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Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment
Open accessAbstract
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 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]
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“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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Metadata
- Authors
- Carroll, K. M., & Rounsaville, B. J.
- Affiliations
- Yale University (US)
- ORCID
- Carroll, Kathleen M.
- Venue
- Psychiatric Services
- Published
- 2003-03
- Volume
- 54
- Issue
- 3
- Pages
- 333-339
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- 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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