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While the experiment yields reliable estimates of the impacts of access to career academies among those who apply, the applicant pool was apparently a more motivated group than is representative of the student population in these communities.
The low response rate may have also have resulted in a more motivated group of participants at baseline compared to the target population, masking effects of the intervention.
They may have had higher learning needs than their peers, though selection bias would be more likely to have resulted in a more motivated group who were interested in improving their management of OM in children.
Reasons for the differences may be due to sampling; women participating in the cognitive substudy may be a more motivated group, and it should be noted that almost one-third of women who dropped out did so because of vasomotor symptoms.
There could also have been participation bias, as the SMS group patients (who provided a mobile phone number) may have been a more motivated group of patients; and these patients may have been more likely to attend their appointments irrespective of receiving an SMS reminder.
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However, patients were recruited mainly through voluntary national diabetes registers and hospital-based diabetes clinics and volunteered to participate in a long-term study, possibly a more motivated patient group.
Differences in boldness and sociability may be expressions of underlying risk-prone or risk-averse behavioural types, as risk-averse individuals may be more motivated to group and to respond to conspecifics in order to lower their risk of predation (Krause & Ruxton, 2002).
Moreover, as the lifestyle intervention in all the community studies was provided free, subjects received a great deal of staff-directed encouragement throughout the study and were likely to be a more highly motivated group.
It is likely that this was a more motivated sub-group, willing to give up their time for this project.
Participating optometrists and ophthalmologists were attending specialist conferences; so they may represent a more motivated and enthusiastic group of professionals.
Optometrists and ophthalmologists were attending specialist conferences and therefore, may represent a more motivated and enthusiastic group of professionals.
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