Skip to main content
Article
Invitation to a dialogue between researchers and clinicians about evidence-based behavioral medicine
Preventive and Behavioral Medicine Publications and Presentations
  • Bonnie J. Spring, Northwestern University
  • Sherry L. Pagoto, University of Massachusetts Medical School
  • Peter G. Kaufmann, National Heart, Lung, and Blood Institute
  • Evelyn P. Whitlock, Kaiser Permanente Center for Health Research
  • Russell E. Glasgow, Kaiser Permanente Colorado
  • Timothy W. Smith, University of Utah
  • Kimberlee J. Trudeau, City University of New York
  • Karina W. Davidson, Columbia College of Physicians and Surgeons
UMMS Affiliation
Department of Medicine, Division of Preventive and Behavioral Medicine
Date
9-22-2005
Document Type
Article
Subjects
*Attitude of Health Personnel; *Behavioral Medicine; Clinical Competence; Cooperative Behavior; Decision Support Techniques; *Diffusion of Innovation; *Evidence-Based Medicine; Health Knowledge, Attitudes, Practice; Humans; Physician's Practice Patterns; Physicians; *Research
Abstract
BACKGROUND: Evidence-based behavioral medicine (EBBM) aims to improve the process through which best scientific research evidence can be obtained and translated into best clinical decisions regarding behavioral treatments to improve health. PURPOSE: The objective was to examine some legitimate concerns raised by both clinicians and researchers about the evidence-based movement. METHODS: This article begins with a discussion of clinicians' fears that EBBM devalues clinical judgment and the therapist-patient relationship, will be used to restrict practice, is unnecessary, and is based on research that is irrelevant to clinical decision making. Next we consider researchers' worries that EBBM neglects evidence not based on randomized controlled trials and ignores causal mechanisms. RESULTS: We find that these fears, although understandable, largely reflect misinterpretations of the evidence-based movement. Further, it is suggested that behavioral medicine is in a unique position to enhance the evidence-based movement by encouraging increased attention to treatment mechanisms and to knowledge translation. CONCLUSIONS: Clinicians, researchers, and, importantly, the public will benefit from the evidence-based movement by having a health care system that is built on solid grounds of evidence in determining which treatments should constitute the standard of care. A full partnership between clinicians and researchers is called for to generate the practical, rigorous evidence base needed to take behavioral health treatments to the next level of scientific support and implementation.
Rights and Permissions
Citation: Ann Behav Med. 2005 Oct;30(2):125-37. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
16173909
Citation Information
Bonnie J. Spring, Sherry L. Pagoto, Peter G. Kaufmann, Evelyn P. Whitlock, et al.. "Invitation to a dialogue between researchers and clinicians about evidence-based behavioral medicine" Vol. 30 Iss. 2 (2005) ISSN: 0883-6612 (Linking)
Available at: http://works.bepress.com/sherry_pagoto/39/