Evaluating A Journal Article

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Evaluating A Journal Article

  1. 1. Evidence-Based Rehabilitation Therapy . _ _ O00 Funding the Evidence 0000 00000 0000 0000 CO0 00
  2. 2. Outline : :° 0 Introduction to EBP 0 Evaluating a journal article
  3. 3. Evidence Based Practice 0 “EBP requires speech pathologists (therapists) to integrate their individual clinical expertise with the best available evidence from systematic research. ..lt means moving away from basing decisions on opinion, past practice and past teaching towards clinical decision- making that is guided by science and research” Evidence-Based Practice in Speech Pathology by Sheena Reilly, Jenni Oates p.5
  4. 4. Evidence-based Practice: Steps 1. Ask answerable clinical questions. 2. Search relevant literature efficiently. 3. Appraise found data critically. 4. Apply valid evidence into clinical decision-making. 5. Evaluate and improve the process for future use.
  5. 5. Ask answerable clinical 553- questions (Scenario) : :° 0 You want to start a home activity program (HAP) for a family that has a child with global developmental delays (GDD
  6. 6. Clinical Question Are home activity programs effective in children that have global developmental delays?
  7. 7. Formulating your question : :' One of the most important steps is CLEARLY defining your question. Remember PICO: 0 E - Patient or population 0 1- Intervention or exposure 0 Q - Comparison 0 Q - Outcome
  8. 8. Breaking Down the Clinical Question Are home activity programs effective in children that have global developmental delays? P I C O
  9. 9. PICO : :° E — Children with global developmental delays 1- Home activity Programs Q — Children that receive HAP compared to those that do not receive HAP Q — Improved Parental Care
  10. 10. The Search 553' 0 Background 0 Foreground
  11. 11. Finding the answer in the Library : :' Regina Qu‘Appdlc Il. lt'II IL: on Databases for Rehabilitation °Cochrane °ClNAHL °Med| ine -PubMed °Psychinfo Health sciences Library """' """'V - v. ... ... l. u. .. I 15.. ., r. a.. s., ... . yu. .w-y. .,.1. Cition Marugzr KLEILJ ELLE Drug and Hutal Resaun: :5 r '. r~= enmnlc down: Is . . Pracicl Guidelines Onliwl Tutorials -. “Fr '0"! M C II‘ ROIOWPOC P95 Ixal I-all-ulrullon Vlfieu -‘~" _“W, , . ‘.“K'u £9’! H i I I -u-: :--- n: - Subuctculdn " . . I “.
  12. 12. Journal Articles Broad topics of Research Most research studies are concerned with one or more of the following 0 Therapy 0 Diagnosis 0 Screening 0 Prognosis 0 Causation
  13. 13. M l-7yra_I‘rIicl Systematic Reviews TRIP Database searches these Critically-Appraised Topics FILTERED INFORMATION ' It I gm“ aneous Y [Evidence Syntheses] § Critically-Appraised Individual Randomized Controlled Trials (RCTs) Cohort Studies " Articles [Article Synopses] ’ UNFILTERED INFORMATION Background Information / Expert Opinion
  14. 14. You find “The Article” 0 Home activity programs in families with children presenting with global developmental delays: evaluation and parental perceptions International Journal of Rehabilitation Research. 26(3):165-73, 2003 Sep
  15. 15. Critique the article : :° 0 Title: Does the title of the article reflect the content? 0 The Authors what was their professional background
  16. 16. 3. Currency: how current is the research? When was the study carried out? This might not be related to when it was pubflshed 4. The Abstract: 5. The problem: Why was the study done, what was it about and why was it thought to be important? 6.Review of the Literature
  17. 17. 7. Sample of Study Population : ::: 8. DiscussionlConc| usion 9. Implications 0 Were the study patients similar to my patient? 0 Were all clinically important outcomes considered? 0 Are the likely treatment benefits worth the potential harm and costs?
  18. 18. Conclusion 0 Evidence Based practice 0 Finding resources 0 Library ' Books ' journals 0 Critiquing an article 0 Putting everything into context 0 Use in my practice? 0 Carry out more research on the topic?

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