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Comment & Response
March 1, 2016

Implementing Quality Improvement for Psychosocial Interventions

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

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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