Physically separated from their families and established social networks in their home country, older migrants tend to face more difficulties in social participation and support (Bajekal et al. 2004; Tsang et al. 2004; Zhou 2012).
Difficulties in securing participation in research studies may be encountered, and a range of ways of engaging with minority ethnic groups should be considered.
Cycle 1 revealed two main issues guiding the design of Cycle 2: the first issue was a difficulty in maintaining participation and communication flow in asynchronous discussions; this was attributed to (a) the blended character of the course and the fact that most issues were resolved in f-2-f f-2-f f-2-fd (b) pre-seminarsteanders' inexperience with asynchronous collaboration.
This was an exploratory study designed to open up areas for further research: one of the key findings was the difficulty in engaging participation from particular groups of students.
Qualitative descriptive data from the CBI scheme in Nouna, Burkina Faso (no. 3 in Table 4) demonstrated that schemes that introduce payment methods without prior discussion or approval by local providers may face difficulties in ensuring provider participation in the scheme (De Allegri et al. 2006a; De Allegri et al. 2006b; Gnawali et al. 2009).
This often leads to adverse drug events, difficulties with participation in treatment, and even treatment errors [ 4, 8, 12].
Although beyond the scope of the present analysis, the effect of sleep difficulties on participation in the labor force and productivity at work may also need to be considered in future research.
Inclusion criteria will be children who meet one or more of the following: child-rated asthma, child-rated low exercise self-efficacy, teacher-rated build at or above the 75th centile on the 1990 UK BMI centiles [ 17], or teacher-rated concern about the child's difficulties with participation in P.E classes.
A tendency toward small families is a reflection of both difficulties in housing and increased participation by both parents in the workforce.
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