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Cited by 155Substance Abuse Treatment and OutcomesPsychotherapy Techniques and ApplicationsHealth Policy Implementation Science

Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment

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Carroll, Kathleen M., Rounsaville, Bruce J.·2003·Psychiatric Services
DOI 10.1176/appi.ps.54.3.333PMC PMC3650626
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Abstract

Many behavioral and pharmacologic treatments for which there is strong empirical support are rarely used in clinical practice in the treatment of substance dependence. In an effort to facilitate greater emphasis on issues such as utility, practicality, and cost earlier in the evaluation of promising therapies, the authors propose a hybrid model to link efficacy and effectiveness research. A hybrid model may foster broader use of empirically validated treatments in substance abuse treatment programs and enhance the scientific yield of effectiveness research. The hybrid model retains essential features of efficacy research (randomization, use of control conditions, independent assessment of outcome, and monitoring of treatment delivery) while expanding the research questions to also address issues of importance in effectiveness studies. Such issues include diversity in settings, clinicians, and patients; cost-effectiveness of treatment; training issues; and patient and clinician satisfaction.

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  • According to these authors, successful translation of smoking cessation interventions depends on three criteria: ease of delivery, effectiveness in real-world settings, and compatibility and integration with real-world delivery systems.

    “According to these authors successful translation of smoking cessation interventions depends upon three criteria: (a) ease of delivery; (b) effectiveness in real-world settings; and (c) compatibility and integration with real-world delivery systems.”

    From The Multiphase Optimization Strategy for Engineering Effective Tobacco Use Interventions (2011) · cites this paper as [40]

  • Several authors have suggested that translation of research findings into real-world interventions could be hastened by a strategy that builds translation potential into initial treatment evaluation.

    “Several authors (e.g., (3, 40–43)) have suggested that the process of translating research findings into real-world interventions could be hastened through the use of a strategy that builds translation potential into initial treatment evaluation.”

    From The Multiphase Optimization Strategy for Engineering Effective Tobacco Use Interventions (2011) · cites this paper as [40]

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Research works printed but not linked: 4

  1. [4]Institute of Medicine . Bridging the Gap Between Practice and Research: Forging Partnerships With Community-Based Drug and Alcohol Treatment. National Academy Press; Washington, DC: 1998. [PubMed] [Google Scholar]
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  3. [19]Institute of Medicine . Small Clinical Trials: Issues and Challenges. National Academy Press; Washington, DC: 2001. [PubMed] [Google Scholar]
  4. [20]Budney AJ, Higgins ST. A Community Reinforcement Plus Vouchers Approach: Treating Cocaine Addiction. National Institute on Drug Abuse; Rockville, Md: 1998. [Google Scholar]

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Authors
Carroll, K. M., & Rounsaville, B. J.
Affiliations
Yale University (US)
ORCID
Carroll, Kathleen M.
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2003-03
Volume
54
Issue
3
Pages
333-339
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/appi.ps.54.3.333
PMC
PMC3650626
OpenAlex
W2142146023
Cited by
155
References
71
Citations by year
2026: 2 · 2023: 7 · 2022: 1 · 2021: 2 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 6 · 2015: 10 · 2014: 7 · 2013: 5 · 2012: 9
FWCI
5.61
Type
journal article
Language
en
Open access
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (K05-DA00457, P50-DA0924, U10-DA-13038, P50DA009241, K05DA000457, U10DA013038)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords
efficacy research, effectiveness research, addiction treatment, substance dependence, treatment utilization, cost-effectiveness, clinician training, patient satisfaction, provider satisfaction, randomized controlled trials
MeSH terms
Clinical Trials as Topic, Cooperative Behavior, Cost-Benefit Analysis, Humans, Research Design, United States, Treatment Outcome, Patient Satisfaction, Outcome Assessment, Health Care, Models, Organizational, Evidence-Based Medicine, Substance-Related Disorders

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