Treatment FAQ

how to determine efficacy of treatment

by Claud Ondricka Published 2 years ago Updated 2 years ago
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There are many ways in which progress or effectiveness of therapy can be measured. For many years the most common approach, which continues to be useful, was to have a written treatment plan which includes clear goals and objectives identified by the client.

The randomized controlled trial (RCT) is the most reliable methodology for assessing the efficacy of treatments in medicine. In such a trial a defined group of study patients is assigned to either receive the treatment or not, or to receive different doses of the treatment, through a formal process of randomization.

Full Answer

What are the methods for evaluating treatment efficacy?

Sep 23, 2019 · CANCER PATIENTS ARE LIKELY TO FIND th at making treatment decisions requires adding complex medical terms to their vocabulary. One of the terms patients may hear is progression-free survival , an outcome often used in clinical trials to measure a treatment’s effectiveness. Progression-free survival refers to the length of time patients in a clinical trial …

What is treatment efficacy?

and “effectiveness” both are used. These two terms differ slightly in meaning. Efficacy refers to the results obtained under ideal treatment conditions, such as those present during rigor-ous clinical trials, whereas effectiveness refers to the results obtained under normal conditions of treatment delivery. Researchers generally

What is the difference between efficacy and effectiveness in clinical trials?

Mar 30, 2004 · The ideal outcome of addiction treatment is the complete elimination of drug use. Not only does abstinence improve the health of the individual, but it reduces the adverse consequences that drugs can have on the health and safety of families and communities. Therefore, a primary goal of addiction treatment is to stop all drug use.

How can I measure the effectiveness of therapy?

Dec 01, 2002 · Methods for evaluating efficacy often begin with health care professionals' judgments and then progress through more highly systematized research strategies. For some treatments, the most accessible source of information on treatment efficacy may be the judgment of health care professionals and patients who have experience with the treatments.

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Does insurance cover fertility treatments?

Insurance coverage for fertility treatments is not mandated by federal law, although some states require it. People seeking cancer treatment need to understand their coverage and the law in their state. by Shelly Rosenfeld. Drug Delays Recurrence in People With Early-Stage Breast Cancer.

Why is progression free survival important?

One benefit of using progression-free survival to measure a drug’s effectiveness is that the researchers can get results more quickly, says Amulya A. Nageswara Rao, a pediatric oncologist at the Mayo Clinic in Rochester, Minnesota.

Does Avastin improve survival?

Three years later, results from the study showed Avastin did not improve overall survival, leading the FDA to withdraw the approval. Avastin is still used to treat other types of cancer. Rao says that progression-free survival data is only one factor patients need to consider when making treatment decisions.

Does progression free survival always predict overall survival?

These studies have shown that a benefit in progression-free survival does not always predict a corresponding benefit in overall survival.

Is fertility insurance mandated?

Preconceived Notions: Cancer, Fertility Coverage and the Law. Insurance coverage for fertility treatments is not mandated by federal law, although some states require it. People seeking cancer treatment need to understand their coverage and the law in their state. by Shelly Rosenfeld.

How does addiction occur?

Addiction results from the repeated perturbation of reward circuits. There comes a point, where an individual's brain becomes so altered that normal rewards are no longer sufficient, judgment and decision-making circuits become impaired, and the individual's overriding motivation becomes seeking and taking drugs.

Is recovery from addiction a reality?

In fact, recovery from addiction is an established reality, achieved through a variety of treatment modalities when they are matched for the needs of individual patients. Numerous studies have shown that addiction treatments are comparable in effectiveness to treatments for other chronic illnesses.

Is addiction treatment effective?

Numerous studies have shown that addiction treatments are comparable in effectiveness to treatments for other chronic illnesses. However, as with other chronic illnesses, long-term treatment adherence and lifestyle change can be difficult to maintain.

What is the goal of addiction treatment?

Therefore, a primary goal of addiction treatment is to stop all drug use.

Why is abstinence important in addiction?

Not only does abstinence improve the health of the individual, but it reduces the adverse consequences that drugs can have on the health and safety of families and communities. Therefore, a primary goal of addiction treatment is to stop all drug use.

Is addiction a chronic disorder?

Addiction, however, is a complex chronic disorder that often co-occurs with problems in the domains of physical health , mental health, criminal justice, employment, and family and social functioning. All of these areas must be addressed, not just the drug use. Similarly, measuring the outcomes of drug treatment should not be limited ...

What is the treatment of drug addiction?

Treatment of drug addiction requires a continuum of care, based on the evolving needs of the individual over time. This can include detoxification as an initial acute first step to treatment, the treatment itself, and participation in self-help groups, for example, once treatment is completed.

What is a health care guideline?

Generally, health care guidelines are pronouncements, statements, or declarations that suggest or recommend specific professional behavior, endeavor, or conduct in the delivery of health care services. Guidelines are promulgated to encourage high quality care.

Why are guidelines promulgated?

Guidelines are promulgated to encourage high quality care. Ideally, they are not promulgated as a means of establishing the identity of a particular professional group or specialty, nor are they used to exclude certain persons from practicing in a particular area.

What is treatment guidelines?

That is, treatment guidelines are patient directed or patient focused as opposed to practitioner focused, and they tend to be condition or treatment specific (e.g., pediatric immunizations, mammography, depression).

What is the most common classification system?

The most common classification system is the International Classification of Diseases ( ICD-10; World Health Organization, 1992) and, for mental disorders, the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV; American Psychiatric Association, 1994).

What is the best position to be aware of the unique characteristics of individual patients?

Health care professionals are in the best position to be aware of the unique characteristics of individual patients. The treatment strategy most likely to succeed usually combines the most effective specific interventions with a strong therapeutic relationship and a mutual expectation of and framework for improvement.

What is the most likely treatment strategy to succeed?

The treatment strategy most likely to succeed usually combines the most effective specific interventions with a strong therapeutic relationship and a mutual expectation of and framework for improvement. Such factors, which are common to most treatment situations, can be powerful determinants of treatment success.

Can treatment guidelines reduce cost?

It is often assumed that the use of treatment guidelines will significantly reduce the cost of services. This is not necessarily true. It is possible that guideline implementation may cause some services to be discontinued because of evidence documenting an intervention's lack of efficacy.

What does it mean to track progress in therapy?

Tracking progress or outcomes in therapy helps you determine whether to continue spending your time, effort, and money on the process or to try something or someone ...

Why is tracking progress important in therapy?

Tracking progress or outcomes in therapy helps you determine whether to continue spending your time, effort, and money on the process or to try something or someone different. For decades the measurement of therapy outcomes has primarily been the focus of researchers, not therapists. These researchers have typically focused on identifying which ...

Is tracking progress a standard practice?

In recent years tracking progress for individuals in therapy has started to become more commonplace, but it is by no means a standard practice. Therapy has often been considered a mysterious, emotional, intuitive, and powerful process that is difficult to quantify. These conceptions of therapy can all be true, but they do not ...

What is the purpose of measuring progress in therapy?

Measuring progress or effectiveness during the course of therapy allows a client and therapist to discuss what seems to be working, what doesn't seem to be working, and any need for adjustments to the treatment ( e.g., different approach, different focus, different therapist, or even an intervention other than therapy) if it is not helping.

Is progress, effectiveness, and outcomes appropriate for all people?

Any approach to measuring therapy progress, effectiveness, and outcomes is not likely to be appropriate for all people in all situations. However, as a client or consumer of therapy services, it is reasonable and sensible to expect that the progress, effectiveness, and outcome of your therapy should be measured in one way or another, ...

Is it reasonable to expect the progress of therapy?

However, as a client or consumer of therapy services, it is reasonable and sensible to expect that the progress, effectiveness, and outcome of your therapy should be measured in one way or another, and discussed throughout the course of treatment. Just as with teaching methods, medications, child-rearing methods, and economic policies, ...

Is research evidence that therapy in general is effective?

Consequently, the research evidence that therapy in general is effective is good to know if you are considering therapy. - If there was no evidence that the activity helps, why bother? However, having outcome research that demonstrates the general effectiveness of therapy is only a start.

Is bed rest a treatment?

Evidence changing views. Bed rest is an example of a treatment that was widely believed to be effective before rigorous testing but has since been disproved. Before 1994 doctors recommended that patients with lower back pain rest in bed.

Is bed rest effective?

Bed rest is an example of a treatment that was widely believed to be effective before rigorous testing but has since been disproved. Before 1994 doctors recommended that patients with lower back pain rest in bed.

What is the placebo effect?

There are many other factors that could have caused their recovery: for example, the patient may have felt better simply because they were being treated by a doctor. This reaction is known as the placebo effect. Or the patient's recovery may have happened anyway, regardless of the treatment.

What did scientists do in the 19th century?

Realising that the improvement of one patient receiving a treatment didn't conclusively tell you much, scientists proposed a method of controlling very carefully exactly what was happening, and then recording any changes in the patients' condition.

Is a placebo or a double blind trial?

In a single-blind trial either the participant or the researcher is unaware of whether the participant is receiving the placebo or the new treatment allocation, and in a double-blind trial neither the participant nor the researcher knows.

What is triple blind study?

In a triple-blind study no person involved in the trial, including the person doing the analysis, is aware of the allocation. In a medical trial one group of people is given the new treatment and another a placebo or an existing treatment.

Is blood pressure normal?

Blood pressure measurements are thought to have a roughly normal distribution: in a large group of people a few would have lower blood pressure, a few higher, and the majority's blood pressure would be fairly close to the average.

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