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Interventions associated with better provider performance were multifaceted interventions with ongoing expert consultation, ongoing supervision, or interventions using marketing techniques and psychological theories to overcome guideline implementation obstacles.
Multifaceted interventions with logistical, educational and management components that are specific to local circumstances need to be designed and implemented in Mongolia.
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Finally, the ParkFit programme was a multifaceted intervention, with coaches using behavioural change techniques, ambulatory feedback devices, and peer pressure from group exercises.
In partnership with Hamilton Paramedic Services and City Housing Hamilton, our team has created a unique multifaceted intervention with health risk assessment (CVD, diabetes and falls), health education/promotion, appropriate referral and feedback to the family physician targeting the issues experienced by seniors that often lead to EMS calls.
We set out to assess if a multifaceted intervention with several interacting components to increase the use of evidence-based practices in an ANC package would be effective in improving the quality of care of maternal and child health services in Mozambique [ 19].
Various studies to evaluate the effect of multifaceted interventions combined with other strategies such as audit and feedback intervention have also been published.
Similarly, weight loss interventions among non-pregnant adults [ 15- 17] have shown that multifaceted interventions compared with stand-alone dietary advice, exercise modification, or behavioral strategies yield significant improvements in health outcomes and weight loss.
A review of quality improvement interventions supported this showing that no intervention seemed to be associated with large improvement and only multifaceted interventions were associated with even moderate levels of improvement [ 17].
The implementation model can be applied in future multifaceted interventions targeting patients with chronic disease.
Only few studies have been designed to evaluate and compare the effect of multifaceted interventions in countries with different practice settings.
Four reviews looking at multifaceted interventions considered marketing, with two finding benefits to professional practice, though the effect on patient outcomes was mixed.
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