Historique
Périodique
Extending the evidence hierarchy to enhance evidence-based practice for substance use disorders
(Elargir la hiérarchie de la notion de preuve pour accroître la pratique fondée sur la preuve dans le domaine des addictions.)
Auteur(s) :
TUCKER, J. A. ;
ROTH, D. L.
Année
2006
Page(s) :
918-932
Langue(s) :
Anglais
Refs biblio. :
58
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Note générale :
Addiction, 2006, 101, (7), 918-932
Note de contenu :
graph. ; tabl.
Résumé :
FRANÇAIS :
Les essais randomisés contrôlés dans le contexte des pratiques fondées sur la preuve sont considérés comme les procédures les plus probantes. Les auteurs sinterrogent sur cette suprématie et étudient leurs avantages et leurs limites.
ENGLISH :
Purpose: This paper examines the evidence-based practice (EBP) movement in the context of the developmental status of theory, research and practice on substance use disorders. Scope: Hierarchical views that favor randomized controlled trials (RCTs) over other forms of evidence are reviewed, and the benefits and limitations of RCTs are considered as they intersect with contemporary issues in the field. Findings: RCTs with lengthy follow-up intervals comprise an important piece of the relevant evidence base, especially for establishing treatment efficacy, but their continued centrality as the 'gold standard' of evidence for informing substance abuse practice is questioned. Conclusions: Given the status of knowledge, advances in science and practice will probably come from longitudinal studies of the changeable course of addictive behaviors and processes over long time frames and that investigate linkages with treatment selection factors and other surrounding contextual variables that also change through time. Benefits of evidentiary pluralism for advancing an interdisciplinary approach to research and practice are considered. (Author' s abstract)
Les essais randomisés contrôlés dans le contexte des pratiques fondées sur la preuve sont considérés comme les procédures les plus probantes. Les auteurs sinterrogent sur cette suprématie et étudient leurs avantages et leurs limites.
ENGLISH :
Purpose: This paper examines the evidence-based practice (EBP) movement in the context of the developmental status of theory, research and practice on substance use disorders. Scope: Hierarchical views that favor randomized controlled trials (RCTs) over other forms of evidence are reviewed, and the benefits and limitations of RCTs are considered as they intersect with contemporary issues in the field. Findings: RCTs with lengthy follow-up intervals comprise an important piece of the relevant evidence base, especially for establishing treatment efficacy, but their continued centrality as the 'gold standard' of evidence for informing substance abuse practice is questioned. Conclusions: Given the status of knowledge, advances in science and practice will probably come from longitudinal studies of the changeable course of addictive behaviors and processes over long time frames and that investigate linkages with treatment selection factors and other surrounding contextual variables that also change through time. Benefits of evidentiary pluralism for advancing an interdisciplinary approach to research and practice are considered. (Author' s abstract)
Affiliation :
Dprt of Health Behavior, School of Public Health, Univ. of Alabama at Birmingham, 1665 Univ. Blvd, 227 RPHB, Birmingham, AL 35294. Email : jtuckeruab.edu
Etats-Unis. United States.
Etats-Unis. United States.