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Treatment-as-usual in effectiveness studies: What is it and does it matter?

Författare:
  • Cecilia Andrée Löfholm
  • Lars Brannstrom
  • Martin Bergström
  • Kjell Hansson
Publiceringsår: 2013
Språk: Engelska
Sidor: 25-34
Publikation/Tidskrift/Serie: International Journal of Social Welfare
Volym: 22
Nummer: 1
Dokumenttyp: Artikel i tidskrift
Förlag: Wiley-Blackwell

Abstract english

A hallmark of an evidence-based practice (EBP) is the systematic appraisal of research related to the effectiveness of interventions. This study addressed the issue of interpreting results from effectiveness studies that use treatment-as-usual (TAU) as a comparator. Using randomised controlled studies that evaluate the effectiveness of multisystemic therapy as an illustrative example, we show that TAU includes a wide variety of treatment alternatives. Estimated treatment effects on recidivism suggest that TAU seems to contain a greater variation in underlying risk than experimental conditions, supporting the hypothesis that the content of TAU could affect outcomes. Implications for the realisation of an EBP are discussed.

Keywords

  • Social Work
  • effectiveness studies
  • evidence-based practice
  • standard service
  • transportability
  • treatment-as-usual

Other

Published
  • ISSN: 1369-6866
Martin Bergström. Foto: Patrik Hekkala
E-post: martin.bergstrom [at] soch.lu.se

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