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We know that HCPs are just as likely to resist behaviour change for exactly the same kinds of reasons as are patients. Similarly, studies which have looked at the problem of trying to overcome care deficits among HCPs have failed to achieve very significant improveents. This is the case even when the practitioners themselves decided they wanted to change their own behaviour, so there isn’t likely to have been a problem of lack of motivation. In fact, studies that have looked at HCPs attempts to change their own behaviour have shown that new guidelines were not followed between 0-62% of the time, a very wide range of response, not that different from rates reported in studies of patient adherence.