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Treatment as usual in effectiveness studies: what is it and does it matter?
Stockholm University, Faculty of Social Sciences, The Swedish Institute for Social Research (SOFI).
2013 (English)In: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 22, no 1, 25-34 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Oxford: Blackwell Publishing, 2013. Vol. 22, no 1, 25-34 p.
Keyword [en]
effectiveness studies, evidence-based practice, standard service, transportability, treatment-as-usual
National Category
Social Work
Identifiers
URN: urn:nbn:se:su:diva-85537DOI: 10.1111/j.1468-2397.2012.00870.xISI: 000311975300004OAI: oai:DiVA.org:su-85537DiVA: diva2:585933
Note

AuthorCount:4

Available from: 2013-01-10 Created: 2013-01-08 Last updated: 2017-12-06Bibliographically approved

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