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Critical evidence gaps include a better understanding of which patients will benefit from a BCI, how flexible interventions can be without compromising effectiveness, required clinician expertise, necessary intervention intensity and follow-up, impact of patient and clinician intervention adherence, optimal conditions for BCI delivery, and how new care models will influence BCI feasibility.
The effectiveness of algorithm-based, flexible interventions using a combination of psychological and pharmacological treatments compared with standard care was evaluated in four RCTs.
GPs described patient management as a package of tailored and flexible interventions, built around shared and realistic objectives, appropriate to the real world.
44 45 Thus, we set broad inclusion/exclusion criteria and flexible interventions allowing for different treatment regimens according to each patient's medical condition.
This suggests that flexible interventions are needed which enable and encourage clinicians and patients to make use of existing resources, such as social clubs and advice agencies, to address the psychosocial and other factors which contribute to depression.
This study aimed to assess the impact of two simple and flexible interventions on reducing postpartum perceived stress among first-time mothers in Beirut-Lebanon: (1) a postpartum support film and (2) a 24-hour telephone hotline service.
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We conclude with an example of a modular, stepped-care program that might help bridge the science-practice gap in the ASD field by combining elements of a number of existing EBIs into a single, flexible intervention.
This study evaluated an innovative Queensland, Australia program employing a collaborative wrap-round model of care in combination with a flexible intervention approach, individually tailored to children and young people in out-of-home care presenting with complex and extreme behavioural and mental health problems.
25 The fixed (unchanged during the study) and flexible intervention components are summarised in box 1.
The intervention focussed on community engagement to foster flexible intervention strategies across multiple community sectors and organisational levels.
However, there can be some tension between 'a flexible intervention' and guaranteeing that certain content is sufficiently addressed.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com