Projects, nonetheless, have an essential responsibility in advancing the key determining conditions for sustaining outcomes within the local system.
We consider the application of an AR approach to have had an impact on the research setting through the engagement of clinicians as researchers in identifying problems and solutions, promoting teamwork, and sustaining outcomes.
This cutoff is higher than the arbitrary categories of good and poor compliance, often set at 80%% [ 29], although that figure is based on a major and sustained outcome.
Despite a reduction in active participation in the online program, sustained outcome improvements persisted until week 12, 4 weeks after the intervention, consistent with other studies showing long lasting effects of mindfulness programs [ 21, 42].
Of the 1635 patients included in the analysis, 369 (23%) were closest to the "best" cluster at year 1; 209 (13%) achieved favorable outcome over 1 year (from year 1 to year 2); and 157 (10%) achieved favorable sustained outcome over 2 years (from year 1 to year 3).
The findings provide preliminary evidence of program effectiveness; however, more efforts are needed to validate and sustain outcomes.
This is an essential next step towards providing effective treatment and sustained outcomes.
One of the factors that may have contributed to the sustained outcomes observed in this study is the intensiveness of the intervention.
Closer scrutiny and open debate is essential if effective, timely and sustained outcomes are to result from the global health community's increased commitment to HSS [ 16].
High staff turnover, including amongst the leadership [ 20, 25, 35], absenteeism and shortages make sustained outcomes for quality improvement interventions problematic [ 17].
Making a long-term commitment to conservation planning requires a single organisation with responsibility for steering planning outputs towards sustained outcomes.
