Prelims

Question 1

What is Evidence-Based Practice?

Answer 1

Method of decision making and practice

Question 2

Main Goal of EBP

Answer 2

Optimize the benefits gained from the high-quality data that we have gathered

Question 3

EBP can be in the transformed into many fields such as?

Answer 3

○ Evidence-based medicine EBM
○ Evidence-based physical therapy EBPT

Question 4

Method of clinical decision making and PT practice

Answer 4

Evidence-Based Physical Therapy

Question 5

Evidence-Based Physical Therapy Integrates three important factors

Answer 5

○ Best available scientific research evidence
○ Clinical expertise
○ Patient’s unique values and circumstances

Question 6

Components of the EBP triad

Answer 6

○ Best available scientific research evidence
○ Clinical expertise
○ Patient’s unique values and circumstances

Question 7

Main Goal of EBPT

Answer 7

Optimize the benefits gained from therapy and therapeutic interventions

Question 8

T or F
Characteristic of EBPT in the Philippines are:
● Low research evidence uptake
● Heavy reliance on potentially biased sources

Answer 8

TRUE

Question 9

T or F
Characteristic of EBPT in the Philippines are:
● Effective professional education for practitioners to address barriers
● Intensive undergraduate education for students to ensure adequate preparation on being effective research evidence consumers

Answer 9

TRUE

Question 10

Four Main Types of Clinical Research

Answer 10

Diagnosis
Prognosis
Intervention
Prevention

Question 11

Includes examination and evaluation

Answer 11

Diagnosis

Question 12

Likely course of a disease

Answer 12

Prognosis

Question 13

therapy (Type of clinical research)

Answer 13

Intervention

Question 14

○ Balance between doing good (beneficence) and doing no harm (non-maleficence)
○ Evidence on effectiveness of an intervention
○ A randomized clinical trial

Answer 14

Intervention

Question 15

Evidence of factors that will aim for prevention of a
condition or prevent the further course of a condition

Answer 15

Prevention - “harm”

Question 16

T or F
Youtube is a source that is considered a NON-SCIENTIFIC

Answer 16

TRUE

Question 17

T or F
Meta-analyses is a source that is considered a NON-SCIENTIFIC

Answer 17

FALSE
it is a Scientific source

Question 18

What is the top 3 strongest Scientific Evidence

Answer 18

1. Meta-analyses & Systematic Review
2. Randomized Controlled Trials
3. Cohort Studies

Question 19

What is the weakest scientific evidence?

Answer 19

1. Case reports, Opinion papers, Letters
2. Animal trials and invitro studies
3. Cross-sectional studies
4. Case-control; studies

Question 20

Assess - again means that you have to?

Answer 20

Evaluate the effectiveness and efficacy of your efforts in step 0 through 4 and identify ways to improve them in the future

Question 20

The Five Step EBP Process - The 5 A’s

Answer 20

Assess - step before you start
Ask
Acquire
Appraise
Apply
Assess - again

Question 21

● Interpret the applicability of evidence to specific problems, given patient preferences and values
● Use clinical reasoning and engage patient in decision making

Answer 21

Apply

Question 22

EBPT Process Determinants

Answer 22

1. Knowledge about the patient’s condition in order to recognize what is unknown
2. Knowledge on the evidence appraisal process
3. Access to evidence
4. Time to research for, appraise, and integrate evidence

Question 22

● Systematically check best available evidence for
indications of validity, importance, and usefulness
● Apply the hierarchy of evidence

Answer 22

Appraise

Question 23

● Gather important and convincing evidence from high-quality repositories of the health literature ● Locate most current evidence first

Answer 23

Acquire

Question 24

● Construct clinical questions that facilitate an efficient search for evidence ● Formulate a well-built - relevant, viable, searchable - clinical question

Answer 24

Ask

Question 25

● Learn how to recognize, classify, and prioritize important patient or policy problems ● Establish the clinical scenario ● Identify the knowledge need

Answer 25

Assess - step before you start

Question 26

T or F Lack of time, resources, skills, and access to research literature, supporting administrative policies, in-service training and authority in decision making is a benefit in EBPT

Answer 26

FALSE It hinders the EBPT process

Question 27

What needs to be done to stop the hinders the EBPT process?

Answer 27

Pre-professional preparation Philosophical shift in the institution Management support Willingness to “consciously” challenge one’s assumptions and current state of knowledge Acquire and practice the necessary skills

Question 28

Any question that arises during your physical therapy practice that may be related to the client or patient, your practice, diagnosis, and/or diagnostic procedures, etc

Answer 28

Clinical Question

Question 29

Clinical Questions Occur When?

Answer 29

There is a sense of uncertainty about the best course of action ○ I am not sure how to proceed? ○ What is the best way to proceed?

Question 30

T or F High-quality evidence could resolve some of the uncertainties

Answer 30

TRUE

Question 31

Where do clinical questions come from?

Answer 31

Professional Practice Existing Public Research Existing Theory Professional Trends

Question 32

○ “The bends” - decompression sickness DCS, or Caisson disease - occurs in scuba divers ○ Children with autism in O2 chamber, they become more cooperative

Answer 32

Professional Trends

Question 33

Using a particular model and/or theory and comparing it to what actually happens in the real world

Answer 33

Existing Theory

Question 34

○ More questions arise after reading a research article ○ Gaps are stated or found after reading a body of knowledge

Answer 34

Existing Public Research

Question 35

You encounter a patient and you and your colleagues are not 100% sure on how to proceed or treat

Answer 35

Professional Practice

Question 36

“Bread and butter” of EBPT

Answer 36

Foreground Questions

Question 37

Types of Clinical Questions

Answer 37

Background Questions Foreground Questions

Question 38

○ Questions that increase the understanding of the situation ○ Reflect the desire to understand the nature of a patient’s problem or need ○ Often focused on the medical aspect of the situation rather than on the PT aspect

Answer 38

Background Questions

Question 39

○ Help clinicians and their patients in making decisions about a specific PT management or a problem ○ Questions used to facilitate clinical decision-making

Answer 39

Foreground Questions

Question 40

T or F A good foreground questions has sufficient details to search for answer that are specific to the patient about whom the question is asked ○ You have to put sufficient details because your details will help you later on in acquiring evidence

Answer 40

TRUE

Question 41

Types of Foreground Questions

Answer 41

Questions About Interventions Questions About Prognosis Questions About Diagnosis Questions About Outcomes Questions About Experiences

Question 42

Focus on which tests and measures provide the most accurate and precise information in a timely manner with the least amount of cost and/or risk

Answer 42

Questions About Diagnosis

Question 43

How to write QAD

Answer 43

Specify the patient problem, the diagnostic test, diagnosis for which you are testing

Question 44

PTD Framework

Answer 44

Patient or Problem - Test - Diagnosis

Question 45

T or F Writing question about outcomes have a format

Answer 45

FALSE It has no format

Question 46

PICO model

Answer 46

Patient - Intervention - Comparison - Outcome

Question 47

PP Framework

Answer 47

Patient or Problem

Question 48

PIOT Framework

Answer 48

Patient or Problem - Indicator - Outcome -Time Frame