Looking at the case of state-building in the Solomon islands from a long-run perspective, Dinnen [ 72] finds that "the capacity-building paradox is that the more substantial the intervention is in terms of external resources and personnel, the greater the risk that it ends up 'sucking out' local capacity rather than building it".
This crucial lesson still has yet to be internalized by many international donors, many of whom continue to favor interventions based on the distribution of simple commodities or health promotion by untrained volunteers alone, eschewing more substantial health system interventions because they seem complicated and expensive [ 7].
Other assessment methods could demonstrate a more substantial effect of any given intervention for depression.
For clinicians and clinical trials researchers, fluctuations in QOL that do not meet the MCID threshold may not be noticeable by patients or their families yet should be monitored to determine whether more substantial challenges arise and require intervention.
Interventions should be expanded also to the primary education because the results there are much more conspicuous and the interventions can be more substantial at pupils of younger age.
Our findings are consistent with Owen et al. (2010), but there are open questions about whether more structured, longer duration or more intensive 'games for learning' interventions might yield more substantial cognitive improvement in seniors.
This is misleading, as for the chronically distressed group the benefits of supportive interventions may be more substantial than published studies suggest.
A minor and non-significant change in OMS-HC scores during the regular mental health education sessions and a substantial change following contact-based education sessions suggest that this intervention has a more substantial effect on reducing stigma than did regular undergraduate teaching methods.
20 It is possible that an earlier and more aggressive intervention would have enabled more substantial parenteral weaning, precluding the reduction in oral fluid intake.
Therefore, it is possible that an exercise intervention could have a more substantial impact on QOL in individuals with lower baseline QOL and more poorly controlled diabetes.
