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

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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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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: green
www.ncbi.nlm.nih.gov
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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Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment

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