Skip to main content
. Author manuscript; available in PMC: 2012 May 2.
Published in final edited form as: Psychosom Med. 2011 May 2;73(4):323–335. doi: 10.1097/PSY.0b013e318218e1fb

TABLE 1.

Existing Practice Control Groups

Condition Description Stringency Uniformity Vulnerability to
Unintentional
Intensification
Naturalistic
      Inadequate Care (IC) Inaccessible or poor quality nonstudy care Low Trial-
Dependent
Low
      Treatment As Usual (TAU),
      Usual Care (UC),
      Routine Care (RC), or
      Standard Care (SC)
Typical, normative, nonstudy care Moderate Trial-
Dependent
High
      Standard of Care (SOC)
            Individualized (iSOC) Individualized, state-of-the-art, guideline-adherent
nonstudy care
High Low Low
            Uniform (uSOC) Uniform, state-of-the-art, guideline-adherent
nonstudy care
High High Low
Modified
      Standardized treatment regimen
      (STR)
Nonstudy care is standardized for the trial to ensure
uniformity of care, and possibly higher quality care
Moderate
to
High
High Low
      Constrained Usual Care (CUC) Specific aspects of usual nonstudy care are withheld
or discouraged during the trial
Moderate Trial-
Dependent
Trial-
Dependent
      Enhanced Usual Care (EUC)
            Minimally Enhanced (mEUC) Nonstudy care is enhanced in minor ways during the
trial to address methodological or ethical issues
Moderate Trial-
Dependent
Trial-
Dependent
            Extensively Enhanced (eEUC) Nonstudy care is substantially enhanced during the
trial to bring it closer to the standard of care
High Trial-
Dependent
Trial-
Dependent