Hi!
Thanks to everyone who has replied so far. However, it appears that my question was a bit ambiguous, apologies for that!
When I asked about trial results that don’t translate into practice I was thinking about - as one respondent (Amanda) put it:
“i.e. situations where the research implied X but in fact doing X would be inappropriate (i.e. practitioners responses are appropriate and research either addressed wrong question or for some other reason is not externally valid)”
My anecdotal example was after talking to a psychologist and he raised CBT. In many trials of CBT, the CBT tends to be carried out by highly trained ‘CBTers’ and on a highly defined population e.g. depression with no co-morbidities. In the 'real world' you have practitioners of CBT who have variable skills and a patient population with frequent co-morbidities.
I hope tha clarification is helpful.
Cheers
jon
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