Limited access to standard solutions and specific country regulations on preparation may also be possible alternative explanations why guidelines have not been translated into clinical practice.
(See box below for an explanation of NIH guidelines regarding this issue).
A coping skills training (CST) intervention for adolescents with fibromyalgia was developed to include developmentally appropriate explanation and training guidelines as well as a parent training component [ 132].
Another potential issue is that it was possible for respondents to go back and change their answer to Question 1, "Before receiving this questionnaire, did you know what a reporting guideline/standard was", after they saw the explanation of reporting guidelines later in the questionnaire.
They felt that, at present, the available advice and guidelines lacked explanations and supporting evidence.
The referral for the workplace intervention is in line with the guidelines, although explanation about the workplace intervention and standard explanation of the inventory of stressors to the employee is additional.
Copies of the guidelines with explanation were collected.
Finally, the certificate used in 2009 required explicitly descriptions of functioning according to activity limitations, and when a certified sick leave length exceeds the recommendations in the guidelines, an explanation for this should be stated in the certificate.
These studies can be seen as providing a more intense intervention, as practitioners were trained and additionally received guidelines and guideline explanations.
During the first-phase 20 annotators, all chemistry experts at postdoc or PhD level, recruited from UK Universities, were trained on four full papers with the first version of the guidelines and detailed explanations resulting from error analysis.
Another possible explanation is that South African guidelines create a relatively high barrier to accessing antiretroviral treatment.
