Cost-effectiveness analyses would offer a more complete evidence base for deciding between the two strategies, as even in emergency interventions, efficiency is required to maximize the impact of the finite human, logistic, and financial resources that can be mobilized.
In addition, some authors have observed a reduction in bracket failure and improvement in treatment efficiency when interventions with the purpose to improve patient compliance during orthodontic treatment have been implemented [26].
The intervention emphasizes efficiency, flexibility, shared decision making and goal setting, communication strategies appropriate for individuals with limited cognition and literacy skills, and ongoing reinforcement and support.
Economic evaluations within randomised controlled trials provide decision-makers with information about an intervention's efficiency.
It is widely acknowledged that community involvement can improve intervention coverage, efficiency and effectiveness, as well as promote equity and self-reliance [ 4, 10, 11].
Detailed economic data will be collected throughout the trial to enable a comprehensive evaluation of the intervention's efficiency when compared to routine care.
Immediate analgesic effect, evaluating the MT/ST intervention's efficiency, was obtained by measuring pain intensity (Visual Analogue Scale – VAS-pain, immediate effect) before and immediately after the manual therapy or detuned ultrasound intervention at each therapeutic session.
Also, despite the fact that the vast majority of trials in this field have involved screening to identify patients who require brief intervention, the efficiency and acceptability of screening has been questioned [ 22, 23].
In effect the intervention boosted efficiency of resource use, while it did not appear to add undue strain to the health system, according to a time and motion study conducted on vaccinating staff in the IPTi study area[ 28].
