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It is possible that some of the negative attitudes to these packs observed in these earlier studies may thus be a result of these features, rather than a direct result of the plain cigarette packaging

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Discussion The methodology described in this paper aims to diminish the growing gap between two prevailing paradigms in medicine evidence-based practice and community-sensitive care by creating a dynamic process that integrates the best research evidence with community values to create recommendations that will be widely adopted by the population and will achieve the best outcomes