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In 20 studies satisfaction was assessed through specific sections or queries on maternal satisfaction within a broader questionnaire.
In previous studies, satisfaction and attitudes toward acupuncture among Western-trained medical doctors as well as patients were favorable [ 28, 29].
Consultation frequency (15 studies), knowledge (9 studies), anxiety/reassurance (7 studies), confidence (4 studies) satisfaction (4 studies) and antibiotic prescription (4 studies) were used as measures of effectiveness.
Six studies reported carer outcomes, including carers' stress or burden (6 studies), satisfaction with care (2 studies), psychological health or well-being (including perceived health conditions, life satisfaction, psychological distress, depression etc).
Impairments in the following sub-domains were observed (mean <40 for at least one group - all studies): Satisfaction with Self, Emotional Comfort, Individual Risk Avoidance, Threats to Achievement, Family Involvement, Social Problem Solving, Academic Performance, and Peer Relations.
In the present study, responses regarding the level of satisfaction were graded on a 5-point Likert scale (very satisfied, moderately satisfied, neutral, moderately dissatisfied, and very dissatisfied) whereas in other studies satisfaction was graded on a 2 or 3-point Likert scale (without the answer option "neutral"); consequently, patients had to choose between 'satisfied' or 'not satisfied'.
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Also, the studies used many diverse outcome measures regarding the use of the technology being studied: satisfaction, feasibility, tolerability, adherence, and engagement among others.
The Picker Institute Adult Inpatient Survey has been used to study satisfaction in obese adults [ 14].
In our study, satisfaction for the overall welcome and for the protocol management was very high.
There are three categories of satisfaction assessed in this study: satisfaction with current state, satisfaction with progress, and satisfaction with changes resulting from participating in the REACH program.
We acknowledge that the high reliability in our study satisfaction questionnaire does not exclude response bias and threats to validity.
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