Evidence-Based Practice in Physical Therapy
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Questions and Answers

What is the primary purpose of evidence-based practice (EBP) in physical therapy?

  • To replace traditional techniques with new methodologies
  • To emphasize patient opinions over scientific evidence
  • To provide therapists with a theoretical understanding of practice
  • To ensure the integration of clinical expertise with the best available evidence (correct)

Which step is NOT part of the process of evidence-based practice?

  • Search for relevant clinical articles
  • Formulate a clinical question from a patient's problem
  • Implement findings without evaluation (correct)
  • Critically appraise the evidence for usefulness

In the context of EBP, what does the PICO framework stand for?

  • Procedure, Intervention, Context, Outcome
  • Problem, Intervention, Care, Organization
  • Patient, Intervention, Comparison, Outcome (correct)
  • Patient, Information, Comparison, Objective

Which of the following is an important outcome of implementing EBP in clinical practice?

<p>Enhanced patient satisfaction and improved health outcomes (D)</p> Signup and view all the answers

What characteristic distinguishes foreground questions from background questions in EBP?

<p>Foreground questions address specific patient problems (B)</p> Signup and view all the answers

How does the ICF framework enhance the formulation of clinical questions in EBP?

<p>By integrating personal and environmental factors into patient care (C)</p> Signup and view all the answers

What is a common misconception about evidence-based practice in physical therapy?

<p>It discourages the inclusion of clinical expertise and judgment (C)</p> Signup and view all the answers

What aspect of EBP is fundamentally linked to sensitive practice in physical therapy?

<p>Acknowledging the importance of individual patient experiences (D)</p> Signup and view all the answers

What is the first step in the evidence-based practice process?

<p>Formulate a clear clinical question (A)</p> Signup and view all the answers

What type of questions are typically asked for specific knowledge related to a patient's treatment?

<p>Foreground questions (C)</p> Signup and view all the answers

In the context of PICO, what does the 'C' stand for?

<p>Comparison intervention (A)</p> Signup and view all the answers

Which of the following actions takes place after implementing evidence in clinical practice?

<p>Evaluate performance (B)</p> Signup and view all the answers

What is primarily assessed during the critical appraisal step?

<p>The validity and usefulness of the evidence (C)</p> Signup and view all the answers

Which is an example of a background question?

<p>How do you measure shoulder range of motion? (D)</p> Signup and view all the answers

Which of the following best describes an intervention question in the evidence-based practice context?

<p>Does physical therapy improve outcomes for chronic shoulder stiffness? (B)</p> Signup and view all the answers

When evaluating a patient's progress after treatment, which outcome measure is most relevant?

<p>Functional abilities related to daily activities (D)</p> Signup and view all the answers

What is evidence-based practice primarily concerned with integrating?

<p>Best research evidence, clinical expertise, and patient values (B)</p> Signup and view all the answers

Which of the following defines the role of clinical expertise in evidence-based practice?

<p>The ability to incorporate clinical skills and past experiences (C)</p> Signup and view all the answers

Which element is NOT a component of evidence-based practice?

<p>Personal beliefs of the practitioner (A)</p> Signup and view all the answers

What type of research is regarded as 'clinically relevant' in evidence-based practice?

<p>Patient-centered clinical research (D)</p> Signup and view all the answers

Which of the following best describes patient values in the context of evidence-based practice?

<p>Concerns and expectations that are unique to each patient (C)</p> Signup and view all the answers

Which statement best illustrates the process of evidence-based practice?

<p>Integrating research evidence, clinical expertise, and patient-specific factors (C)</p> Signup and view all the answers

Which of the following best describes the importance of patient circumstances in evidence-based practice?

<p>They influence treatment decisions and patient outcomes (A)</p> Signup and view all the answers

What is a central tenet of evidence-based practice regarding decision-making?

<p>Conscientiously and judiciously using best evidence available (C)</p> Signup and view all the answers

What is the purpose of utilizing a Journal Table of Contents in the context of evidence-based practice?

<p>To stay updated with the most important journals in the clinical area (C)</p> Signup and view all the answers

Which of the following is not a resource for obtaining full-text articles in evidence-based practice?

<p>Free newspaper subscriptions (B)</p> Signup and view all the answers

What is the main benefit of logging into Pubmed using My NCBI?

<p>To save searches and automate search repetitions (B)</p> Signup and view all the answers

Which of these represents a potential misconception about the phases of evidence-based practice?

<p>Evaluating performance is only necessary at the beginning (D)</p> Signup and view all the answers

What is the primary function of checking MeSH for ‘better’ terms during the evidence gathering process?

<p>To expand search terms for comprehensive literature retrieval (B)</p> Signup and view all the answers

Which component is the highest on the hierarchy of intervention evidence?

<p>Systematic reviews (D)</p> Signup and view all the answers

In the context of the 6S model, which level directly involves clinical decision support systems?

<p>Systems (C)</p> Signup and view all the answers

Which step follows the critical appraisal of evidence in the evidence-based practice process?

<p>Implement useful findings in clinical practice (D)</p> Signup and view all the answers

What is the primary purpose of integrating research evidence with clinical expertise?

<p>To improve treatment outcomes that align with patient values (B)</p> Signup and view all the answers

Which resource provides synthesized summaries of psychometric properties for outcome measures in rehabilitation?

<p>Rehab Measures Database (C)</p> Signup and view all the answers

Which option describes the focus of systematic reviews in evidence-based practice?

<p>Thorough critique and synthesis of multiple valid studies (A)</p> Signup and view all the answers

Which of the following is the correct order of the basic steps in evidence-based practice?

<p>Formulate questions, search literature, critically appraise, implement findings (B)</p> Signup and view all the answers

What is the primary focus of the EDGE taskforce in rehabilitation research?

<p>Evaluation of outcome measure effectiveness (D)</p> Signup and view all the answers

Which of the following databases is specifically tailored for clinical test accuracy?

<p>DiTA (A)</p> Signup and view all the answers

What is the primary characteristic of the 5.0 model in evidence-based healthcare?

<p>It provides a framework for accessing pre-appraised evidence. (A)</p> Signup and view all the answers

Where can one find comprehensive medical information that covers many areas through filters and full-text links?

<p>PubMed/MEDLINE (D)</p> Signup and view all the answers

Which type of study is considered lower in the hierarchy of evidence compared to randomized controlled trials?

<p>Cohort study (D)</p> Signup and view all the answers

Which organization provides guidelines for physical therapy practice based on evidence?

<p>APTA (D)</p> Signup and view all the answers

Which database is known for having systematic reviews that assess health technology effectiveness?

<p>Health Technology Assessment Database (A)</p> Signup and view all the answers

Which of the following platforms provides access to academic journals relevant to physical therapy?

<p>Physical Therapy Journal via APTA (A)</p> Signup and view all the answers

Which aspect of rehabilitation measures does the APTA Evidence Based Practice Resources help to improve?

<p>Integration of psychometric properties (A)</p> Signup and view all the answers

Flashcards

What is Evidence-Based Practice (EBP)?

The conscientious, explicit, and judicious use of current best evidence in making decisions about patient care.

Patient Values and Circumstances in EBP

The unique preferences, concerns, and expectations of each patient, along with their clinical state and the setting, contribute to their individual needs.

Clinical Expertise in EBP

The ability to apply clinical skills and past experience to patient care based on knowledge and experience, including understanding the unique context of the patient's case.

Best Research Evidence in EBP

Research studies that are relevant to clinical practice, especially patient-centered research on diagnosis, prognosis, and intervention.

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What are the 3 components of EBP?

Integrating the best available scientific evidence, clinical expertise, and the patient's unique values and circumstances to determine the best course of care.

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Steps of Evidence-Based Practice

  1. Ask a focused clinical question. 2. Search for the best evidence to answer the question. 3. Critically appraise the evidence. 4. Integrate the evidence with clinical expertise and patient values. 5. Evaluate the effectiveness of the intervention and the patient's progress. 6. Disseminate the findings and learn from others’ experiences.
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What is a clinical question?

A well-structured question that guides your search for relevant research.

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What is the PICO format?

A clear and structured format for clinical questions, using the acronym PICO.

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What are background questions?

Questions seeking general knowledge or background information.

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What are foreground questions?

Questions focused on finding specific evidence to guide clinical decisions for a specific patient.

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What is the International Classification of Functioning, Disability and Health (ICF)?

A framework that describes health and disability in a comprehensive way, considering body functions, activities, and participation.

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What are the steps of evidence-based practice?

The steps involved in EBP, from formulating a question to evaluating the outcome.

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What is critical appraisal?

The process of judging the quality and relevance of research evidence to determine its usefulness for clinical practice.

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Clinical Question

A question formulated to guide a search for evidence-based information to address a specific patient's needs.

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Background Question

A question about a specific patient's problem or condition which aims to gather general knowledge about the subject matter.

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Foreground Question

A question focused on specific knowledge or action for a patient, often asking about diagnosis, prognosis, treatment, or intervention.

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PICO Framework

A structured framework for formulating clinical questions, encompassing the Patient, Intervention, Comparison, and Outcome (PICO) elements.

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PICO Question

A specific question that utilizes the PICO format, addressing a particular patient's problem or condition and seeking to compare different interventions, diagnostic tests, or prognostic factors.

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P - Patient / Problem

The patient or problem being addressed in the clinical question.

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I - Intervention

The intervention, diagnostic test, or prognostic factor being considered in the clinical question.

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C - Comparison

The comparison intervention, diagnostic test, or prognostic factor used as a benchmark in the clinical question.

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O - Outcome

The desired outcome or result being measured or observed in the clinical question.

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What is MeSH?

A structured way to organize information and create searchable databases for clinical research. It helps standardize medical records and makes it easier for doctors to compare data.

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What is the PICO framework?

A structured format to make a clear clinical question for research. It encompasses elements like Patient, Intervention, Comparison, and Outcome.

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What is a foreground question?

A question that seeks specific knowledge or evidence about a diagnosis, prognosis, treatment, or intervention for a specific patient's problem.

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What is the Hierarchy of Evidence?

A system used to categorize research based on the strength and validity of its findings.

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What is a Systematic Review?

A summary of the medical literature that uses explicit methods to thoroughly search and appraise individual studies. It combines valid studies using statistical techniques to provide a comprehensive analysis.

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What is the 6S Model?

A model that outlines different levels of evidence for clinical decision-making, from individual studies to summaries of systematic reviews.

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Rehab Measures Database

A comprehensive database that provides information on the psychometric properties of outcome measures used in rehabilitation, including links to instruments and instructions for administration.

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APTA Clinical Practice Guidelines

A collection of evidence-based clinical practice guidelines created and maintained by the American Physical Therapy Association (APTA).

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Cochrane Collaboration

A large, international organization that produces and disseminates systematic reviews of healthcare interventions, including physical therapy.

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Cochrane Database of Systematic Reviews

A database of systematic reviews of healthcare interventions maintained by the Cochrane Collaboration.

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PEDro

A free database that provides summaries of systematic reviews of healthcare interventions, with a focus on effectiveness and reliability.

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DiTA

A website that hosts a database of diagnostic test accuracy studies, useful for evaluating the accuracy of specific tests.

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APTA Evidence Resources

A database of published articles and research related to physical therapy, including the Physical Therapy journal.

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PubMed

A widely used database of biomedical and life sciences literature, including research on physical therapy.

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Study Notes

Evidence-Based Practice in Physical Therapy

  • Evidence-based practice (EBP) is the conscientious, explicit, and judicious use of current best evidence in making decisions about patient care.
  • It involves integrating best research evidence with clinical expertise and patient values and circumstances.
  • EBP has three key components: research evidence, clinical expertise, and patient values and circumstances.

Session Objectives

  • Evaluate the role of research evidence in physical therapy practice.
  • Define evidence-based practice.
  • Discuss the components of evidence-based practice.
  • Identify the steps of evidence-based practice.

Steps of Evidence-Based Practice

  • Formulate a clear clinical question from a patient's problem.
  • Search the literature for relevant clinical articles.
  • Critically appraise the evidence for its validity and usefulness.
  • Implement useful findings in clinical practice.
  • Evaluate one's performance.

Knowledge-to-Action Cycle

  • Knowledge inquiry
  • Knowledge synthesis
  • Knowledge tools/products
  • Adapt knowledge to local context
  • Implement interventions
  • Monitor knowledge use
  • Evaluate outcomes
  • Sustain knowledge use

Clinical Research

  • Involves human subjects and answers questions about diagnosis, intervention, prevention, and prognosis in relation to disease or injury.
  • Is a structured process of investigating facts and theories to improve individual and public health.
  • Proceeds systematically to examine clinical or societal conditions, outcomes, and generate evidence for decision-making.

Types of Clinical Questions

  • Background questions: Usually for general knowledge, e.g., What is adhesive capsulitis?
  • Foreground Questions: Ask for specific knowledge related to a particular patient's diagnosis, prognosis, and treatment, e.g., Does this intervention work in this patient?

PICO Questions

  • Structure for formulating clinical questions.
  • Patient/problem (e.g., children with cerebral palsy)
  • Intervention (e.g., strength training)
  • Comparison (e.g., no training)
  • Outcome (e.g., improve gait)

PICO Examples

  • Intervention: For children with cerebral palsy, does strength training compared to no training improve gait?
  • Diagnosis: For persons with acute knee injuries, is the anterior drawer test compared to the reference standard accurate to detect the presence of anterior cruciate ligament tears?
  • Prognosis: For older adults, does the Berg Balance Test predict falling in the next 12 months?

Case Study: Chronic Stiff Shoulder

  • A 55-year-old woman with chronic stiff shoulder pain, localized to the shoulder and not radiating to other body parts, with limited passive ROM in different planes and positive findings in different tests.

Case Study: Plantar Fasciitis

  • A 45-year-old operating room nurse with a 3-month history of left heel pain, worse after weight-bearing, sitting and at the end of the day. Negative lumbar and knee screen. Positive findings in different tests to investigate the diagnosis.

Reference Styles (AMA vs. APA)

  • AMA: Uses superscripts in the text for citations
  • APA: Uses author and year format in the text for citations

Additional Resources

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Related Documents

Evidence-Based Practice PDF Fall 2024
EBP Searching Fall 2024 PDF

Description

This quiz explores the fundamentals of evidence-based practice (EBP) in physical therapy. Participants will evaluate how research evidence integrates with clinical expertise and patient values to improve patient care. Key components and steps of EBP will be discussed to enhance understanding and application.

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