Extending the evidence hierarchy to enhance evidence-based practice for substance use disorders

Jalie A. Tucker, David L Roth

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)918-932
Number of pages15
JournalAddiction
Volume101
Issue number7
DOIs
StatePublished - Jul 2006
Externally publishedYes

Fingerprint

Evidence-Based Practice
Substance-Related Disorders
Randomized Controlled Trials
Addictive Behavior
Cultural Diversity
Research
Longitudinal Studies

Keywords

  • Evidence hierarchy
  • Evidentiary pluralism
  • Longitudanal modeling
  • Randomized controlled trial

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Extending the evidence hierarchy to enhance evidence-based practice for substance use disorders. / Tucker, Jalie A.; Roth, David L.

In: Addiction, Vol. 101, No. 7, 07.2006, p. 918-932.

Research output: Contribution to journalArticle

@article{a68f3288f527417db75980438b50c276,
title = "Extending the evidence hierarchy to enhance evidence-based practice for substance use disorders",
abstract = "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.",
keywords = "Evidence hierarchy, Evidentiary pluralism, Longitudanal modeling, Randomized controlled trial",
author = "Tucker, {Jalie A.} and Roth, {David L}",
year = "2006",
month = "7",
doi = "10.1111/j.1360-0443.2006.01396.x",
language = "English (US)",
volume = "101",
pages = "918--932",
journal = "Addiction",
issn = "0965-2140",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Extending the evidence hierarchy to enhance evidence-based practice for substance use disorders

AU - Tucker, Jalie A.

AU - Roth, David L

PY - 2006/7

Y1 - 2006/7

N2 - 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.

AB - 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.

KW - Evidence hierarchy

KW - Evidentiary pluralism

KW - Longitudanal modeling

KW - Randomized controlled trial

UR - http://www.scopus.com/inward/record.url?scp=33744922648&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33744922648&partnerID=8YFLogxK

U2 - 10.1111/j.1360-0443.2006.01396.x

DO - 10.1111/j.1360-0443.2006.01396.x

M3 - Article

VL - 101

SP - 918

EP - 932

JO - Addiction

JF - Addiction

SN - 0965-2140

IS - 7

ER -