Treatment-as-usual in effectiveness studies: What is it and does it matter?
(2013) In International Journal of Social Welfare 22(1). p.25-34- Abstract
- 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.
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3400958
- author
- Andrée Löfholm, Cecilia LU ; Brannstrom, Lars ; Bergström, Martin LU and Hansson, Kjell LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- effectiveness studies, evidence-based practice, standard service, transportability, treatment-as-usual
- in
- International Journal of Social Welfare
- volume
- 22
- issue
- 1
- pages
- 25 - 34
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000311975300004
- scopus:84870506804
- ISSN
- 1369-6866
- DOI
- 10.1111/j.1468-2397.2012.00870.x
- language
- English
- LU publication?
- yes
- id
- f735e642-520c-45a5-ade0-127e2769b042 (old id 3400958)
- date added to LUP
- 2016-04-01 10:37:51
- date last changed
- 2022-04-27 23:54:25
@article{f735e642-520c-45a5-ade0-127e2769b042, abstract = {{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.}}, author = {{Andrée Löfholm, Cecilia and Brannstrom, Lars and Bergström, Martin and Hansson, Kjell}}, issn = {{1369-6866}}, keywords = {{effectiveness studies; evidence-based practice; standard service; transportability; treatment-as-usual}}, language = {{eng}}, number = {{1}}, pages = {{25--34}}, publisher = {{Wiley-Blackwell}}, series = {{International Journal of Social Welfare}}, title = {{Treatment-as-usual in effectiveness studies: What is it and does it matter?}}, url = {{http://dx.doi.org/10.1111/j.1468-2397.2012.00870.x}}, doi = {{10.1111/j.1468-2397.2012.00870.x}}, volume = {{22}}, year = {{2013}}, }