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The letter thanks the editor and reviewers, confirms that all comments were addressed, and summarizes the specific revisions made. It explains how requested changes were incorporated, including restructuring content into an appendix and adding clarifications that distinguish economic significance from clinical, practical, and statistical significance. 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Attached is our resubmission.  \nWe have attempted to address all of the comments. Attached are descriptors of what we have changed. We are hopeful that we have corrected and clarified to the extent that the manuscript is ready for publication. Because of the suggestions made, we believe that our manuscript has been strengthened.  \nSincerely,  \nName of Corresponding Author, Qualifications  \nTitle Affiliation Email Address  \nEnclosure  \nA Summary of Changes to the Manuscript  \n“Title of Manuscript”(Provide Manuscript Number)  \nMany thanks to the reviewers and editor for their excellent suggestions. We appreciate the diligent efforts of each reviewer and the editor and believe that their comments have helped to make our original manuscript much stronger. Although a few of the comments seemed to suggest simply further reflection, most either stated or implied specific revisions, and in nearly all of these cases we have complied. In the few instances in which we did not comply with the recommendations, we have provided a rationale for deciding against making the suggested change. We have listed below the ways in which we addressed the suggestions.  \nEditor  \nWe appreciate the editor’s thoughtful suggestions.  \n(1) The editor requested,“Please ask the author to move the section on confidence intervals for the economic tests to an appendix, suitably signalled in the main text.” This is an excellent suggestion. We have created an Appendix and have moved the two sections on confidence intervals.  \n(2) The editor requested the following: “Please ask the author to define and illustrate clinical significance and practical significance, including drawing a clear distinction between them, where pertinent with reference to literature.”  \nWe thank the editor for asking us to clarify this relationship. As a result, we modified the text, inserting a section that includes definitions and limitations of practical, clinical, and statistical significance. We included statistical significance in this section to keep it balanced.  \n(3) The editor asked us to that “make very much more explicit how economic significance is different from clinical and practical significance, so that, for example, it could not be seen as a sub-sub-set of clinical significance.” We agree that this is important to make this differentiation, and hope that the definitions and limitations sections will clarify this. Furthermore, we have added the paragraph below to the conclusion section.  \nFurthermore, economic significance differs from the three existing types of significance in three major aspects. First, economic significance is deterministic in its results; the results are based on behaviors or actions. Conversely, statistical significance is based on probabilities. Second, economic significance is reported in understandable language of monetary sums, whereas practical significance typically is represented in standard deviation units, which can be difficult for many consumers to understand. Finally, economic significance reflects the objectives ofthe researcher(s) and/or the stakeholder(s), whereas clinical significance is based on the subjective experience(s) of the person(s) included in the study.  \nReviewer 1  \nWe are glad that the reviewer believes that our manuscript “makes a very useful contribution to the research and evaluation field” and “is very timely, clear, to the point, well argued and of a high quality, and the argument about the need for economic significance, coupled with how to calculate it, is well placed and the case is made persuasively.”  \n(1) The reviewer states that “The paper is comparatively silent on the operationalization of important matters such as utility (p. 15), and it is not enough to mention ‘the value that the people involved place o","cbCaigvrFvPQgGWU","https://ap.wps.com/l/cbCaigvrFvPQgGWU","pdf",236495,6,"English","# Cover letter for journal resubmission\n## Acknowledgements and confirmation of revisions\n## Summary of changes\n## Editor responses\n## Reviewer 1 responses","[{\"question\":\"What should the cover letter include when resubmitting a manuscript?\",\"answer\":\"It should thank the editor and reviewers, confirm the manuscript was revised in response to comments, and include an enclosure with a summary of changes.\"},{\"question\":\"How does the letter address feedback from the editor?\",\"answer\":\"It documents each requested action, such as moving sections to an appendix and adding definitions that clarify different types of significance.\"},{\"question\":\"If the authors do not follow a reviewer recommendation, what do they provide?\",\"answer\":\"They include a rationale explaining the decision against making the suggested change.\"}]","Cover Letter - Resubmission to Journal Editor | PDF"]