Treatment FAQ

what is a treatment as usualgroup in research

by Regan Stokes Published 2 years ago Updated 2 years ago
image

Treatment groups are the sets of participants in a research study that are exposed to some manipulation or intentional change in the independent variable of interest. They are an integral part of experimental research design that helps to measure effects as well as establish causality.

Treatment-As-Usual (TAU) means that the usual treatment — according to accepted standards for your particular discipline — is given to a group of participants. For example, psychiatric TAU might include psychotherapy, medication, or a combination of the two (Blais et. al, 2013).Feb 1, 2017

Full Answer

What are treatment groups in research?

Treatment groups are the sets of participants in a research study that are exposed to some manipulation or intentional change in the independent variable of interest. They are an integral part of experimental research design that helps to measure effects as well as establish causality.

What is treatment as usual in clinical trials?

Treatment as usual as a control/comparison condition Much of contemporary treatment outcome research uses TAUs as a viable control or comparison condition. Typically, the trial is conducted in a clinical setting where ongoing services are routinely provided.

Can a research study include more than one treatment?

Studies can also include more than one treatment or control group. Researchers might want to examine the impact of multiple treatments at once, or compare a new treatment to several alternatives currently available. You have developed a new pill to treat high blood pressure.

What are the types of control groups used in research?

Although control groups are more common in experimental research, they can be used in other types of research too. Researchers generally rely on non-experimental control groups in two cases: quasi-experimental or matching design.

image

Is treatment as usual a control condition?

Treatment as usual (TAU) as a control condition in trials of cognitive behavioural-based psychotherapy for self-harm: Impact of content and quality on outcomes in a systematic review. J Affect Disord.

What constitutes usual care?

Usual care is the care the targeted patient population would be expected to receive as part of the normal practice and, within RCTs, refers to the care the participants who are not receiving the tested intervention receive.

What is enhanced treatment as usual?

In an enhanced usual care (EUC) condition, usual care is systematically improved by the research protocol to overcome ethical or methodological problems that would accompany ordinary UC. The degree of enhancement can range from minimal to extensive.

What is usual care therapy?

ABSTRACT. Background: Usual care is the term used to describe everyday practice in the management of a client within a profession. The knowledge of the tasks used in therapy and key therapeutic processes used within these treatments, provides critical information about if and how the therapy works.

What is treatment as usual and therapeutic change?

1.1. Background and overview. In psychotherapy treatment trials diverse comparison conditions have been used to control for the usual methodological concerns that can interfere with drawing valid inferences about the impact of treatment.

Why is conducting research in clinics important?

Conducting research in clinic settings also may make the results of treatment studies more readily believable and acceptable to treatment providers and those who make decisions about what treatments are allowed (e.g., for reimbursement).

What are the two types of meta-analysis?

The first type reviews randomized trials that compare EBPs and TAUs; the second type, evaluates the effects of TAUs across multiple clinical settings and whether the therapeutic changes match the degree of change of EBPs in clinical trials .

What is a TAU in clinical practice?

Treatment as usual (TAU) or routine care in the context of psychotherapy has been used both as a control condition in clinical trials of evidence-based psychotherapy (EBP) and as a primary therapeutic intervention. This article considers TAU from both perspectives in which it is used and evaluated. First, the strengths, limitations, and sources of ambiguity of using TAUs as control conditions are discussed. Second, the evidence in behalf of TAUs is evaluated. Reviews of the effectiveness of TAUs when contrasted with EBPs and when evaluated in clinical applications and benchmarked against EBPs from clinical trials suggest that both broad classes of treatments are effective and often equally effective. The effectiveness of TAUs and the often similar outcomes evident in comparison to EBPs raise research as well as clinical issues. The article discusses research priorities for the evaluation of TAUs and clinical practices that can improve both EBPs and TAUs in patient care.

What is treatment of interest in EBP?

For most research on EBPs, a treatment of interest (e.g., an EBP or intervention aspiring for that status) is compared to a control condition ( e.g., no treatment, wait-list control, attention-placebo control), usually in well-controlled settings .

What is assessment in clinical work?

There is one lead that is worth noting, namely, assessment in clinical work that provides feedback to the therapist. Considerable research has focused on the use of assessment in clinical practice to evaluate client functioning in an ongoing way over the course of treatment.

Why is clarity needed when a TAU is a control condition?

This clarity is needed even when TAU is a control condition because in most studies the absence of information of what actually was done in the sessions or community services is only noted in vague terms and could not be replicated. Specification of treatment (and treatment manuals) can vary markedly from extremely broad guidelines or principles to guide treatment to session-by-session scripts and activities delivered by the therapist. All that is being suggested here is the need for more concrete information that can be used to describe what actually was done in treatment in the TAU group.

How does multisystemic therapy help adolescents?

The aims of this systematic review were firstly to investigate whether Multisystemic Therapy for adolescents aged 10–17 years reduces antisocial behavior and out-of-home placement and, secondly whether improvements in other domains, such as, substance use, adolescent emotional and behavioral difficulties, family functioning, peer relations and school are observed. An initial scoping exercise undertaken to explore the available literature found a systematic review undertaken over 10 years ago. Since then, Multisystemic Therapy has been the subject of a number of randomized control trials across the world. Subsequently an updated review following systematic principles was undertaken utilizing inclusion criteria and quality control measures. This resulted in 11 studies, published from 2006 to 2014 conducted in and outside of America, assessed in quality as ranging from weak to strong. Results indicated that the outcomes for Multisystemic Therapy continue to be mixed across studies. Comparisons between studies were challenging and the review highlighted the need for increased consistency in reporting about “usual services,” deeper consideration about cultural differences in the international transportation of Multisystemic Therapy, adequate sample sizes and improved documenting of aftercare services.

How does the Swedish juvenile justice system work?

The Swedish juvenile justice system’s placing of children aged 15–17 under one roof in Secure Youth Care institutions presents a dilemma for social work officers attempting to resolve delinquency cases in the best interests of the child. Retrospective interviews were conducted in 2015 and mainly in Stockholm County with six professional social services officers (SSOs). The data were processed using Interpretative Phenomenological Analysis (IPA), social science theory, relevant law, the UN Convention on the Rights of the Child (CRC) and material from the National Board of Health and Welfare. Main results show that SSOs were concerned about the risk of faulty assessments, the inadequacy of methods and insufficient attention being paid to relevant scientific knowledge. All in all, the task of protecting the child vis-à-vis protecting society becomes a major challenge in an institution where there is no clear line of demarcation between punishment and care and rehabilitation efforts. Sweden’s ambition to incorporate the CRC into Swedish law requires more focused education of personnel and national guidelines concerning the best interests of the child, as well as the allocation of more adequate resources to allow for more time with each client.

What is evidence based practice?

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.

What is treatment group?

Treatment groups are the sets of participants in a research study that are exposed to some manipulation or intentional change in the independent variable of interest. They are an integral part of experimental research design that helps to measure effects as well as establish causality. This entry briefly explores the purpose ...

What is the purpose of experimental research?

The primary purpose of experimental research is to establish a causal connection between an independent variable (IV), the cause, and a dependent variable (DV), the effect. (This stands in contrast to survey ... Looks like you do not have access to this content.

What is treatment in research?

The treatment is any independent variable manipulated by the experimenters, and its exact form depends on the type of research being performed. In a medical trial, it might be a new drug or therapy. In public policy studies, it could be a new social policy that some receive and not others.

What is the treatment group?

The treatment group (also called the experimental group) receives the treatment whose effect the researcher is interested in. The control group receives either no treatment, a standard treatment whose effect is already known, or a placebo (a fake treatment). The treatment is any independent variable manipulated by the experimenters, ...

What happens if your control group differs from the treatment group?

If your control group differs from the treatment group in ways that you haven’t accounted for, your results may reflect the interference of confounding variables instead of your independent variable.

How to reduce confounding variables?

There are several methods you can use to decrease the impact of confounding variables on your research: restriction, matching, statistical control and randomization. In restriction, you restrict your sample by only including certain subjects that have the same values of potential confounding variables.

What is quasi-experimental design?

While true experiments rely on random assignment to the treatment or control groups, quasi-experimental design uses some criterion other than randomization to assign people. Often, these assignments are not controlled by researchers, but are pre-existing groups that have received different treatments.

What does it mean to use a control group?

Then they compare the results of these groups. Using a control group means that any change in the dependent variable can be attributed to the independent variable.

What is a control group in science?

Revised on April 19, 2021. In a scientific study, a control group is used to establish a cause-and-effect relationship by isolating the effect of an independent variable. Researchers change the independent variable in the treatment group ...

What is treatment in comparative studies?

In comparative experiments, members of a control group receive a standard treatment, a placebo, or no treatment at all. There may be more than one treatment group, more than one control group, or both.

What is a clinical control group?

In a superiority trial, the clinical control group is the older medication rather than the new medication.

Is it statistically efficient to randomly assign twins?

In studies of twins involving just one treatment group and a control group, it is statistically efficient to do this random assignment separately for each pair of twins, so that one is in the treatment group and one in the control group.

Can a third control group be used to measure the placebo effect?

In such cases, a third, non-treatment control group can be used to measure the placebo effect directly, as the difference between the responses of placebo subjects and untreated subjects, perhaps paired by age group or other factors (such as being twins).

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9