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Practical behavioral trials to advance evidence-based behavioral medicine
Russell E Glasgow1, Karina W Davidson, Patricia L Dobkin
1Kaiser Permanente, Penrose, Colorado, USA. russg@ris.net
Summary
Practical behavioral trials (PBTs) aim to bridge the gap between behavioral medicine research and clinical practice. These trials compare viable interventions, addressing clinician and policy needs for evidence-based medicine.
Area of Science:
- Behavioral Medicine
- Health Services Research
Background:
- A significant gap exists between behavioral medicine research findings and their application in clinical settings.
- Current research often fails to address practical questions relevant to clinicians, administrators, and policymakers.
- This necessitates research designs that are more responsive to real-world healthcare needs.
Purpose of the Study:
- To propose the concept and necessity of practical behavioral trials (PBTs).
- To outline design features for PBTs that support clinical and policy decision-making.
- To facilitate the translation of research into evidence-based practice in behavioral medicine.
Main Methods:
- Discussion of challenges and opportunities in designing practical clinical trials within behavioral medicine.
- Proposal of specific design elements for PBTs.
- Analysis of issues related to funding, conduct, reporting, and review of PBTs.
Main Results:
- PBTs can effectively address the research-practice gap by comparing clinically viable interventions.
- Designing PBTs requires careful consideration of multiple outcomes and diverse patient populations.
- Such trials can enhance the utility of research for clinical and policy decisions.
Conclusions:
- Practical behavioral trials are essential for advancing evidence-based behavioral medicine.
- Recommendations are provided for the optimal design, conduct, reporting, and review of PBTs.
- Addressing challenges will maximize the impact of PBTs in bridging the research-practice divide.