Hong Kong Med J. Feasibility of implementing a universal neonatal hearing screening programme using distortion product otoacoustic emission detection at a university hospital in Hong Kong. To assess the feasibility of implementing a universal neonatal hearing screening programme using distortion product otoacoustic emission detection at a major teaching hospital in Hong Kong. Descriptive study and questionnaire.
Responses to Reviewer Comment 1. The article addresses the important topic of diabetes management which has been especially neglected in low-resource settings.
The study described is interesting and novel in using a monetary incentive to encourage behavioral change that improves diabetes-related health outcomes. As formative research, the work can be used to generate hypotheses and can be replicated.
It offers novel work on incentive-setting that can be valuable in many different study settings. There are some concerns about the methods and conclusions that I suggest the authors consider.
Many thanks for your advice and feedback. The reviewer is right in approaching this report as " formative research ".
It is not clear why there is no control group. I am interested in whether incentives for preventive care improve upon the status quo, which is no incentive.
If that question has already been thoroughly explored, then that previous research should be described. Indeed, this work may appear as incomplete at this stage, and this can be explained. Rather than embarking into multiple aspects of a complete study, the research team made an open decision to focus this feasibility study in developing, packaging and delivering a reward-based strategy.
For example, we had to decide against having a control group because, as a feasibility approach, the study will not be powered to test comparisons between the intervention vs.
Instead, we decided to take one further step and accommodate, from an exploratory angle, groups based on altruism and cooperation. It would be interesting to know more about the patients' partners, such as their own health status. There may be an association between the diabetic patient's success on the outcomes and the partner's own health.
I suggest the same questions be asked of participant's partners as the participant survey. This is a very good recommendation and one that we can accommodate in a future larger study. Thank you for this suggestion! There are large differences across the three arms on many of the baseline characteristics because the samples are small.
For instance, the level of education is quite different across groups. Although the groups are randomized, demographic variables can influence the stated outcomes. An example is that incentive-related behavior is related to income and education.
We are cautious with our interpretation. Indeed, in the discussion, we express the following: We express caution with the interpretation of results as it cannot be ascertained whether the changes in primary or secondary outcomes are due to the effect of the intervention in a given study arm. If anything, changes were observed in reducing HbA1c levels and important lessons were obtained for the practicalities of conducting larger studies using mixed incentives and enabling activities between patients, companion supports and diabetes educators.
I suggest more discussion of the findings. The point is made that the study demonstrates the feasibility of larger studies, but I remain to be convinced that this intensive intervention, both in educator time and monitoring time, is practical at a large scale except in a trial setting.
Also please discuss further the behavioral aspects of the results, including spelling out what lessons were obtained for the practicalities of larger studies, as suggested on page 9 and We agree that this is an intensive intervention, yet its practicality will need to weighted against its effectiveness which remains to be seen and the large societal costs related to diabetes.
Two arguments can be put forward. Second, there are recent promising results arising from the DIRECT study, conducted in the primary care network, which has shown that diabetes remission can be achieved through intense month weight loss management program. If weight-loss intense strategies can direct towards people engaging with better diet and lifestyles for longer periods, a lesser use of pharmacological medications with its associated risks, and even diabetes remission, then the scenario will be different.
We will be able to complement this evidence, in a future study, by studying the effect of individual and group-based rewards. We have expanded the discussion with these reflections.The report concludes with a review and discussion of the data, again all in support of the feasibility of a formal preceptor program.
I hope this report will prove to be satisfactory for the implementation of a formal preceptor program. Objective. To evaluate the feasibility of an individualized interdisciplinary chronic pain care plan as an intervention to reduce emergency department (ED) visits and improve clinical outcomes among patients who frequented the ED with concerns related to chronic pain.
Methods. A prospective cohort design was used in an urban tertiary care hospital. Business Feasibility Questionnaire Many entrepreneurs have difficulty implementing their ideas because it is easier to come up with a theory than actual ideas.
A business feasibility questionnaire is important because it helps people think about whether their business ideas are feasible or not.
Strengths and limitations of this study. This is a mixed methods study to investigate the feasibility and acceptability of a novel intervention designed to reduce levels of post-traumatic stress disorder in order to support a reduction in illicit drug use in female drug-dependent street sex workers (SSWs).
Feasibility Questionnaire) 2. Can we enroll the number of subjects that the sponsor expects? 3.
Are the visit schedule and times acceptable for subjects Comprehensive Protocol Feasibility Questionnaire. Item.
Yes. No. NA UNK. Comments.
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