EVIDENCE BASED PRACTICE. Amy Baker and Melissa Edwards 4 th year Occupational Therapy Students University of South Australia. Aims of the Session. To increase your understanding of Evidence Based Practice (EBP), including: What EBP is Why use EBP How to be an evidence based practitioner.
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Amy Baker and Melissa Edwards
4th year Occupational Therapy Students
University of South Australia
To increase your understanding of Evidence Based Practice (EBP), including:
A process whereby research evidence, clinical knowledge and reasoning are used to make decisions about interventions that are effective for a specific client(s)
EBP is not about conducting research it is about USING RESEARCH
Questions can be in relation to:
“What is the evidence for the effectiveness of X (intervention) for Y (outcome) in a client with Z (problem or diagnosis)”
Use PICO format:
P= The population or problem you are interested in (client group, problem)
I= The intervention that you are interested in
C= The comparison or alternative intervention (if relevant)
O= The outcome or reason for using the intervention
What evidence is there for the validity and relevance of the Barthel Index vs. the COPM as an assessment of occupational performance for older adults who have a physical disability?
Identify the PICO components of the following question:
Are self management strategies more effective than medical care alone for improving health status, quality of life and function amongst adults with coronary heart disease?
Work in groups of 2 or 3, from the following scenario:
“You have been running a garden therapy group for people with eating disorders, as a part of their inpatient program at a mental health hospital. The group has been really successful, however, you need some extra evidence for its benefits in your proposal to have the group continued. You decide to conduct an EBP review.”
Need to consider:
“Do the flaws make me question the conclusion?”
Consider the type of research conducted: (hierarchical list)
Some general questions to ask include:
Useful critical appraisal checklist and guidelines are available at:
Examples of strategies to implement evidence into practice include:
When evaluating the impact, consider:
Some barriers to EBP that have been discussed in literature include:
HOWEVER, BARRIERS CAN ALWAYS BE OVERCOME