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Eleven Year 5 classes (25%) received the SFS optional intervention components in full (i.e. received a minimum of five SFS sessions from teachers and signed the SFS pledge).
Some variations in dose were also apparent and optional intervention activities that might have helped to reinforce hand washing messages, particularly at home, were rarely used.
Disparities in intervention duration (range = 126 to 201 days), uptake (only 25% of classes received optional intervention components in full), and the extent to which core (mean fidelity score of coaching sessions = 58%) and optional components (no adaptions made = 51% of sessions) were delivered as intended, were apparent.
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29 Although this intervention doubled the proportion of patients prescribed VTE prophylaxis, the absolute rate remained quite low (table 3), highlighting one of the notable flaws of optional interventions.
For example, with Google Apps, we delivered more than 60 new features over the last year with only optional admin intervention.
In addition, participants were encouraged to complete an optional tobacco intervention consisting of nicotine-replacement therapy and computer-assisted delivery of a behavioral treatment tailored for tobacco and cannabis users.
1 Fetal scalp blood sampling is optional for both intervention strategies.
Key decisions were made involving the degree of treatment structure, therapist flexibility versus cross-site consistency, duration and intensity of treatment, the involvement of family members in treatment, and core versus optional elements of the intervention.
Smoking cessation interventions or medication (more intensive interventions) compared to usual care, counselling or optional medication (less intensive interventions).
18 28 However, for many interventions it may be difficult to identify what is essential and what is optional for a particular intervention in a particular context.
Full-day kindergarten can no longer be considered an optional add-on or intervention program especially now that students are being held to new and more rigorous academic standards with the adoption of the Common Core Standards in 43 states and the District of Columbia and grade-level assessments of student mastery scheduled to begin in 2014.
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