Efficacy and Effectiveness Trials

If health psychology is to maximize impacts on health, there will need to be a shift from relying primarily on efficacy trials to increasing reliance on effectiveness trials. Efficacy trials use homogeneous, highly motivated samples with minimal complications from a single setting receiving intensive treatments delivered under highly controlled conditions. Two effectiveness trials on bullying prevention illustrate the use of a heterogeneous population from multiple sites receiving a low intensity tailored treatment delivered under highly variable conditions. In spite of considerable noise the effectiveness trials produced robust results (odds ratios of about four) that bode well for population impacts under real-world dissemination.

[1]  D. Prothrow-Stith,et al.  The need to address bullying-an important component of violence prevention. , 2001, JAMA.

[2]  Patricia Dolan Mullen,et al.  Treating tobacco use and dependence: clinical practice guideline , 2000 .

[3]  L. R. Huesmann,et al.  Aggressive behavior: Current perspectives. , 1994 .

[4]  R. Glasgow,et al.  Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. , 2003, American journal of public health.

[5]  W F Velicer,et al.  Counselor and stimulus control enhancements of a stage-matched expert system intervention for smokers in a managed care setting. , 2001, Preventive medicine.

[6]  David L Streiner,et al.  The Case of the Missing Data: Methods of Dealing with Dropouts and other Research Vagaries , 2002, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[7]  W F Velicer,et al.  An expert system intervention for smoking cessation. , 1999, Addictive behaviors.

[8]  Mary Ellen Wewers,et al.  Distribution of daily smokers by stage of change: Current Population Survey results. , 2003, Preventive medicine.

[9]  Ramani S. Pilla,et al.  Bullying Behaviors Among US Youth: Prevalence and Association With Psychosocial Adjustment , 2001 .

[10]  D. Olweus.  Bullying at School , 1994 .

[11]  James O Prochaska,et al.  Changes in diabetes self-care behaviors make a difference in glycemic control: the Diabetes Stages of Change (DiSC) study. , 2003, Diabetes care.

[12]  W. Rakowski,et al.  Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. , 2005, Preventive medicine.

[13]  J. Graham,et al.  Telephone Counseling , 2003 .

[14]  W. Velicer,et al.  Understanding and intervening with the total population of smokers , 1993 .

[15]  B. Grant,et al.  Nicotine dependence and psychiatric disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. , 2004, Archives of general psychiatry.

[16]  W F Velicer,et al.  Standardized, individualized, interactive, and personalized self-help programs for smoking cessation. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  M. Balabanis,et al.  Telephone counseling for smoking cessation: effects of single-session and multiple-session interventions. , 1996, Journal of consulting and clinical psychology.

[18]  W F Velicer,et al.  Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation. , 2001, Addictive behaviors.

[19]  George M. Batsche,et al.  Bullies and Their Victims: Understanding a Pervasive Problem in the Schools , 1994 .

[20]  W F Velicer,et al.  Distribution of smokers by stage in three representative samples. , 1995, Preventive medicine.

[21]  J. Hollis,et al.  Patient referral to a smoking cessation program: who follows through? , 1992, The Journal of family practice.

[22]  S Woolhandler,et al.  Smoking and mental illness: A population-based prevalence study. , 2000, JAMA.

[23]  Xiaowu Sun,et al.  Multiple risk expert systems interventions: impact of simultaneous stage-matched expert system interventions for smoking, high-fat diet, and sun exposure in a population of parents. , 2004, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.