Comps review Flashcards
(134 cards)
When/why ask an FQ?
Uncertain about clinical issue, want an answer
What is a PICO?
4 required elements of FQ (in any order)
What does PICO stand for?
- Patient/problem
- Intervention
- Comparison/contrast
- Outcome
What to use PICO for?
- Research about treatment
- about diagnoses/screening tools
- How well one of the treatments/diagnosis tools worked for a client
- How you would gather patient preferences about their treatment options
Oxford Hierarchy (top to bottom)
- Systematic review and meta analyses of RCTs
- RCTs
- Cohort studies
- Case control studies
- Cross sectional surveys
- Case studies
- Ideas, expert opinions, editorials
- Anecdotal
Lit reviews
- Systematic review
- Meta-analysis
Systematic review
Gather and summarize all relevant studies on a topicM
Meta-analysis
If the studies have similar enough methods, pool them and do stats over everything
- Numerical support for the conclusions across studies
Individuals works
- Lit reviews
- Original research
Professional association journals and websites
- ASHA
- American Academy of Audiology
- American Psychological Association
Documenting steps
- Heading: Where you searched + search terms
- List full citations for articles that look relevant
- List notes below the citation about the article’s usefulness for your current purpose
Citation parts
- Authors
- Year
- Title (article, chapter)
- Source (journal, book)
- Publication details
- Page numbers
- DOI or website
Clinical Studies: Phase Model
- Phase I & II: Exploratory, small groups
- Phase III: Hypothesis testing, big samples
- Phase IV: Translate to practice
- Phase V: Practical matters
Phase I & II: Exploratory, small groups
- Treatment effect
- Refine operations, populations, methods, effects
Phase III: Hypothesis testing, big samples
- Treatment efficacy
- Pretest-posttest
Phase V: Practical matters
- Cost-benefit
- Quality of life
- Satisfaction
Review Articles
- Summarize results from Phase IV & V studies w/ common hypotheses
Review Styles
- Narrative
- Meta-analysis (quantitative)
- Best evidence
Narrative Review - Traditional lit review
- Thorough search
- Describe results qualitatively
- Overall conclusion
Narrative Review - Drawbacks
- Subjective bias
- Subjective interpretations
Systematic Review
- Clear protocol for selecting and evaluating studies before beginning review
- Has 6 steps
Steps to Systematic Review
- Formulate problem/question
- Locate, select studies (selection criteria)
- Assess study quality (uniform standards)
- Collect data (across studies, quantitative or qualitative methods)
- Analyze results
- Interpret results
Early Meta-Analysis Methods
- Vote counting
- Combined-probability
Vote Counting
- Number of studies with positive, negative, null results/conclusions
- Drawback: no effect size