Finals

Question 1

Why do we measure?

Answer 1

Determine the degree of impairment, limitation, participation restriction
Measure change overtime
Categorizing

Question 2

is “the smallest amount of difference in individual
scores that represents true change” - beyond random
measurement error

Answer 2

Minimum Detectable Change MDC

Question 3

represents the smallest
improvement considered worthwhile by a patient

Answer 3

The minimum clinically important difference also called
minimum important difference,

Question 4

An estimate of how repeated measures of a person on the
same instrument tend to be distributed around the “true”
score

Answer 4

Standard Error of Measurement SEM

Question 5

T or F
Reliability coefficients, MDC, and MCID are fixed properties of the test or measure

Answer 5

FALSE
Reliability coefficients, MDC, and MCID are not fixed
properties of the test or measure

Question 6

Refers to the likelihood that a given test result would be expected in a patient with the target disorder compared to the likelihood that that same result would be expected in a patient without the target disorder

Answer 6

Likelihood Ratio

Question 7

T or F
Sensitivity refers to a test’s ability to designate an individual with the disease as positive

Answer 7

TRUE

Question 7

a short summary of evidence on a topic of interest, usually focused around a SPECIFIC clinical question

Answer 7

Critically Appraised Topic CAT

Question 7

T or F
Sensitivity refers to a test’s ability to designate an individual who does not have a disease - negative

Answer 7

FALSE
Specificity refers to a test’s ability to designate an
individual who does not have a disease - negative

Question 7

Important feature: it asks very specific questions about
very specific patients - has its upsides and downsides

Answer 7

Critically Appraised Topic CAT

Question 7

T or F
Clinical Prediction Rules CPR is Diagnostic, prognostic, and/or prescriptive in nature

Answer 7

TRUE

Question 7

Defined as a brief “summary of a search and critical
appraisal of the literature related to a focused clinical
question, which should be kept in an easily accessible
place so that it can be used to help make clinical decisions

Answer 7

Critically Appraised Topic CAT

Question 7

are mathematical tools that are intended to guide PTs in everyday clinical decision-making
evidence-based tools to assist in patient management when determining a particular diagnosis or prognosis, or when predicting a response to a particular intervention

Answer 7

Clinical Prediction Rules CPR

Question 7

Developed by a diverse group of people (experts, lay persons, patients, etc.) coming up with recommendations through the use of systematic reviews and/or meta-analyses

Answer 7

Clinical Practice Guidelines CPG

Question 8

Used to describe a wide range of different information that
is produced outside of traditional publishing and distribution channels, and which is often not well represented in indexing databases

Answer 8

Grey Literature

Question 9

“Information produced on all levels of government, academia, business and industry in electronic and print formats not controlled by commercial publishing” i.e., where publishing is not the primary activity of the producing body.”

Answer 9

Grey Literature

Question 10

EBP triad consist of?

Answer 10

Clinical expertise
Best evidence
Patient values

Question 11

Barriers to Integrating Evidence in Decision Making

Answer 11

● The intervention itself
● The individual profession, you
● The patient and family or legal guardian
● The social context - religion, culture
● The organizational context - hospital
● The economic and political context

Question 12

Importance of Communicating Evidence

Answer 12

● It is practical - better communication leads to better decisions
● It is relational - healthy relationship between the patient and therapist
● It is ethical

Question 13

Challenges of Communicating Evidence

Answer 13

● Communicating evidence to the critically-minded
○ They are educated, assertive, and well-informed, however they have sources as facebook
● Confidence in communicating evidence
● Maintaining therapist-client relationship

Question 14

Steps in Effective Communication

Answer 14

● Identify the roles of everyone involved
● Identify the decisions to be made
● Gather and interpret research evidence
● Translate evidence into communication

Question 14

Techniques in Communicating Evidence

Answer 14

● Attentive and receptive listening abilities
● Good eye contact
● Picking up on emotional and non verbal cues
● Building good rapport
● Letting your patient set the pace
● Appropriate reassurance and feedback
● Summarizing

Question 14

Steps in Disseminating Evidence to Patients and Clients

Answer 14

● Understand the patient’s experience and expectations
● Builds partnerships
● Provide evidence, including a balanced discussion of
uncertainties
● Present recommendations
● Check for understanding and agreement

Question 15

Ways of Presenting Evidence

Answer 15

Describe benefits and harms in general terms
Numerical translation of clinical evidence
Graphical representation of quantitative data
Decision aid programs