3962779
Description
Flashcards by Amanda Smith, updated more than 1 year ago
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Created by Amanda Smith
over 8 years ago
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| Question | Answer |
| What is the 4 step process of Evidence Based Practice? | 1. WRITE an answerable question 2. FIND evidence 3. APPRAISE the evidence 4. COMMUNICATE the evidence for decision making |
| What are the 4 types of evidence when writing an answerable practice question? | descriptive, assessment, effectiveness, and responsiveness |
| What type of evidence portrays this question: What are TYPICAL client concerns or needs? | descriptive |
| What type of evidence portrays this question: What is the most likely COURSE of this illness or disability? | descriptive |
| What type of evidence portrays this question: What is the most appropriate and accurate ASSESSMENT for this situation? | assessment |
| What type of evidence portrays this question: Which interventions WORK BEST for this disability and population? | effectiveness |
| What type of evidence portrays this question: How do clients RESPOND to the interventions over time? | responsiveness |
| 5 things you should be thinking about when appraising the evidence | Relevance, Trustworthiness, Generalizability, Therapeutic importance, Replication |
| What Level/Type of Evidence: A synthesis of evidence from all relevant RCTs | I. Systematic Reviews, Meta-anyalsis |
| What Level/Type of Evidence: An experiment in which participants are randomized into an experimental or control group | II. Randomized controlled trials (RCT) |
| What Level/Type of Evidence: An experiment in which participants are not assigned to experimental or control groups randomly | III. Controlled trial without randomization |
| What Level/Type of Evidence: A comparison of subjects with a condition with those who don't have the condition to determine characteristics that might predict the condition | IV. Case-control study (part of case-control or cohort study) |
| What Level/Type of Evidence: An observation of a group(s) to determine the development of an outcome(s) such as a disease | IV. Cohort study (part of case-control or cohort study) |
| What Level/Type of Evidence: A synthesis of evidence from descriptive or qualitative studies to answer a clinical question | V. Systematic review of descriptive or qualitative studies |
| What Level/Type of Evidence: Gathers data on human behavior to understand the lived experience of participants | VI. Qualitative study (part of qualitative or descriptive study) |
| What Level/Type of Evidence: Provides background information on a topic of interest | VI. Descriptive study (part of Qualitative or descriptive study) |
| What Level/Type of Evidence: Expert opinion of one or more authorities | Opinion or consensus |
| What are the 6 ways of supporting intervention? | Intuition, Deduction, Tradition, Observation, Expert Opinion, Scientific Evidence |
| Intuition | knowing directly or without cognition Ex. not doing an activity because you know a client isn't ready |
| Deduction | drawing conclusions from an accepted premise Ex. exercise is good; therefore more exercise is better |
| Tradition | the way things have always been done Ex. a certain injury is always treated a certain way |
| Observation | witnessing events, no cognitive steps added Ex. watching other therapists implement an activity |
| Expert Opinion | appealing to those with experience and knowledge Ex. going to a veteran colleague for advice |
| Scientific Evidence | information arrived at through the scientific method - can be quantitative and qualitative Ex. doing an activity because it has been proven to show improvement |
| What are the 3 components of evidence-based practice? | 1. Current best evidence 2. Intervention environment 3. Client's values and circumstances |
| How does a therapist choose therapy tasks? | Get to know the client: background and diagnosis Choose an effective intervention Estimate probable outcomes: work on realistic goals |
| Why use evidence-based practice? | - Ethical mandate - Resource allocation - Professional credibility - Improvement of outcomes |
| What are problems involved in the application of evidence-based practice? | - Lack of research examining outcomes of OT practice - Difficulties in accessing literature - Lack of time and/or knowledge to search, read, interpret, and evaluate information - Institutional barriers to change - Difficulties applying population-based research to individual clients - Ethical issues - Lack of measure for well-being - Therapist attitudes |
| What needs to be balanced to use research evidence in professional reasoning? | 1. Central Tendency: look at what the average looks like 2. Individual Variation: How much variability is to be expected |
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