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A vision of the next generation of behavioral therapies research in the addictions.

Whither, or wither, empirically supported therapies? Increasingly rigorous research in behavioral therapies has yielded a large number of effective therapies, but comparatively little work, demonstrating that integrating empirically supported therapies (ESTs) into standard practice results in meanin...

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Published in:Addiction Vol. 102; no. 6; pp. 850 - 870
Main Authors: Carroll KM, Rounsaville BJ
Format: research Journal Article
Published: Wiley-Blackwell Jun2007
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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          Carroll KM
          Rounsaville BJ
      sug:
        subj:
          Behavior Therapy Education
          Substance Use Disorders Therapy
          Behavior Therapy Methods
          Behavior Therapy Trends
          Education
          Empirical Research
          Forecasting
          Treatment Outcomes
          Human
      ab: Whither, or wither, empirically supported therapies? Increasingly rigorous research in behavioral therapies has yielded a large number of effective therapies, but comparatively little work, demonstrating that integrating empirically supported therapies (ESTs) into standard practice results in meaningful improvements in patient outcomes. Methodology and strategies for evaluating ESTs and their effectiveness in clinical practice is a fairly recent innovation, and a host of unanswered questions remain regarding issues such as selection among different ESTs and what type of ESTs should be emphasized in dissemination efforts, what type of clinicians should be trained in what type of ESTs, the most effective training strategies for various types of clinicians, the need for ongoing supervision to maintain minimum levels of treatment fidelity and skill. In this review, we call for broader use of new research strategies and methods relevant to dissemination of ESTs; these may include adaptive designs, identification of mechanisms of action to foster greater emphasis on effective change principles, training and adoption trials, as well as novel implementation strategies including computer-assisted therapy and computer-assisted training.
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    language: English
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