453 results match your criteria postintervention sustained


Older Adults' Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial.

Int J Environ Res Public Health 2021 Apr 29;18(9). Epub 2021 Apr 29.

Fundació Salut i Envelliment (Foundation on Health and Ageing)-UAB, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain.

Background: The SITLESS programme comprises exercise referral schemes and self-management strategies and has been evaluated in a trial in Denmark, Spain, Germany and Northern Ireland. The aim of this qualitative study was to understand the implementation and contextual aspects of the intervention in relation to the mechanisms of impact and to explore the perceived effects.

Methods: Qualitative methodologies were nested in the SITLESS trial including 71 individual interviews and 12 focus groups targeting intervention and control group participants from postintervention to 18-month follow-up in all intervention sites based on a semi-structured topic guide. Read More

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Behavioral and Socioemotional Outcomes of the Legacy for Children Randomized Control Trial to Promote Healthy Development of Children Living in Poverty, 2 to 6 Years Postintervention.

J Dev Behav Pediatr 2021 May 3. Epub 2021 May 3.

Rollins School of Public Health, Emory University, Atlanta, GA; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Chamblee, GA; Booz Allen Hamilton, Atlanta, GA.

Objective: The objective of this article was to assess the impact on behavioral and socioemotional development, 2 to 6 years postintervention (depending on the curriculum), of Legacy for Children, a public health approach to improve child developmental outcomes among families living in poverty.

Methods: Mothers who were recruited prenatally or at the time of childbirth participated in a set of Legacy parallel design randomized control trials between 2001 and 2009 in Miami, Florida, or Los Angeles, California. Of the initial 574 mother-child dyads, 364 completed at least 1 behavioral or socioemotional outcome measure at the third-grade follow-up. Read More

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Effects of Sling Exercise for Neck Pain: A Systematic Review and Meta-Analysis.

Phys Ther 2021 Apr 30. Epub 2021 Apr 30.

Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Objective: The purpose of this review was to evaluate the effects of sling exercise on pain intensity, disability, and health-related quality of life in adults with neck pain.

Methods: We searched The Cochrane Central Register of Controlled Trials, EMBASE, Physiotherapy Evidence Database (PEDro), and 6 other databases from inception to July 2020. We also screened the reference lists of relevant articles to identify additional trials. Read More

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Sustained Effect of a Brief Video in Reducing Public Stigma Toward Individuals With Psychosis: A Randomized Controlled Trial of Young Adults.

Am J Psychiatry 2021 Apr 26:appiajp202020091293. Epub 2021 Apr 26.

New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York (Amsalem, Markowitz, Jankowski, Neria, Dixon); Department of Social and Behavioral Sciences, College of Global Public Health, New York University, New York (Yang, Lieff); Department of Epidemiology (Yang) and Department of Biostatistics (Valeri), Columbia University Mailman School of Public Health, New York; Department of Epidemiology, Columbia University Irving Medical Center, New York (Neria).

Objective: Public stigma is a barrier to care and increases the duration of untreated psychosis among individuals with first-episode psychosis. The authors recently demonstrated the efficacy of a 90-second social contact-based video intervention in reducing such stigma. That proof-of-concept study was the first to employ so brief an antistigma intervention in a sample of young adults. Read More

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Effects of a Mindfulness-Based Intervention versus Health Self-Management on Subclinical Anxiety in Older Adults with Subjective Cognitive Decline: The SCD-Well Randomized Superiority Trial.

Psychother Psychosom 2021 Apr 19:1-10. Epub 2021 Apr 19.

Swiss Center for Affective Sciences, Department of Medicine and Department of Psychology, Department of Political Science and International Relations, University of Geneva, Geneva, Switzerland.

Introduction: Older adults experiencing subjective cognitive decline (SCD) have a heightened risk of developing dementia and frequently experience subclinical anxiety, which is itself associated with dementia risk.

Objective: To understand whether subclinical anxiety symptoms in SCD can be reduced through behavioral interventions.

Methods: SCD-Well is a randomized controlled trial designed to determine whether an 8-week mindfulness-based intervention (caring mindfulness-based approach for seniors; CMBAS) is superior to a structurally matched health self-management program (HSMP) in reducing subclinical anxiety. Read More

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Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative.

Infect Control Hosp Epidemiol 2021 Apr 16:1-5. Epub 2021 Apr 16.

Duke University, Department of Medicine, Division of Infectious Diseases, Durham, North Carolina.

We reviewed the sustainability of a multifaceted intervention on catheter-associated urinary tract infection (CAUTI) in 3 intensive care units. During the 4-year postintervention period, we observed reductions in urine culture rates (from 80.9 to 47. Read More

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Developing and Implementing a Standardized Ictal Examination in the Epilepsy Monitoring Unit.

Neurol Clin Pract 2021 Apr;11(2):127-133

Department of Neurology (SSO'K), New York University; Department of Neurology (LF, CVK-S, SR-E, KAD), University of Pennsylvania; Department of Neurology (JR), Jefferson Hospital, Philadelphia, PA; Department of Neurology (AK), Emory University, Atlanta, GA; and Department of Neurology (CEH), University of Michigan, Ann Arbor.

Background: The ictal examination is crucial for neuroanatomic localization of seizure onset, which informs medical and neurosurgical treatment of epilepsy. Substantial variation exists in ictal examination performance in epilepsy monitoring units (EMUs). We developed and implemented a standardized examination to facilitate rapid, reliable execution of all testing domains and adherence to patient safety maneuvers. Read More

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Diagnostic Stewardship of Endotracheal Aspirate Cultures in a PICU.

Pediatrics 2021 May 7;147(5). Epub 2021 Apr 7.

Departments of Pediatrics and.

Background: Clinicians commonly obtain endotracheal aspirate cultures (EACs) in the evaluation of suspected ventilator-associated infections. However, bacterial growth in EACs does not distinguish bacterial colonization from infection and may lead to overtreatment with antibiotics. We describe the development and impact of a clinical decision support algorithm to standardize the use of EACs from ventilated PICU patients. Read More

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Trauma-Sensitive Yoga for Post-Traumatic Stress Disorder in Women Veterans who Experienced Military Sexual Trauma: Interim Results from a Randomized Controlled Trial.

J Altern Complement Med 2021 Mar;27(S1):S45-S59

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.

To conduct an interim analysis of data collected from an ongoing multisite randomized clinical trial (RCT) assessing the effectiveness of Trauma Center Trauma-Sensitive Yoga (TCTSY) for post-traumatic stress disorder (PTSD) among women veterans with PTSD related to military sexual trauma (MST). The purpose of the interim analysis was to assess outcomes from the primary site, which is geographically, demographically, culturally, and procedurally distinct from the second site. RCT was conducted within a Veterans Administration Health Care System. Read More

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Joint engagement is a potential mechanism leading to increased initiations of joint attention and downstream effects on language: JASPER early intervention for children with ASD.

J Child Psychol Psychiatry 2021 Mar 25. Epub 2021 Mar 25.

University of California-Los Angeles, Los Angeles, CA, USA.

Background: Social communication interventions benefit children with ASD in early childhood. However, the mechanisms behind such interventions have not been rigorously explored. This study examines the mechanism underlying a naturalistic developmental behavioral intervention, JASPER (Joint Attention, Symbolic Play, Engagement, and Regulation), delivered by educators in the community. Read More

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Building Healthy Children: A preventive intervention for high-risk young families.

Dev Psychopathol 2021 May;33(2):598-613

Mt. Hope Family Center, University of Rochester, Rochester, NY, USA.

The Building Healthy Children (BHC) home-visiting preventive intervention was designed to provide concrete support and evidence-based intervention to young mothers and their infants who were at heightened risk for child maltreatment and poor developmental outcomes. This paper presents two studies examining the short- and long-term effectiveness of this program at promoting positive parenting and maternal mental health, while preventing child maltreatment and harsh parenting. It also examines the intervention's sustained effect on child symptomatology and self-regulation. Read More

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A Smartphone App for Engaging Patients With Catheter-Associated Urinary Tract Infections: Protocol for an Interrupted Time-Series Analysis.

JMIR Res Protoc 2021 Mar 23;10(3):e28314. Epub 2021 Mar 23.

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.

Background: Catheter-associated urinary tract infections (CAUTIs) are the main cause of health care-associated infections, and they increase the disease burden, antibiotic usage, and hospital stay. Inappropriate placement and unnecessarily prolonged usage of a catheter lead to an elevated and preventable risk of infection. The smartphone app Participatient has been developed to involve hospitalized patients in communication and decision-making related to catheter use and to control unnecessary (long-term) catheter use to prevent CAUTIs. Read More

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Increasing treatment-seeking intentions of US veterans in the Covid-19 era: A randomized controlled trial.

Depress Anxiety 2021 Mar 18. Epub 2021 Mar 18.

Department of Psychiatry, New York State Psychiatric Institute, Columbia University Vagelos College of Physicians & Surgeons, New York, New York, USA.

Background: Veterans have higher rates of anxiety, depression, and posttraumatic stress disorder (PTSD), and may be vulnerable to mental health consequences of the Covid-19 pandemic. More than half of veterans who meet mental illness criteria do not seek help. This study screened for clinical symptoms and evaluated the efficacy of a brief, online social-contact-based video intervention in increasing treatment-seeking intentions among veterans. Read More

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Evaluation and Improvement of Intern Progress Note Assessments and Plans.

Hosp Pediatr 2021 Apr 10;11(4):401-405. Epub 2021 Mar 10.

Departments of Pediatrics and.

Objectives: Progress notes communicate providers' assessments of patients' diagnoses, progress, and treatment plans; however, providers perceive that note quality has degraded since the introduction of electronic health records. In this study, we aimed to (1) develop a tool to evaluate progress note assessments and plans with high interrater reliability and (2) assess whether a bundled intervention was associated with improved intern note quality without delaying note file time.

Methods: An 8-member stakeholder team developed a 19-item progress note assessment and plan evaluation (PNAPE) tool and bundled intervention consisting of a new note template and intern training curriculum. Read More

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Effect of a Compassion Cultivation Training Program for Caregivers of People With Mental Illness in Denmark: A Randomized Clinical Trial.

JAMA Netw Open 2021 Mar 1;4(3):e211020. Epub 2021 Mar 1.

Department of Clinical Medicine, Danish Center for Mindfulness, Aarhus University, Aarhus, Denmark.

Importance: Caregivers of people with mental illness are at increased risk of developing depression, anxiety, and stress.

Objective: To investigate the effect of a compassion cultivation training (CCT) program on decreasing caregiver psychological distress.

Design, Setting, And Participants: This waitlist-controlled randomized clinical trial was conducted in 2 different community settings in Denmark. Read More

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Short-term, medium-term and long-term effects of early parenting interventions in low- and middle-income countries: a systematic review.

BMJ Glob Health 2021 03;6(3)

Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Basel-Stadt, Switzerland.

Introduction: Parenting interventions during early childhood are known to improve various child development outcomes immediately following programme implementation. However, less is known about whether these initial benefits are sustained over time.

Methods: We conducted a systematic literature review of parenting interventions in low- and middle-income countries (LMICs) that were delivered during the first 3 years of life and had completed a follow-up evaluation of the intervention cohort at least 1 year after the primary postintervention endpoint. Read More

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MicroPulse® transscleral laser therapy in the management of glaucoma patients.

Arch Soc Esp Oftalmol 2021 Mar 1. Epub 2021 Mar 1.

Departamento de Oftalmologíat, Ain Shams University Hospitals, Ain Shams University, El Cairo, Egipto.

Objective: To evaluate the efficacy and safety of MicroPulse® transscleral laser therapy (TLT) in the management of glaucoma patients.

Methods: A prospective, interventional, non-comparative case series was conducted in the department of ophthalmology, Ain Shams University Hospital on 61 eyes of 46 patients with various glaucoma types and of severity, ranging from mild to severe. In addition to best-corrected visual acuity (BCVA), intraocular pressure (IOP) and the number of glaucoma medications were recorded before and after treatment, along with the postoperative need for systemic carbonic anhydrase inhibitors (CAI), success rates, number of treatment sessions and postoperative complications. Read More

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Improving Pediatric Resident Safety Event Reporting Using Quality Improvement Methods.

Hosp Pediatr 2021 Mar;11(3):254-262

Department of Pediatrics, University of California Davis, Sacramento, California; and.

Background And Objectives: Safety event reporting systems facilitate identification of system-level targets to improve patient safety. Resident physicians report few safety events despite their role as frontline providers and the frequent occurrence of events. The objective of this study is to increase the number of pediatric resident safety event submissions from <1 to 4 submissions per 14-day period within 12 months. Read More

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Effects of Tai Chi or Exercise on Sleep in Older Adults With Insomnia: A Randomized Clinical Trial.

JAMA Netw Open 2021 02 1;4(2):e2037199. Epub 2021 Feb 1.

Cousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.

Importance: Previous studies that have shown tai chi to improve sleep were mainly based on subjective assessments, which might have produced results confounded by self-reporting bias.

Objective: To compare the effectiveness of tai chi for improving sleep in older adults with insomnia with conventional exercise and a passive control group using actigraphy-based objective measurements.

Design, Setting, And Participants: This randomized, 3-arm, parallel group, assessor-masked clinical trial was conducted at a single research unit in Hong Kong between August 2014 and August 2018. Read More

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February 2021

Pressure Injury Prevention in Patients with Prolonged ED Stays Prior to Admission.

Am J Nurs 2021 02;121(2):46-52

Amanda Edwards is a nurse navigator at Loma Linda University Medical Center in Loma Linda, CA, where Novi Sitanggang is an interim patient care director, Kelly Wolff and Jewel Role are clinical nurses, Myra Sanchez is a patient care assistant, and Patricia Radovich is director of nursing research. Trisha Cardona is a clinical nurse at Community Hospital of the Monterey Peninsula in Monterey, CA. Contact author: Amanda Edwards, The authors have disclosed no potential conflicts of interest, financial or otherwise.

Purpose: The purpose of this project was to examine whether initiating a standardized pressure injury (PI) assessment and prevention protocol early in adult patients' ED stay reduces hospital-acquired PIs (HAPIs) in those patients admitted from the ED to acute care inpatient medical units.

Methods: A nurse-led evidence-based practice team studied the problem of increasing HAPIs on four acute care inpatient units and found that, among patients who had been admitted to inpatient care from the ED, longer ED boarding times correlated with a higher rate of HAPIs. ED staff and acute care unit nurses collaborated to develop new protocols to prevent HAPIs in the ED, including staff education and standardized assessments and prevention care for at-risk patients. Read More

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February 2021

Improving the neonatal team handoff process in a level IV NICU: reducing interruptions and handoff duration.

BMJ Open Qual 2021 Jan;10(1)

Division of Neonatology, Department of Pediatrics, St Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.

Background: Neonatal intensive care unit (NICU) patients are at increased risk for handoff communication failures due to complexity and prolonged length of stay. We report a quality initiative aimed at reducing avoidable interruptions during neonatal handoffs while monitoring handoff duration and provider satisfaction.

Methods: Observational time series between August 2015 and March 2018 in an academic level IV NICU. Read More

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January 2021

Extragenital Testing for Neisseria gonorrhoeae and Chlamydia trachomatis in a Large HIV Clinic in the US South: Implementation and Epidemiology.

Sex Transm Dis 2021 Feb;48(2):e22-e26

Performance Improvement, Department of HIV Services, Parkland Health and Hospital Systems.

Background: Rectal and oral Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) infections are common among people with HIV, especially men who have sex with men (MSM); however, GC/CT testing rates remain low in many HIV clinics. We evaluated the real-world implementation and results of extragenital nucleic acid amplification testing for GC/CT in an urban HIV clinic.

Methods: Electronic health records were reviewed for all patients 18 years or older with ≥1 outpatient visit to an HIV clinic in Dallas, TX, from February 2016 to May 2019. Read More

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February 2021

Feasibility of an mHealth self-management intervention for children and adolescents with sickle cell disease and their families.

Transl Behav Med 2021 Apr;11(3):724-732

College of Nursing, Medical University of South Carolina, Charleston, SC, USA.

Sickle cell disease (SCD) is an inherited hemoglobinopathy that leads to blood vessel occlusion and multiorgan complications, including pain, that may be experienced daily. Symptom management often begins at home, and tools are needed to support self-management strategies that can be implemented by children with SCD and families. The purpose of this study was to assess the feasibility of the mHealth self-management intervention (application) Voice Crisis Alert V2 for children with SCD and families. Read More

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Sustained Exposure to High Carbohydrate Availability Does Not Influence Iron-Regulatory Responses in Elite Endurance Athletes.

Int J Sport Nutr Exerc Metab 2021 Dec 31;31(2):101-108. Epub 2021 Dec 31.

Australian Institute of Sport.

This study implemented a 2-week high carbohydrate (CHO) diet intended to maximize CHO oxidation rates and examined the iron-regulatory response to a 26-km race walking effort. Twenty international-level, male race walkers were assigned to either a novel high CHO diet (MAX = 10 g/kg body mass CHO daily) inclusive of gut-training strategies, or a moderate CHO control diet (CON = 6 g/kg body mass CHO daily) for a 2-week training period. The athletes completed a 26-km race walking test protocol before and after the dietary intervention. Read More

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December 2021

Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial.

Complement Ther Med 2021 Mar 8;57:102639. Epub 2020 Dec 8.

Department of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia.

Objectives: To explore the feasibility and effectiveness of a yoga program in improving health-related quality of life (HQOL), physical and psychological functioning in rheumatoid arthritis (RA) patients.

Design: Single-centre parallel-arms randomized controlled trial comparing yoga (n = 30) and education control group (n = 27).

Setting: Tertiary care University hospital. Read More

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Electronic Health Record Reminders for Chlamydia Screening in an American Indian Population.

Public Health Rep 2021 May 10;136(3):320-326. Epub 2020 Dec 10.

1811 Harvard Medical School, Boston, MA, USA.

Objectives: Indian Health Service (IHS) screening rates for are lower than national rates of chlamydia screening in the Southwest. We describe and evaluate the effect of a public health intervention consisting of electronic health record (EHR) reminders to alert health care providers to screen for chlamydia at an IHS facility. We also conducted an awareness presentation among health care providers on chlamydia screening. Read More

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Postintervention Effects of Varying Treatment Arms on Glycemic Failure and β-Cell Function in the TODAY Trial.

Authors:

Diabetes Care 2021 01 10;44(1):75-80. Epub 2020 Nov 10.

Objective: The Treatment Options for type 2 Diabetes in Adolescents and Youth (TODAY) trial demonstrated that glycemic failure rates were significantly lower in youth randomized to metformin plus rosiglitazone treatment than in youth randomized to metformin alone or metformin plus intensive lifestyle intervention. At the end of the study, rosiglitazone was permanently discontinued, and routine diabetes care resumed. Herein, we report postintervention glycemic failure rates in TODAY participants over an additional 36 months of follow-up for the three original treatment arms and describe insulin sensitivity and β-cell function outcomes. Read More

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January 2021

Resident Workshop to Improve Inpatient Documentation Using the Progress Note Assessment and Plan Evaluation (PNAPE) Tool.

MedEdPORTAL 2020 11 30;16:11040. Epub 2020 Nov 30.

Associate Professor, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health.

Introduction: Physicians enter residency with varied knowledge regarding the purpose of progress notes and proficiency writing them. The objective of this study was to test whether resident knowledge, beliefs, and confidence writing inpatient progress notes improved after a 2.5-hour workshop intervention. Read More

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November 2020

Social Emotional Learning Program Boosts Early Social and Behavioral Skills in Low-Income Urban Children.

Front Psychol 2020 4;11:561196. Epub 2020 Nov 4.

Human Development and Family Studies, The Pennsylvania State University, University Park, PA, United States.

Social emotional learning (SEL) programs are increasingly being implemented in elementary schools to facilitate development of social competencies, decision-making skills, empathy, and emotion regulation and, in effect, prevent poor outcomes such as school failure, conduct problems, and eventual substance abuse. SEL programs are designed to foster these abilities in children with a wide range of behavioral, social, and learning needs in the classroom, including children who are economically disadvantaged. In a previous study of kindergartners residing in a high-poverty community ( = 327 at baseline), we observed significant behavioral improvements in children receiving an SEL program-The PATHS curriculum (PATHS)-relative to an active control condition within one school year. Read More

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November 2020

Evaluating the "Dove Confident Me" Five-Session Body Image Intervention Delivered by Teachers in Schools: A Cluster Randomized Controlled Effectiveness Trial.

J Adolesc Health 2021 Feb 24;68(2):331-341. Epub 2020 Nov 24.

Centre for Multilevel Modelling, University of Bristol, Bristol, United Kingdom.

Purpose: Body dissatisfaction is common during adolescence and predicts poor psychological and physical health. Interventions have traditionally overrelied on delivery by external providers (e.g. Read More

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February 2021