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Explanation for the low level of attrition in this review is unclear.
Strengths of this study include the large sample size and the low level of attrition together with detailed and novel reporting of treatment side effects.
However, the low level of attrition perhaps suggests that the VHWs' dissatisfaction with payment amounts has not significantly impacted the success of the program.
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Limitations in the methods of previous clinical trials 18 were largely overcome: we used an appropriately powered sample and achieved low levels of attrition (86% of participants were successfully followed-up), and we biochemically validated smoking cessation.
With low levels of attrition, high levels of adherence and virtually no adverse effects this study suggests that walking groups could be a practicable intervention, acceptable to patients as a line of treatment with a potential for both physiological and psychological health benefits.
The research strength of this study was enhanced in a number of ways, including the use of a computer-randomised controlled design, concealment of allocation, an electronic assessment of the outcomes which remained free of the influence of the study evaluators, and the low level of sample attrition.
Significantly this study informs us that PS may be applied to the BAL without major detrimental effects on the bulk ELS product, although there was a low level of early functional attrition seen after PS which requires further study.
Further research is needed to understand the factors causing such large variation in tutor-to-student ratios between nurse training institutions, factors contributing to Kenya's low level of pre-service attrition, and factors affecting Kenya's ability to recruit, hire and deploy these new nurses.
I claim a low level of boredom".
Keep a low level of stress.
The resulting high rates of attrition and low levels of participation in studies have been widely discussed in the literature [ 1, 2].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com