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Our control condition, including video watching for distraction purposes, suggested that the mechanism underlying the observed effect of handgrip and isometric exercise on maintaining concentration was probably not due to distraction, which is consistent with another RCT showing that the distraction effect was present in both exercise and non-exercise treatments 33

To inform decision-makers, we also illustrated the consequences of the cost-effectiveness trade-off between different payment schedules and the expected effect size of the FISS program

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