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The UK national strategy for improving access to psychological therapies is a stepped care approach, where graduates supervised by clinical psychologists deliver less intensive therapy, allowing clinical psychologists to offer more high intensity interventions to those with more complex needs.
Both these interventions are high intensity interventions, while taking into consideration the participant's current musculoskeletal troubles and general health.
31 The Cochrane review also warns of the higher dropout from high intensity interventions across the stroke pathway.
This contradicts the fear that high intensity interventions might be too costly to be considered cost-effective [ 10].
The same number of low and high intensity interventions reported significant positive outcomes for health literacy (39% each).
More low intensity interventions reported significant positive outcomes for SNAPW (43% of studies) compared with high intensity interventions (33% of studies).
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After six months of intervention, 6% of women in the standard care group, 51.8% in the low intensity intervention group, and 70.1% in the high intensity intervention group had undergone a screening mammogram.
The High Intensity Intervention (HI) will include both the specialised antenatal class and the social support intervention.
Fourth, the approach has a high intensity intervention, offering an assertive approach with at least weekly personal contact.
The Medium Intensity Intervention 1 (MI1) and the High Intensity Intervention (HI) groups will include a specialised antenatal breastfeeding education session for fathers.
This would support the suggestion that developing health literacy around SNAPW takes time and therefore a medium to high intensity intervention is required.
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