PSYC4121 Quiz 1 Flashcards
Why do we need scientific practitioner model?
To promote the Gold Standard for research methodology
Training in a set of core competencies
The application of evidence-based formulations and treatments
List the number of events that took place before the scientific practitioner model was formed.
- WWII ..
WWII and returned servicemen
Originated at the 1949 Boulder Conference
Conceived as a model for graduate student training
Graduates should be trained with an equal emphasis in research and practice
What sort of series events had happened in the lead up to the conference?
WWII 670,000+ injured U.S. servicemen and women’
Survivor’s guilt and ‘shell-shock’
Govt introduced ‘GI Bill’
Psychological and psychiatric casualties of war
Increased demands for trained psychologists
What sort of approach is the scientific practitioner model using?
How are research and practice interrelated to one another?
The S-P model in psychology is an integrative approach to science and practice wherein each must continually inform the other.
Research orientation in their practice
Practice relevance in their research
List the advantages of having the scientific practitioner model
critical thinking
understand research findings
implement best practice intervention so clients get the ‘best’ on offer.
Avoid harm
reduce unnecessary treatment
increase the likelihood of better efficiency in treatment.
justify the treatments and interventions they choose on empirical grounds
Evidence-based practice: Standard definition
The conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient
What are the steps in scientific practitioner model?
Step 1: Assess the client’s clinical problem
Step 2: Ask – Expressing the problem as a clinical question, also know as the PICO question
Step 3: Access the evidence – Finding evidence-based resources that can answer the question
Step 4: Appraise the evidence for validity
Step 5: Apply the evidence – e.g. intervention, activity or assessment tool
Step 6: Assess its effectiveness – re-evaluate the evidence and its application in practice
which evidence based is considered the Gold Standard in research ?
what sort of evidence based is relevant in RCT?
Randomised controlled trials
Meta analysis and systematic review
How are randomised controlled trial being conducted?
Participants are randomly assigned to either control or intervention
May be exposed to one or several treatment/interventions
Trials follow strict protocols
Interventions may be manualised
May be single-blind or double-blind
Is Positioning at the top of the hierarchy always the best evidence based ?
No !
systematic review
- takes time to complete
-superseded by more recent evidence
what sort of systematic evaluation is being used in clinical research ?
validity, reliability, applicability
what sort of evidence you might expect to see in clinical trial when critically appraising the evidence?
RCT, quantitative, qualitative, systematic review
why do we need to critically appraised evidence in clinical research?
to understand the strengths, weaknesses, and potential for bias in research before you apply it (e.g. in practice).
List the different types of biases and explain each of those in explicit detail
Design bias Failure to account for inherent biases Selection bias/Sampling bias Non representative Measurement bias An inaccurate or poorly designed measure Response bias Consciously or subconsciously responding according to what the experiments ‘wants’ or ‘expects to find’ Performance bias when participants or researchers act differently because of allocation in control or experimental group Reporting bias Errors, or bias toward publication of positive results
what is difference between clinical significance and statistical significance?
Statistical significance = reliability of the result
clinical significance = clinical practice
List five things that you expect to see in clinical significance
Extent of change Whether change makes a real difference Duration of treatment effects Consumer acceptability Cost-effectiveness Ease of implementation
what does effect size refers to?
Provides an indication of the size of treatment effects.
when interpreting clinical importance and clinical significance, if you see an effect size of
- 2 = ?
- 5 =?
- 8=?
- 2= small statistical and clinical difference between two groups
- 5= moderate statistical and clinical difference between two groups
- 8= large statistical and clinical difference between two groups
what does effect size quantitatively compares?
where can you see effect size being reflected in what sort of evidence based study?
results of studies done in a different setting
meta-analysis.
Define the following
- event rate
- absolute and relative risk rate
- numbers needed to be treat
Event Rate: a measure of how often a statistical event is observed in treatment in comparison to control conditions
Absolute and Relative Risk: To allow comparison between control and treatment conditions
Number Needed to Treat: The number you need to treat to prevent a bad outcome
what is the difference between absolute risk and relative risk?
Absolute riskof a disease is your risk of developing the disease over a time period.
Relative riskis used to compare the risk in two different groups of people
what is an important measure to be tested in clinical trial?
Number needed to treat
What is randomised controlled trial?
A study in which people are allocated to conditions at random (by chance) to receive one of several clinical interventions
Intervention (or treatment group) and comparison or control.