Podcast
Questions and Answers
What was the year when evidence-based medicine was introduced?
What was the year when evidence-based medicine was introduced?
- 1972
- 2002
- 1992 (correct)
- 2012
Which of the following is NOT an argument for the benefits of evidence-based practice?
Which of the following is NOT an argument for the benefits of evidence-based practice?
- Inefficient use of resources (correct)
- Stop ineffective practices
- Avoid (or decrease) biases from clinical experience alone
- Promotes inquiry and continual improvement
What does evidence-informed practice arise from?
What does evidence-informed practice arise from?
- Evidence-based practice only
- Evidence-based medicine only
- Unsystematic clinical experience
- Evidence-based medicine and evidence-based practice (correct)
What did Archie Cochrane observe about treatment decisions in 1972?
What did Archie Cochrane observe about treatment decisions in 1972?
What is one of the benefits of evidence-based practice according to the text?
What is one of the benefits of evidence-based practice according to the text?
What gap does evidence-informed practice aim to address?
What gap does evidence-informed practice aim to address?
What does evidence-informed practice aim to stop?
What does evidence-informed practice aim to stop?
Which source does evidence-based practice promote the use of?
Which source does evidence-based practice promote the use of?
What did the introduction of evidence-based medicine shift away from?
What did the introduction of evidence-based medicine shift away from?
What does evidence-based practice aim to improve within/across professions?
What does evidence-based practice aim to improve within/across professions?
What type of studies ask if there is a relationship between a risk factor and an outcome?
What type of studies ask if there is a relationship between a risk factor and an outcome?
What strengthens the cause-effect relationship when there are examples of well-established causes that are analogous to the one in question?
What strengthens the cause-effect relationship when there are examples of well-established causes that are analogous to the one in question?
What type of studies compare the effect of different interventions in an individual patient?
What type of studies compare the effect of different interventions in an individual patient?
What is used to combine the results of multiple studies?
What is used to combine the results of multiple studies?
"Biological plausibility strengthens the relationship between cause and effect if the cause-effect relationship is consistent with our current understanding of disease mechanisms." What is a challenge to biological plausibility?
"Biological plausibility strengthens the relationship between cause and effect if the cause-effect relationship is consistent with our current understanding of disease mechanisms." What is a challenge to biological plausibility?
What is strong evidence for a cause-effect relationship?
What is strong evidence for a cause-effect relationship?
What do observational studies ask?
What do observational studies ask?
What do experimental studies do?
What do experimental studies do?
What do systematic reviews and meta-analyses do?
What do systematic reviews and meta-analyses do?
What is the process of evidence-based practice (EBP)?
What is the process of evidence-based practice (EBP)?
What is the main concern about undermining naturopathic philosophy with EBP?
What is the main concern about undermining naturopathic philosophy with EBP?
What is critical appraisal in the context of EBP?
What is critical appraisal in the context of EBP?
What is the difference between correlation and causation?
What is the difference between correlation and causation?
What does bias refer to in research?
What does bias refer to in research?
What are the principles of causation in research?
What are the principles of causation in research?
What is a confounding variable in research?
What is a confounding variable in research?
What is empirical method in acquiring knowledge?
What is empirical method in acquiring knowledge?
What do gold standard studies represent in EBP?
What do gold standard studies represent in EBP?
What is one of the misconceptions about Evidence-Based Practice (EBP)?
What is one of the misconceptions about Evidence-Based Practice (EBP)?
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Study Notes
- Against the Evidence-Based Practice (EBP) approach, a practitioner uses only proven effective modalities or treatments
- Misconceptions about EBP: reduction of treatment options for under-studied modalities, challenging to study complex clinical situations, and exclusion of factors that can't be applied to complex clinical situations
- Concerns about undermining naturopathic philosophy: less individualization, loss of the 'art' of practice
- Studies show an average improvement, but it doesn't guarantee patient benefit
- Gold standard studies are expensive and don't always exist, reducing emphasis on professional judgement and creativity
- Evidence-based practice (EBP) process: Ask, Acquire, Appraise, Apply, Assess
- Critical appraisal: systematically examining research evidence to judge its trustworthiness and value
- Empirical method of acquiring knowledge through observation and experimentation
- Correlation: measurement of the size and direction of the relationship between two variables
- Causation: relationship where one variable (independent variable) causes the other (dependent variable)
- Confounding variable: an additional variable causing a change in the dependent variable
- Bias: anything that systematically influences the conclusion or distorts comparisons, including selection, performance, attrition, detection, and observation
- Principles of causation: temporality, strength, dose-response, reversibility, and considerations for confounding.
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