Lecture 1: Review Flashcards
What is the EBP process?
Formulate a question based on a clinical problem
Identify the relevant evidence
Evaluate the evidence
Implement useful findings
Evaluate the outcomes
What are the 5 types of evidence-based questions?
Efficacy (real-world) of an intervention (PICO)
Usefulness of an assessment
Description of a condition
Prediction of an outcome
Lived experience of a client
Describe common research designs/methods used to form questions regarding the efficacy of an intervention.
Randomized controlled trial
Nonrandomized controlled trials
Pretest/posttest without a control group
Single subject design
Describe common research designs/methods used to form questions regarding the usefulness of assessments.
Psychometric methods
Reliability studies
Validity studies
Sensitivity and specificity studies
Describe common research designs/methods used to form questions regarding the description of a condition.
Incidence and prevalence studies
Group comparisons (of existing groups)
Surveys and interviews
Describe common research designs/methods used to form questions regarding the prediction of an outcome.
Correlational and regression studies
Cohort studies
Describe common research designs/methods used to form questions regarding the lived experience of a client.
Qualitative studies
Ethnography - social and behavioral sciences
Phenomenology - seeks to explain the nature of things through the way people experience them
Narrative
What are the different types of research?
Experimental
Nonexperimental
Quantitative
Qualitative
Cross-sectional
Longitudinal
Basic
Applied
What is experimental research?
Examines cause and effect relationships
- RCT (True experiment Level II)
- Nonrandomized controlled trial (Quasi experimental Level III)
- Pretest/posttest (Pre-experiment Level IV)
In a typical experiment, participants are assigned to one of two groups, and the groups are manipulated.
- One group receives intervention of interest
- Other group is the control group (they may or may not receive an intervention)
EX: Using CIMT on one client and traditional methods on another.
What is nonexperimental research?
Cannot determine causal relationships
Can answer descriptive, relationship, and qualitative questions
- Descriptive question: group comparison or incidence/prevalence design
- Relationship question: correlational or predictive design
Common approaches to collect and analyze data include surveys, interviews, observation of behavior, standardized measures, and existing data from medical records
Observational in nature
What is quantitative research?
Uses statistics
Describes outcomes in terms of numbers
Deductive reasoning; begins with hypothesis and works down to determine if evidence supports the hypothesis
Centered on testing a hypothesis
- Hypothesis is either directional or nondirectional
- Directional: researcher has an assumption or belief in a particular outcome
- Nondirectional: exploratory, no prior notion about the study results but assumes a difference or relationship exists
What is qualitative research?
Answers questions about meaning and experience
Uses inductive reasoning; moves from the specific to the general
Provides a more personal and in-depth perspective of the person or situation being studied
Data collected may include photographs, diagrams, etc.
Encompasses several different designs: ethnography, grounded theory, phenomenology, and participatory action research
Compare quantitative and qualitative research.
Quantitative:
- Tests theory and/or hypothesis; focus is on confirmation
- Outside and objective
- Deductive reasoning
- Quantifiable, typically standardized measures w/many participants
- Descriptive and inferential statistics
- Reliability and validity; Data accurate? Consistent?
Qualitative:
- Builds theory and/or explores phenomenon; focus is on discovery
- Insider, subjective
- Inductive
- Interviews and observations of a few individuals in their natural environments
- Identification of themes using text or pictures
- Trustworthiness: Data believable?
What is cross sectional research?
Data are collected at a single point in time; uses nonexperimental methods; can be observational in nature; descriptive and correlational studies frequently use cross-sectional research
What is longitudinal research?
requires that data be collected over at least two time points and typically covers an extended time period (several years or decades); intended to examine the effects of time (ex: development, aging, or recovery) on some phenomenon (ex: cognition, independent living, or language); many longitudinal studies examine naturalistic changes making them observational
What is basic research?
Used to investigate fundamental questions that are directed at better understanding individual concepts
- background questions
What studies are typically neither cross-sectional nor longitudinal?
intervention studies
A simple pretest/posttest is not considered ___.
longitudinal study
What is applied research?
Has direct application to health care practices
What is translational research?
Both basic and applied together; findings form the laboratory are used to generate clinical research
The National Institutes of Health’s (NIH) National Center for Advancing Translational Sciences has a mission to promote more translational research
What is hypothesis testing?
Researcher has to decide on whether to accept or reject the research hypothesis based on the p value obtained from the statistical analysis.
When is a hypothesis accepted? rejected?
If p is less than or equal to 0.05, the hypothesis is accepted.
If p value is greater that 0.05, the hypothesis is rejected.
What mistakes occur when interpreting the results?
Type I errors: when the hypothesis is accepted, yet the hypothesis is FALSE
Type II errors: when the hypothesis is rejected, yet the hypothesis is TRUE; sometimes sample size is too small
What is a variable?
Characteristics of people, activities, situations, or environments that are identified and/or measured in a study and have more than one value
What is an independent variable?
These are manipulated or compared in a study; with more than one independent variable is included in a study, the study is described as a factorial design
What is a dependent variable?
These are observed and are intended to measure the result of the manipulation (also know as the outcome or outcome variable)
What are control variables?
Those variables that remain constant; the more control in place, the more confidence that the independent variable caused the change in the dependent variable
What are extraneous variables?
Variables that can influence the outcome of a study; they are tracked and then later examined to determine its influence
Can be natural characteristics of the participant, such as age or gender, or they could be features of the environment such as noise or lighting.
Includes: demand characteristics, experimenter effects, situational variables, and participant variables
What is a confounding variable?
It’s a type of extraneous variable that not only affects the dependent variable, but is also related to the dependent variable.