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Evaluating A Journal Article

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EBM

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    Evaluating A Journal Article Evaluating A Journal Article Presentation Transcript

    • Evidence-Based Rehabilitation Therapy Finding the Evidence
    • Outline Introduction to EBP  Evaluating a journal article 
    • Evidence Based Practice “EBP requires speech pathologists  (therapists) to integrate their individual clinical expertise with the best available evidence from systematic research…It 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
    • 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.
    • Ask answerable clinical questions (Scenario) You want to start a home activity program  (HAP) for a family that has a child with global developmental delays (GDD
    • Clinical Question Are home activity programs effective in children that have global developmental delays?
    • Formulating your question One of the most important steps is CLEARLY defining your question. Remember PICO:  P - Patient or population I - Intervention or exposure  P I C - Comparison  C O O - Outcome 
    • Breaking Down the Clinical Question Are home activity programs effective in children that have global developmental delays? P_______________ I________________ C_______________ O_______________
    • PICO P – Children with global developmental delays I – Home activity Programs C – Children that receive HAP compared to those that do not receive HAP O – Improved Parental Care
    • The Search Background  Foreground 
    • Finding the answer in the Library Databases for Rehabilitation •Cochrane •CINAHL •Medline •PubMed •Psychinfo
    • Journal Articles Broad topics of Research Most research studies are concerned with one or more of the following Therapy  Diagnosis  Screening  Prognosis  Causation 
    • EBM Pyramid
    • You find “The Article” 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
    • Critique the article Title: Does the title of the article reflect  the content? The Authors what was their professional  background
    • 3. Currency: how current is the research? When was the study carried out? This might not be related to when it was published 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
    • 7. Sample of Study Population 8. Discussion/Conclusion 9. Implications Were the study patients similar to my patient?  Were all clinically important outcomes  considered? Are the likely treatment benefits worth the  potential harm and costs?
    • Conclusion Evidence Based practice  Finding resources  Library  Books  journals  Critiquing an article  Putting everything into context  Use in my practice?  Carry out more research on the topic? 