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"I don't believe government intervention will work," Miller said.
"Obama prioritizes avoiding any entanglements where it is uncertain that such an intervention will work," a State Department official told me.
The trial is collecting the data needed to predict what intervention will work for what patients — to personalize the incentive a patient receives along with their personalized treatments.
This is still a tiny number of patients, with variable injuries, so it is impossible to know how well the intervention will work in the broader population of people with spinal cord injuries.
Gender, race, personality, and even our beliefs in whether an intervention will work or not, all help determine whether or not a particular self-help program will benefit you.
We are not trying to say beforehand that this intervention will work for you, but the power is when you look at the broad biological profile – here, trial and error actually works pretty well.
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While we do not claim to know which interventions will work best, and we know that culture change takes time, we are willing to learn from best practice around the world.
"If we can eventually design interventions to slow or reverse these changes, those interventions will work to prevent many different diseases," he said.
These are important first steps in tackling the obesity epidemic, and more research is needed for us to understand which interventions will work best.
There has been a tension between the needs of regulators and industry to demonstrate that interventions are effective and safe, and the needs of professionals to understand how well interventions will work for their patients, and patients to understand what might work for them as individuals.
This is why we are investing in the development and evaluation of such programmes – so that we can clearly identify the small changes to practice that can make a big difference to families' lives, and be certain that our interventions will work.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com