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NPT considers the practical work involved in making sense of the intervention (coherence), investing in the intervention (cognitive participation), delivering the intervention (collective action) and modifying and embedding the intervention to suit local circumstances (reflexive monitoring) [ 20].
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Drawing on NPT, this study emphasises the nature and extent of work required to ensure an intervention has sufficient coherence to merit further evaluation.
However, we show that conceptualising and categorising interventions using behaviour change theory can reveal the theoretical coherence of interventions and so point towards improvements in intervention design, evaluation and synthesis.
The International Labour Organization specifies that the criteria for identifying and recognizing occupational diseases need to be based on a critical review of all the available evidence, which should include strength of association, consistency, specificity, temporality or time sequence, biological gradient, biological plausibility, coherence and intervention studies [ 9].
For clarity of vision and purpose and coherence of interventions, a national policy is important (66, 67).
The sustainability of project interventions focused on the coherence between project initiatives and the priorities and poverty escape strategies of the poor themselves, and the coherence between project interventions and the policies at national, departmental and municipal levels.
To outline a framework for evaluation of health interventions, aimed at increasing coherence and efficiency through i) making better use of information contained within the existing evidence-base when designing future studies; and ii) maximising the information available and thus potentially reducing the need for future studies.
As shown in Figure 1, both contexts and processes were seen as potentially important aspects of a treatment course and were seen as functioning in synergetic coherence with the interventions and the outcomes.
Less effective interventions tend to focus on Coherence or the early stages of Cognitive Participation alone.
The current study extends this work by examining for the first time the effectiveness of NIDCAP interventions on neuropsychological function, cortical coherence and brain structure at school-age in the IUGR preterm-born population.
The objective of this cluster randomised controlled trial is to evaluate the effectiveness of pre-hospital and emergency clinical pathway for patients with suspected stroke in: improving early identification of stroke, promoting appropriate triage coding, achieving coherence between diagnosis, interventions and referral.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com