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[1] : 152 Psychologist Donald Fromme, in his book Systems of Psychotherapy , adopted many ideas from the TTM, but in place of the levels of change construct, Fromme proposed a construct called contextual focus , a spectrum from physiological microcontext to environmental macrocontext: "The horizontal, contextual focus dimension resembles TTM's Levels of Change, but emphasizes the breadth of an intervention, rather than the latter's focus on intervention depth ." [4] : 57 Outcomes of programs [edit] The outcomes of the TTM computerized tailored interventions administered to participants in pre-Action stages are outlined below

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Different tests have different detection windows

In 2019, clinics who dealt with primary care, pain management or substance abuse disorders saw drastic increases in urine samples testing positive for potentially fatal drugs: 8.4% of urine samples tested positive for meth, compared to 1.4% in 2013

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