EBP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Flashcards Preview

EBP1 > EBP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! > Flashcards

Flashcards in EBP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Deck (92)
Loading flashcards...
0

What are the 5 Steps to the EBP process

ask, access, appraise, apply, assess

1

What are the 2 types of question in a clinical setting?

-background
-foreground

2

What is a background question?

- general questions
- can come from the doctor or patient

3

What are foreground Qs?

- answerable clinical questions
- from patient and/or doctor
- ie. PICO

4

What are the realms of foreground questions

(PTHD)
-Prognosis - what was the observed outcome?
-Therapy - will a modality help?
-Harm - will exposure have an adverse effect?
-Diagnosis - will a particular test help me?

5

When is PICO formatting required?

for creating a foreground question

6

What does PICO stand for?

-Population/problem
-Intervention
-Comparison intervention
-Outcome of interest

7

What kind of studies help to answer foreground Qs

Primary studies
- RCTs for therapy related

8

What is a more practical source of information (other than Dr. Bhalaero)

Pre-appraised literature

9

What sites are useful for pre-appraised literature

-Dynamed
-TRIP
-Physiotherapy Evidence Database (more applications for Chiro)

10

When assessing the patient what are some questions you need to ask when it comes to pre-appraised lit.

-Did it help?
-Did it hurt?

11

What is the EBP Sandwich...

Meat/cheese - the take home question
Bread - how effective is the treatment
Bread - how good is the evidence

12

What is the pyramid of evidence for research? (from top to bottom)

GOD ->Systemic reviews ->RCT ->Cohort Studies ->Case-control ->Case-study/cross sectional ->Expert opinion ->animal studies

13

What are best answers for Therapy Qs?

RCT

14

What are the best answers for etiology and risk factor?

RCT, cohort studies, or case-control studies

15

What are the best answers for frequency and rate Qs?

cohort and cross sectional studies

16

What are the best answers for Diagnostic Qs?

cross-sectional studies

17

What are the best answers for Prognosis and Prediction Qs?

Cohort studies

18

What is an Observational study?

One in which the researcher is passive

19

What is an Experimental study?

One in which the researcher is active

20

What are observational cross-sectional studies

exposure and outcome are measured at the same time and once, like a snap shot in time

21

what are observational case-control studies

subjects with a specific outcome are matched with those without the outcome and info is obtained about their past exposure to a factor under study

22

Which study type is best for assessing risk factors or rare conditions?

case-control

23

What are observational cohort studies

data is obtained via exposure of 2 groups over time

24

What is considered the primary study in an Experimental Study?

RCT

25

What are the key components of a RCT?

- Allocation
- Randomization
- Baseline measurement
- Blinded intervention
- Blinded assessors measure outcomes

26

If the exposure/intervention was randomly allocated, the study is a ______________?

RCT

27

If the outcome was determined some time after the intervention, the study type was a ____________?

cohort study

28

If the outcome was measured at the same time as the exposure, the study was a _____________?

cross-sectional (snap shot in time)

29

If the outcome was measured before the exposure was determined, the study was a ______________?

case-control