Research Appraisal and Classification Flashcards
Name the components that contribute to the quality of evidence.
o Study design
o Credibility
o Applicability
How does the article’s research question contribute to its appraisal?
Determines optimal design
Design should be consistent with purpose
T or F, a RCT is NOT the gold standard for all types of research questions
T
How are quasi-experimental designs important contributors to practice-related knowledge?
o May be closer to real life
o Pre-test/post-test/follow up
How are non-experimental designs important contributors to practice-related knowledge?
o Answer background questions
o Answer descriptive questions
How are cohort studies useful?
§ More pragmatics than RCT
§ Helpful in decision making
§ **don’t have to have RCT if you have good strong cohort studies
What are the threats to internal validity?
MRS. SMITH (Review this!)
Maturation, Regression to the mean, Selection of subjects, Selection by maturation interaction, Mortality, Instrumentation, Testing, History
What does it mean to say that P < .05?
%5 chance that there were differences, one group did better and so it wasn’t true what you said
the more and more tests you do with the same data, the closer you get to that same chance
type 1 error
– when you say there are differences and there are not
What are CAPs?
o Short analysis of an individual study
o Critique and interpretation
What are CATs?
Summaries of multiple studies on a topic
How is a CAT different from a systematic review?
o In a CAT:
o Less rigor
o More concise than a systematic review/limited focus
o More limited focus
o Emphasis of practical application
o Sort of think of it as a mini-systematic review
What are the advantages to CAPs?
o Advantages:
o Succinct appraisal of single research study
o Describe strengths and weaknesses
o Discuss implications for practice, education and research
o Include many types of evidence
What are the disadvantages to CAPs?
o Disadvantages: o Not all peer reviewed o Meant to be a guide o Someone else’s interpretation o Implications for practice may not apply to your particular case/client or practice setting
What information will you use to develop clinical bottom lines of your CAT?
o Results o What did all these studies say? o Validity o May be had one really strong study that found something different than another study with a weaker design o Common themes
More specifically, how will you identify intervention themes for your CAT?
o Mix of supportive/unsupportive studies? o Efficacy and/or effectiveness? o Comparative effectiveness? o Clinical significance? o Benefit/harm considerations? o Intervention fit with the setting? o Intervention fit with the client?
More specifically, how will you identify descriptive themes for your CAT?
o Illuminate understanding?
o Explain how it is helping you to understand it
o Guide your thinking or approach?
o Increase awareness of issues to address?
o Findings informative for clients/caregivers?
More specifically, how will you identify assessment themes for your CAT?
o What is it valid for?
o How can it be used?
o Is it sensitive and specific?
o Is it responsive? (will it show change over time?)
o Since there is not a well-developed theory to describe a phenomenon, you decide to use a _______ study to explore relationships that could later be studied _________
qualitative
quantitatively.