Flashcards in EBP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Deck (92)
What are the 5 Steps to the EBP process
ask, access, appraise, apply, assess
What are the 2 types of question in a clinical setting?
What is a background question?
- general questions
- can come from the doctor or patient
What are foreground Qs?
- answerable clinical questions
- from patient and/or doctor
- ie. PICO
What are the realms of foreground questions
-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?
When is PICO formatting required?
for creating a foreground question
What does PICO stand for?
-Outcome of interest
What kind of studies help to answer foreground Qs
- RCTs for therapy related
What is a more practical source of information (other than Dr. Bhalaero)
What sites are useful for pre-appraised literature
-Physiotherapy Evidence Database (more applications for Chiro)
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?
What is the EBP Sandwich...
Meat/cheese - the take home question
Bread - how effective is the treatment
Bread - how good is the evidence
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
What are best answers for Therapy Qs?
What are the best answers for etiology and risk factor?
RCT, cohort studies, or case-control studies
What are the best answers for frequency and rate Qs?
cohort and cross sectional studies
What are the best answers for Diagnostic Qs?
What are the best answers for Prognosis and Prediction Qs?
What is an Observational study?
One in which the researcher is passive
What is an Experimental study?
One in which the researcher is active
What are observational cross-sectional studies
exposure and outcome are measured at the same time and once, like a snap shot in time
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
Which study type is best for assessing risk factors or rare conditions?
What are observational cohort studies
data is obtained via exposure of 2 groups over time
What is considered the primary study in an Experimental Study?
What are the key components of a RCT?
- Baseline measurement
- Blinded intervention
- Blinded assessors measure outcomes
If the exposure/intervention was randomly allocated, the study is a ______________?
If the outcome was determined some time after the intervention, the study type was a ____________?
If the outcome was measured at the same time as the exposure, the study was a _____________?
cross-sectional (snap shot in time)