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Reconstructing evidence-based practice: an investigation of three conceptualisations of EBP
Göteborg Regional Association of Municipalities, Unit for Research and Development, Sweden; School of Public Administration, Göteborg University.ORCID iD: 0000-0002-7351-9140
2007 (English)In: Evidence & Policy: A Journal of Research, Debate and Practice, ISSN 1744-2648, E-ISSN 1744-2656, Vol. 3, no 2, p. 271-285Article in journal (Refereed) Published
Abstract [en]

This article uses programme theory reconstruction to investigate three conceptualisations of evidence-based practice (EBP). The first two are taken directly from the literature and contrasted with a third taken from a relevant policy programme. The article argues that 'evidence-based practice' is not a homogeneous concept, and that interested parties within research, practice and policy may not have a shared vision of EBP even though they may use the same terminology. It is important for the successful implementation of EBP within practice and policy that there is a clear understanding of what EBP is and how EBP is supposed to work if research, policy and practice are to work together toward common goals.

Place, publisher, year, edition, pages
Policy Press, 2007. Vol. 3, no 2, p. 271-285
Keywords [en]
Evidence-based practice; Programme theory; Public policy; Reconstruction; Sweden
National Category
Social Work
Identifiers
URN: urn:nbn:se:hj:diva-58880DOI: 10.1332/174426407781172153Scopus ID: 2-s2.0-34250192491OAI: oai:DiVA.org:hj-58880DiVA, id: diva2:1710070
Available from: 2022-11-10 Created: 2022-11-10 Last updated: 2022-12-16Bibliographically approved
In thesis
1. Crossing the quality chasm?: The short-term effectiveness and efficiency of MST in Sweden: An example of evidence-based practice applied to social work
Open this publication in new window or tab >>Crossing the quality chasm?: The short-term effectiveness and efficiency of MST in Sweden: An example of evidence-based practice applied to social work
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this dissertation is to evaluate the effectiveness and cost-effectiveness of Multisystemic Therapy (MST) in Sweden. This evaluation is set against the background of evidence-based social work practice and is organized around four separate but interrelated studies. The first of these studies used program theory reconstruction to investigate three conceptualizations of evidence-based practice (EBP). Here it is argued that evidence-based practice is not a homogeneous concept, and that interested parties within research, practice and policy may not have a shared vision of EBP, even though they may use the same terminology. The second study, a randomized trial, assessed the effectiveness of MST within the normally operating social services system for 156 youths who met the diagnostic criteria for conduct disorder. Youth were randomly allocated between MST and treatment-as-usual (TAU) groups. Assessments were conducted at intake and seven months after referral. Results from mulitagent and multimethod assessment batteries showed a general decrease in psychiatric problems and antisocial behaviors among participants across treatments. There were no significant differences in treatment effects between the two groups. The third study assessed the costs of treating conduct disorder with MST and TAU. From the perspective of the municipal social welfare system, all intervention costs were collected for the six-month period starting at randomization to treatment group. MST was not found to reduce the extent to which youth were placed outside of their homes. In addition, the costs of out-of-home placement were the same for both MST and TAU group youth. MST was, however, associated with a reduction in the use and costs associated with other non-placement services. This reduction was not found to offset the additional cost of MST. The fourth and final study investigated the treatment outcomes and costs associated with MST versus TAU for intervention with substance abusing and non-substance abusing conduct disordered youth. This study found no differences in treatment outcome between these two groups. This dissertation found MST to be equally effective but less cost-effective than TAU. 

Place, publisher, year, edition, pages
Lund: Lund University, 2009. p. 135
Series
Lund dissertations in social work, ISSN 1650-3872 ; 34
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-59152 (URN)978-91-89604-41-4 (ISBN)
Opponent
Supervisors
Available from: 2022-12-16 Created: 2022-12-16 Last updated: 2022-12-16Bibliographically approved

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