Research Flashcards
3 pillars of EBP
best scientific evidence
clinical experience
patient values
5 orders for appraisal
- ask question
- search evidence
- critically appraise (pros and cons of each article)
- implement - determine clinical relevance
- evaluate - during clinical application of intervention
levels of evidence
- meta-analysis
- systematic review
- RCT
- cohort
- case control
- cross sectional
- case series/case reports
meta-analysis
multiple articles with statistical analysis
systematic review
gives summary of findings from many articles
less statistics/no statistics
RCT
control group doesnt get intervention
experimental group gets intervention
cohort studies
-observational study that compares COHORT who share COMMON CHARATERISTIC; with and without the exposure
- type of LONGITUDINAL study
- ex framingham study - ex residents of framingham is whats in common, and follows to see heart data
- prospective: over period of time in future
- retrospective: use info thats already happened in past
case control studies
Compare group of individuals with specific condition with group of people without same condition
- observational
- ex group of older women: age matched 15 with chronic LBP and 15 w/o chronic LBP to see if it affects pain
cross sectional studies
- observation study
- data is collected from ppl at single point in time (snapshot) of info at specific moment
- ex look at balance 4 wks after surgery
longitudinal studies
- observational study
- repeated observations or measurementsof same subjects across extended time periods to understand patterns and factors influencing those changes
case series/case reports
document clinical case of single patient or series of patients
nominal data
mutually exclusive
- qualitative
- ex blood types (no overlap)
ordinal data
- qualitative
- order matters
- ex MMT
discrete data
whole numbers
- ex counting people
- quantitative
- can be ratio or interval
continuous data
- quantitative
- has decimals, ex measure of weight
- can be interval or ratio
interval data
- quantitative
- NO true 0, can have negatives
- ex. temp
ratio data
- quantitative
- true 0
- highest level of measurement
- ex height, money
Reliability
Types of reliabiliy
Consistency of measure, extent of research instrument to consistently have same results with used on multiple occasions
- intra-rater: test performed by 1 person several times, use equipment that already know is reliable
- inter-rater: test performed by 2+ ppl on testing 1 variable
- test-retest reliability: same test to same subjects on 2 occasions, testing new equipment that dont know is reliable