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

Autor: Kjell Hansson, Lars Brännström, Martin L. Olsson, Cecilia Andrée Löfholm
Rok vydání: 2012
Předmět:
Zdroj: International Journal of Social Welfare. 22:25-34
ISSN: 1468-2397
1369-6866
Popis: 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.
Databáze: OpenAIRE