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Implementing Quality Improvement for Psychosocial Interventions

Sean Grant, DPhil1; Evan Mayo-Wilson, DPhil2; Paul Montgomery, DPhil3
[+] Author Affiliations
1RAND Corporation, Santa Monica, California
2Center for Clinical Trials and Evidence Synthesis, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
3Centre for Evidence-Based Intervention, University of Oxford, Oxford, United Kingdom
JAMA. 2016;315(9):943. doi:10.1001/jama.2015.17855.
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To the Editor A Viewpoint by Drs Pincus and England summarized a new report by the Institute of Medicine on improving the quality of psychosocial interventions for mental and substance use disorders.1 We wish to draw attention to advances in intervention science that could facilitate implementation of recommendations in the report.

The Behavior Change Technique Taxonomy addresses the recommendation for a common terminology for specifying elements of psychosocial intervention elements.2 This taxonomy was developed using consensus methods and includes a hierarchically structured catalog of 93 distinct intervention elements. Use of this taxonomy would improve the clarity and synthesis of research. Widespread adoption could further the goals of identifying key elements within and across interventions, discovering optimal dosing and sequencing of elements, and connecting elements to purported moderators or mechanisms.


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March 1, 2016
Harold Alan Pincus, MD; Mary Jane England, MD
1Columbia University, New York–Presbyterian Hospital, New York, New York
2School of Public Health, Boston University, Boston, Massachusetts
JAMA. 2016;315(9):943-944. doi:10.1001/jama.2015.17870.
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