Ah, it's fine to insult me if I criticize your favourite study on twitter? I guess it's time for a block then. Cheerio
This appears to be a weird tangent. Controlled refers mostly to study design - randomization, sample size, proper control group etc As I said, you can have an adequately controlled trial that reflects real life very well, or an uncontrolled study that doesn't
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In fact, virta appears to be firmly in the "doesn't" group, given that it is a massively intensive lifestyle intervention, while DIReCT was a very minimal intervention that can much more easily be applied to the average individual
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So is this why you “don’t support” Virta? Let me be clear, bc I’m asking about Virta doesn’t mean I dismiss every other study. I’m a “whatever it takes” bc we’ve got nothing to lose - (in line with social justice principles obvs)
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People “sign up and consent” to being part of the study. There’s inclusion and exclusion criteria, a set time frame, structured compliance, can be with and without food provided etc.... Practice-generated evidence as the “real life real time” equivalence is my reference point
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Then that's in absolutely no way what virta has demonstrated, they had an ethical consent process in their published research and an extremely intensive intervention ...so I'm very confused by your position
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