While there is global evidence to show that the interventions analysed here are effective [ 1], the effectiveness of the programme in the context of Tajikistan is not known.
Since those who attend are possibly better adjusted caregivers, a ceiling effect may result when evaluating the effectiveness of the programme, hence understating its actual effectiveness.
In addition, although the effectiveness of the programme has been established in other countries, the effect size varied per study ranging from 0.06 to 2.76 [ 26].
Finally, in addition to assessing the effects of the programme among ICD patients, future studies could also study the effectiveness of the programme among partners of patients, as they experience physical and psychosocial problems as well in the caring process [ 41].
This will substantially reduce the effectiveness of the programme.
But a separate government-commissioned audit of the effectiveness of the programme has concluded differently.
"Without empirical evidence, we cannot conclusively confirm or deny the effectiveness of the programme.
Arogya World is currently evaluating the effectiveness of the programme in bringing about behaviour change known to prevent diabetes.
However, there were obstacles that impacted on the effectiveness of the programme.
It also means being thoughtful about how gender relations more broadly may influence the effectiveness of the programme, data collection and analysis.
The initial differences in the consecutive codification observed in both groups disappeared due to the effectiveness of the programme.
