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Second, this study does not allow making causal conclusions of reciprocal connection between brain regions.
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Therefore, it is problematic to control confounding factors and make causal conclusions.
Nevertheless, more research based on longitudinal data is required to be able to make causal conclusions.
As the cross-sectional design makes causal conclusions impossible, our study should be complemented by prospective research.
Also, especially for high-school and younger students, a lot of research is based on cross-sectional studies, which makes causal conclusions impossible.
The evaluation was conducted at one point in time, limiting the ability to make causal conclusions about the impact of CBO activity on the outcomes of interest.
Although the possibility of selection bias makes it difficult to draw causal conclusions from these observational studies, a number of investigations address that problem.
Besides that, one-group pretest-posttest design makes it difficult to draw causal conclusions in a longitudinal study once the subjects are exposed to numerous variables that can affect the final assessment.
While the cross-sectional design does not make it possible to reach causal conclusions, the evaluation was designed with these limitations in mind.
"You simply cannot reach causal conclusions" from the new C.D.C. data, Dr. Laughren said.
Although this design is not appropriate for conclusions about efficacy or for making causal inferences, it is helpful for understanding how a Lean implementation can relate to psychosocial work environment changes in the real world.
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