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The key elements of intervention (box) were derived from best practices in two pilot studies on community participation in dengue control in Havana and Santiago de Cuba.
We present 24 shared 'core' competencies for all MNS disorder providers with relevance for the four prioritized disorders, across the three broad areas of intervention (Box 1).
We believe there are some key factors included in our ACP intervention (box 1) that have contributed to the success of ACP in this study.
These included describing the intervention as delivered and exploring issues influencing the effects of the intervention, the illness experience of consumers, participants' experiences of the intervention (box 2), and reasons for refusal to participate in the trial (box 3).
Of the four qualitative studies carried out after the trial, two explored participants' experiences of the intervention, one explored factors influencing the effects of the intervention (box 4), and one analysed the process for development of the intervention.
In recognising this definitional limitation, the UK Health Foundation has identified a framework that comprises four principles of person-centred care which should underpin any improvement intervention (box 1).
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This also highlights the importance of interventions (Box [1966]). .
Randomised controlled trials are sometimes used to evaluate "complex" interventions that is, those "made up of various interconnecting parts" 1 that act both "independently and inter-dependently". 2 3 Qualitative approaches can contribute in several ways to the development and evaluation of both complex and other health interventions (box 1).
In partnership with community leaders, a number of culturally acceptable activities were developed building on existing societal mechanisms: community workshops, recruitment and posting of community relay agents in all villages of the intervention areas (Box 2), public concerts with traditional singers, theatres and financial schemes to reduce out-of-pocket expenses during emergencies (Box 3).
There were six core components of the intervention (see box).
Pain levels will be closely monitored during and post each intervention session (box 1).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com