Final- Evidence-Based Practice In OT

Question 1

What is evidence based practice?

Answer 1

The conscientious, explicit and judicious use of current best evidence in making decisions about eh care of individuals

The integration of the best research evidence with clinical expertise and patient values

Question 2

What is evidence based practice the integration of?

Answer 2

1) clinical expertise/ expert opinion
2) external scientific evidence
3) Client/ patient/ caregiver perspectives to provide high quality service reflecting the interests, values, needs and choices of individuals we serve

Question 3

Why is EBP important?

Answer 3

Improve clients outcomes

Improve therapist knowledge

Update therapist knowledge

Stimulates clinical relevant research

Increase accountability of therapists

Question 4

What are common applications of EBP?

Answer 4

Deciding the best treatment/ intervention

Making choices about assessment tools

Selecting preventive it harm reduction interventions or programs

Determining disorder or illness

Course or progression of disorder or illness

Prevalence of symptoms

Economic decision making

Question 5

What is a level 1 randomized controlled trial?

Answer 5

Set of clients are identified and then randomly assigned to 2 or more different intervention groups

There is a control group- usually receives no intervention

Another favor influencing the outcome is reduced

Disadvantage- expense and having a group not receive an intervention

Often used to test effectiveness of an intervention or compare several forms

Question 6

What is a level 2 nonrandomized controller design (cohort design)?

Answer 6

Prospective study- cause time moves forward

Control group of clients that hav not been exposed to the situation of interest

Allocation of clients to the intervention and control group is not under control of the investigator

Investigator works with people who have been exposed and work to find people similar to them

Cannot be certain intervention is responsible for the outcome

Question 7

What is a cohort group?

Answer 7

Clients who share a common experience within a defined period of time

Question 8

What is a level 3 before- after design (pretest and posttest)?

Answer 8

Used to evaluate a group of clients involved in an intervention

Evaluator collects info about the initial status of a group of clients in terms of outcomes of interests and collects info about outcomes after intervention is received

Useful if you do not what to withhold intervention from anyone

With no control group it is hard to judge if intervention was responsible for outcome

Changes could be due to disease progression, medication use, lifestyle or environmental