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Efforts by social enterprises to develop novel interventions receive a great deal of attention.
This is in part a reflection of funding constraints: many community-based interventions receive limited funding and this has inevitably restricted funding for related research and evaluation.
Both interventions receive 8 weekly face-to-face group sessions, followed by 2 monthly sessions, with two 4-week refresher courses in each of subsequent years.
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No studies blinded assessors to the interventions received.
To replicate natural conditions, interventions received by clients are not constrained by the study.
They will also be asked about the acceptability of any interventions received.
As well, the role of health interventions received during the study timeframe was not examined.
While the general nature of the interventions received by the two treatment groups remains identical between Model 1 and Model 2, specific aspects of the intervention received can vary between the treatment groups in ways that are not immediately obvious.
Participants randomized to the D+E intervention receive both interventions described above.
All patients randomized to the delayed intervention receive "usual care" during the twelve months following randomization.
PCPs assigned to the OA Intervention receive the Provider Intervention described below, and their enrolled patients receive the Patient Intervention, also described below.
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