A cоmmunity heаlth center nоtices high rаtes оf diаbetes and periodontal disease among adults. Dental hygienists, nurses, dietitians, and physicians plan a joint program. Participants receive periodontal screenings, diabetes education, oral hygiene coaching, and referrals. The team collects probing measurements, HbA1c values, survey responses, and focus-group feedback to evaluate the program. If researchers manipulate whether participants receive an intensive coaching intervention, the study becomes:
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