Ifs Flashcards

1
Q

What is evidence-based practice (EBP) in physical therapy?

A

EBP is the careful use of the best current evidence to make decisions about patient care.

EBP combines clinical expertise with research evidence to provide scientifically supported treatments.

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2
Q

Why is EBP important in physical therapy?

A

EBP helps move from traditional knowledge to scientifically valid methods and ensures treatments are tailored to patient needs.

It promotes patient-centered care by using the latest research.

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3
Q

How does EBP begin in physical therapy?

A

Start with a specific clinical question related to the patient’s issue.

Followed by searching for and appraising relevant research.

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4
Q

Why is it important to look at physical therapy practice from multiple perspectives?

A

To avoid variations and errors that could harm patients and to understand the impact on healthcare costs and access.

Cognitive biases can mislead clinical decisions, making EBP essential.

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5
Q

What are common biases that can impact clinical decision-making?

A

Common biases include:
* Ascertainment Bias
* Confirmation Bias
* Recency Effect
* Representativeness Bias
* Value Bias

These biases can distort clinical judgments.

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6
Q

How can clinicians reduce bias in their practice?

A

By relying on high-quality evidence consistently.

This helps to counteract biases in clinical decision-making.

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7
Q

What is a hierarchy of evidence?

A

A hierarchy of evidence organizes evidence by reliability and ability to minimize bias.

Systematic reviews are at the top, while animal studies are at the bottom.

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8
Q

Why are evidence hierarchies useful in physical therapy?

A

They help clinicians quickly understand the potential bias level in studies.

However, reliability varies across systems.

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9
Q

What makes good evidence in physical therapy?

A

Good evidence should have:
* Relevance
* Patient Similarity
* Consistency with Practice
* Peer-Reviewed Source

Peer-reviewed studies are generally more reliable.

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10
Q

Why does the American Physical Therapy Association (APTA) emphasize EBP?

A

EBP is central to APTA’s goal of making PTs the preferred healthcare providers and ensures high-quality care.

It optimizes outcomes and aligns with patient-centered values.

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11
Q

Why is it important to synthesize and analyze data from multiple sources?

A

It provides comprehensive insight and focuses on quality human studies for clinical decisions.

Using diverse data sources helps create a full picture.

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12
Q

What are limitations of evidence hierarchies, and how can clinicians ensure accuracy?

A

Limitations include variability in reliability across hierarchies. Clinicians should conduct their own evaluations of each study.

This confirms quality and applicability.

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13
Q

What are the three main types of research designs?

A

The three main types are:
* Quantitative Research
* Qualitative Research
* Mixed Methods Research

Each type serves different research purposes.

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14
Q

What is quantitative research?

A

Quantitative research uses empirical data in numerical form to measure and analyze phenomena.

Examples include blood pressure and range of motion.

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15
Q

What types of quantitative designs exist?

A

Types of quantitative designs include:
* Experimental Design
* Non-Experimental (Quasi-Experimental) Design

Experimental design explores cause-and-effect relationships.

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16
Q

What is qualitative research?

A

Qualitative research explores the ‘why’ and ‘how’ of a phenomenon, focusing on participants’ experiences and perceptions.

Data examples include participant testimonies and narratives.

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17
Q

What are common qualitative study methods?

A

Common methods include:
* Case Studies
* Narrative Discourse
* Ethnography
* Phenomenology
* Grounded Theory

These methods explore different aspects of participant experiences.

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18
Q

What is mixed methods research?

A

Mixed methods research combines quantitative and qualitative methods to provide a fuller understanding of a topic.

It offers a more complete perspective but requires more resources.

19
Q

What is the goal of literature searches in physical therapy?

A

The goal is to efficiently find relevant research articles for evidence-based practice.

Libraries often provide specialized databases for this purpose.

20
Q

What is the difference between databases and search engines?

A

Databases are organized collections with focused content, while search engines match keywords across the web.

Example databases include PubMed for health sciences.

21
Q

What are some key databases for physical therapy research?

A

Key databases include:
* PubMed
* ProQuest
* PEDro
* Cochrane Database
* CINAHL
* Gale Power Search

These databases provide targeted resources for physical therapy.

22
Q

What is the significance of using PubMed Clinical Queries?

A

PubMed Clinical Queries is designed to help clinicians quickly find high-quality evidence.

It categorizes searches by therapy, prognosis, and diagnosis.

23
Q

What are the key components of a PICO question?

A

The components of a PICO question are:
* P: Patient or Problem
* I: Intervention
* C: Comparison Intervention
* O: Outcome

PICO questions guide clinical decision-making.

24
Q

What is a foreground question in research?

A

A foreground question provides specific knowledge for clinical decisions about a patient with a specific condition.

It contrasts with background questions that seek general knowledge.

25
Q

What are the two parts of a background question?

A

The two parts are:
* A question word with a verb
* A condition, diagnosis, test, or intervention

Example: ‘What are the best exercises for shoulder pain?’

26
Q

What does the ‘P’ in a PICO question refer to?

A

‘P’ refers to the Population or Patient and their Problem or condition.

It is the first step in formulating a PICO question.

27
Q

What does the ‘I’ in a PICO question stand for?

A

‘I’ stands for Intervention, the treatment or approach being studied.

It is essential for defining the focus of the question.

28
Q

What does the ‘C’ in a PICO question represent?

A

‘C’ stands for Comparison Intervention or Control group, which is what the intervention is being compared to.

This helps clarify the context of the intervention.

29
Q

What does the ‘O’ in a PICO question refer to?

A

‘O’ refers to the Outcome, the result being measured, such as improvement in a patient’s condition or function.

It is critical for assessing the effectiveness of the intervention.

30
Q

Provide an example of a PICO question based on elderly people with shoulder injuries.

A

‘In elderly patients with shoulder injuries, are stretching exercises or resistance exercises more effective for increasing mobility and movement?’

This question illustrates the PICO format.

31
Q

What are some keywords you would use for a literature search based on the PICO question about elderly people with shoulder injuries?

A

Keywords would include:
* elderly
* shoulder injury
* stretching exercises
* resistance exercises
* mobility
* movement

Identifying keywords helps narrow down literature searches.

32
Q

What is the significance of identifying keywords when performing a literature search?

A

Identifying keywords helps narrow down the search and ensures that the literature found is relevant.

This improves the efficiency of the literature search process.

33
Q

Provide an example of a PICO question based on elderly people with shoulder injuries.

A

In elderly patients with shoulder injuries, are stretching exercises or resistance exercises more effective for increasing mobility and movement?

PICO stands for Population, Intervention, Comparison, Outcome.

34
Q

What are some keywords you would use for a literature search based on the PICO question about elderly people with shoulder injuries?

A

Keywords would include:
* elderly
* shoulder injury
* stretching exercises
* resistance exercises
* mobility
* movement

Keywords help streamline the literature search process.

35
Q

What is the significance of identifying keywords when performing a literature search?

A

Identifying keywords helps narrow down the search and ensures that the literature found is directly relevant to the research question.

This improves search efficiency and effectiveness.

36
Q

In the scenario about elderly individuals with shoulder injuries, what would be a comparison treatment for stretching exercises?

A

A comparison treatment could be resistance exercises.

This allows for evaluating the effectiveness of stretching exercises against a control.

37
Q

What is the main outcome you’re looking to improve in the elderly shoulder injury scenario?

A

The main outcome is improving mobility and movement in the shoulder.

This reflects the primary goal of the interventions.

38
Q

In the second case scenario involving elderly individuals cooking for themselves, what is the intervention being compared to?

A

The intervention being compared to is a stand-alone educational program about nutrition (brochures or handouts).

This helps assess the effectiveness of the educational program.

39
Q

In the case scenario about early intervention for children with severe disabilities, what is the primary intervention being studied?

A

The intervention being studied is the inter-professional collaborative practice protocol (IPCP).

IPCP aims to enhance service delivery through teamwork.

40
Q

In the same case scenario, what is the comparison treatment for the IPCP protocol?

A

The comparison treatment is the traditional, less collaborative, multidisciplinary intervention model.

This allows for evaluating the benefits of IPCP.

41
Q

For the case scenario with elderly adults with balance and cognitive deficits, what is the research question you could develop?

A

What are effective rehabilitation interventions for elderly adults with balance and cognitive deficits experiencing falls?

This question addresses the specific needs of the target population.

42
Q

In the final scenario about elderly adults with balance and cognitive deficits, which two interventions are being compared in the PICO question?

A

The two interventions being compared are dual task training and balance exercise interventions.

This comparison aims to identify which intervention is more effective.

43
Q

How do you refine your PICO question if the initial search doesn’t provide relevant results?

A

You can rework the PICO elements or adjust your search terms to refine the question.

This may involve narrowing or broadening specific terms.

44
Q

What is the purpose of a background question in developing a literature search?

A

A background question is used to gather general information on a condition or intervention before narrowing down the focus for a more specific PICO question.

This helps build a foundational understanding for further research.