A Stage Model of Behavioral Therapies Research: Getting Started and Moving on From Stage I
Abstract
The progressively rigorous methodological requirements of conducting clinical trials of behavioral treatments has placed a large burden on individual investigators, as treatment manuals, methods of evaluating treatment quality and fidelity, and persuasive evidence of the treatment's promise are now virtual requirements of receiving support for conducting a clinical trial of a new or adapted treatment. A Stage Model of Behavioral Therapies research, by articulating the progressive stages of development and evaluation for behavioral treatments, recognizes the scientific merit and need for support for treatment development and initial evaluation designated as stage I. This article describes the conduct of stage I research, including issues addressed in stage I research, major design decisions confronted by investigators, the close relationship of stage I to stage II research and proposes a time line for stage I research.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is an argument for the role of wait-list designs.
“Nonetheless, there is an argument for the role of wait-list designs (Rounsaville et al., 2001).”
From A randomised controlled trial of brief web-based acceptance and commitment Therapy on the general mental health, depression, anxiety and stress of college Students (2022) · cites this paper as Rounsaville et al., 2001
Cited by
Sorted by citations
Issues and challenges in the design of culturally adapted evidence-based interventions
Castro, F. G., Barrera, M., & Holleran Steiker, L. K. (2010) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-033109-132032 · Cited by 796 · see citing works
Gearing, R. E., El-Bassel, N., Ghesquiere, A., Baldwin, S., Gillies, J., & Ngeow, E. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.09.007 · Cited by 610 · see citing works
Psychological treatments for irritable bowel syndrome: a systematic review and meta-analysis
Lackner, J. M., Mesmer, C., Morley, S., Dowzer, C., & Hamilton, S. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.6.1100 · Cited by 295 · see citing works
Ong, J. C., Shapiro, S. L., & Manber, R. (2008) · Behavior Therapy · doi:10.1016/j.beth.2007.07.002 · Cited by 268 · see citing works
Wyse, R. J., Wolfenden, L., Campbell, E., Brennan, L., Campbell, K. J., Fletcher, A., Bowman, J., Heard, T. R., & Wiggers, J. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-216 · Cited by 178 · see citing works
Mindfulness-based cognitive therapy: Further issues in current evidence and future research.
Williams, J. M. G., Russell, I., & Russell, D. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.3.524 · Cited by 165 · see citing works
Carroll, K. M., & Rounsaville, B. J. (2003) · Psychiatric Services · doi:10.1176/appi.ps.54.3.333 · Cited by 155 · see citing works
Self-citationBeck, J. G., Coffey, S. F., Foy, D. W., Keane, T. M., & Blanchard, E. B. (2009) · Behavior Therapy · doi:10.1016/j.beth.2008.01.003 · Cited by 132 · see citing works
Pham, Q., Khatib, Y., Stansfeld, S., Fox, S., & Green, T. (2016) · Games for Health Journal · doi:10.1089/g4h.2015.0033 · Cited by 104 · see citing works
Aggarwal, N. K., Glass, A., Tirado, A., Boiler, M., Nicasio, A., Alegría, M., Wall, M., & Lewis-Fernández, R. (2014) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2014.0132 · Cited by 90 · see citing works
Treatment development: can we find a better way?
Hayes, S. C., Long, D. M., Levin, M. E., & Follette, W. C. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.09.009 · Cited by 75 · see citing works
Slesnick, N., Guo, X., Brakenhoff, B., & Bantchevska, D. (2015) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2015.02.001 · Cited by 65 · see citing works
Hogue, A., Liddle, H. A., Dauber, S., & Samuolis, J. (2004) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/0033-3204.41.2.83 · Cited by 54 · see citing works
(2021) · Journal of Behavioral Addictions · doi:10.1556/2006.2021.00070 · Cited by 47 · see citing works
Larsson, A., Hartley, S., & McHugh, L. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.02.005 · Cited by 42 · see citing works
Kennedy, D. P., Osilla, K. C., Hunter, S. B., Golinelli, D., Maksabedian Hernandez, E., & Tucker, J. S. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2017.12.005 · Cited by 40 · see citing works
Heffner, J. L., Kelly, M. M., Waxmonsky, J., Mattocks, K., Serfozo, E., Bricker, J. B., Mull, K. E., Watson, N. L., & Ostacher, M. (2020) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntz242 · Cited by 39 · see citing works
Miller, C. B., Gu, J., Henry, A. L., Davis, M. L., Espie, C. A., Stott, R., Heinz, A. J., Bentley, K. H., Goodwin, G. M., Gorman, B. S., et al. (2021) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2020.101609 · Cited by 40 · see citing works
Kelly, M. M., Sido, H., Forsyth, J. P., Ziedonis, D. M., Kalman, D., & Cooney, J. L. (2015) · Journal of Dual Diagnosis · doi:10.1080/15504263.2014.992201 · Cited by 34 · see citing works
Syzdek, M. R., Addis, M. E., Green, J. D., Whorley, M. R., & Berger, J. L. (2014) · Psychology of Men & Masculinity · doi:10.1037/a0030950 · Cited by 30 · see citing works
Lichtenthal, W. G., Viola, M., Rogers, M., Roberts, K. E., Lief, L., Cox, C. E., Brewin, C. R., Xu, J. C., Maciejewski, P. K., Pan, C. X., et al. (2022) · Palliative and Supportive Care · doi:10.1017/s1478951521000626 · Cited by 23 · see citing works
Kremer, F., Ditzen, B., & Wischmann, T. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282065 · Cited by 22 · see citing works
RetractedHayes, S. C. (2002) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.9.4.410 · Cited by 22 · see citing works
Ames, S. C., Tan, W. W., Ames, G. E., Stone, R. L., Rizzo, T. D., Crook, J. E., Williams, C. R., Werch, C. E., Clark, M. M., & Rummans, T. A. (2011) · Psycho-Oncology · doi:10.1002/pon.1769 · Cited by 21 · see citing works
Burns, M. F., Secinti, E., Johns, S. A., Wu, W., Helft, P. R., Turk, A. A., Loehrer, P. J., Sehdev, A., Al-Hader, A. A., & Mosher, C. E. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.01.001 · Cited by 14 · see citing works
Bloom, E. L., Ramsey, S. E., Abrantes, A. M., Hunt, L., Wing, R. R., Kahler, C. W., Molino, J., & Brown, R. A. (2020) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntaa026 · Cited by 13 · see citing works
Goldston, D. B., Curry, J. F., Wells, K. C., Kaminer, Y., Daniel, S. S., Esposito-Smythers, C., Doyle, O., Sapyta, J., Tunno, A. M., Heilbron, N., et al. (2021) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2021.1888664 · Cited by 13 · see citing works
Stockton, D., Kellett, S., Wilkinson, N., Hague, J., Bliss, P., Heaver, M., & Devine, A. (2021) · International Journal of Cognitive Therapy · doi:10.1007/s41811-021-00118-6 · Cited by 5 · see citing works
Yusufov, M., McHugh, R. K., Greer, J. A., Dalrymple, K. L., Sannes, T. S., Braun, I. M., Tulsky, J. A., & Pirl, W. F. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.04.006 · Cited by 3 · see citing works
Yusufov, M., Pirl, W. F., Greer, J. A., Mazzola, E., Dalrymple, K. L., Tulsky, J. A., Braun, I. M., & McHugh, R. K. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-096546 · Cited by 1 · see citing works
- Authors
- Rounsaville, B. J., Carroll, K. M., & Onken, L. S.
- Affiliations
- Yale University (US)
- National Institute on Drug Abuse (US)
- ORCID
- Carroll, Kathleen M.
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2001
- Volume
- 8
- Issue
- 2
- Pages
- 133-142
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W2118825576
- Cited by
- 846
- References
- 0
- Citations by year
- 2026: 12 · 2025: 31 · 2024: 35 · 2023: 32 · 2022: 37 · 2021: 41 · 2020: 81 · 2019: 44 · 2018: 41 · 2017: 39 · 2016: 39 · 2015: 43 · 2014: 44 · 2013: 56 · 2012: 37
- FWCI
- 12.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- treatment manual, intervention fidelity, research design decisions, research timeline
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review