Evidence Based Practise Flashcards
What is the Science Practioner Model?
An integrative approach to science and practice wherein each must continually inform the other
Who and when was the term Clinical psychology developed?
20th Century by Witner
Who was the Editor of The Psychological Clinic?
Witner
When was mental/intelligence testing developed?
WW1
What did Freud and Jung introduce and what did they believe?
Psychoanalysis and that doctors should be only practitioners of psychotherapy
What is shell shock?
PTSD
When did Clinical Psychology become part of the the APA?
1919
When was APA founded?
1892
What happened in 1944?
APA accepted responsibility for credentialing and training
What is the Boulder Committee?
Group that created the curriculum for training psychologists
What were the recommendations for training?
Assessment: Improve accuracy and reliability of diagnostic procedures
Etiology, Formulation, Theory: Develop better understanding of human behaviour
Intervention: Develop more efficient methods of treatment
Inclusion of research training in the preparation of all clinical psychologists
What were the recommendations for practise?
Use scientific methodology in their practise
Work with clients using scientifically valid measures, tools and techniques
Inform clients of scientifically based findings and approaches to their problems
Conduct practice-based research
Who was opposed to Psychanalysis?
Eysenck
How much did patients treated with psychoanalysis improve compared to other eclectically and GP’s in Eysenck’s study?
Psychoanalysis 44%
Eclectically 64%
GP’s 72%
Why should we train practitioners as scientists?
Attainment of skills in critical thinking to understand research findings and to implement best practise interventions so clients get best on offer
Practitioners can justify the treatments and interventions they choose based on empirical grounds
Avoid Hard, reduce unnecessary treatment and increase the likelihood of better efficacy of treatment
MUST KNOW THIS:
What are the criticisms of the SP Model?
Applied work is incompatible with scientific work and research does not apply in practice.
Research skills are unnecessary as few publish after completed training
SP model does not produce many scientists practitioners
Question necessity of study on both research and practice orientation
What is the Practise- Scholar Model (Vespia & Sauer)?
Practitioners produce small scale clinical science studies
What is Evidence Based Practise (EBP)?
Integration of best research evidence with clinical research and patient values
What are the 5A’s in EBP?
Ask: the right question
Access: relevant evidence
Appraise: the evidence
Apply: the evidence
Assess: its effectiveness
What does PICO stand for?
Population/Patient/Problem
Intervention (Exposure in PECO)
Comparison
Outcome
Identify each part:
In patients with binge eating disorder, s interpersonal therapy or CBT more effective in reducing the effectiveness of binge episodes?
P: binge eating disorder
I: Interpersonal therapy
C: CBT
O: frequency of binge episodes
What is the hierarchy of evidence?
Systematic reviews/meta analysis
RCT’s
Case Control Studies
Cohort Studies
Systematic Review of Qualitative/Descriptive studies
Qualitative Studies
Opinions or Concensus
Disadvantage of Systematic reviews and meta analysis?
Time consuming
Advantages of RCT’s?
Eliminates bias and facilitates blinding
