Clinical utility research is concerned with how one develops knowledge
that can be directly used for improving clinical practice. Some have
referred to this domain as ''effectiveness'' research. but clinical ut
ility implies much more than clinical effectiveness. It also addresses
issues of access, transferability, sample specificity. and the unique
ness of each human condition. This special series of papers describe s
everal research programs that have been conducted in applied settings
and that illustrate research on clinical utility. These descriptions a
re modestly representative of the wide applicability of research metho
ds that address the uniqueness of each setting and population and the
nature of findings that can be used to guide clinical practice. The pa
pers bridge cultures. countries, settings, and problems. They illustra
te some of the advantages of, and some of the knowledge to be gained f
rom conducting controlled research in settings that are devoted to cli
nical service. (C) 1998 John Wiley & Sons, Inc.