highly significantP = 0.009
At baseline and 2 weeks, there were no significant differences between DTSQs total scores in the three study arms ( P = 0.283 and P = 0.789) or between the two intervention arms ( P = 0.602 and P = 0.964), but at 16 weeks, the differences were highly significant ( P = 0.009 and P = 0.002).