EBP week 8 reporting clinical research Flashcards

(25 cards)

1
Q

Reporting clinical research objectives for this module

A

Describe options for dissemination and reporting.
* Discuss the components of a research article and their
associated content.
* Discuss the relevant information that should be included in
each section of a research report.
* Describe the elements of good design for a research poster.
* Describe the important considerations in developing a
platform (or PPT) presentation

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2
Q

Purpose of reporting the research results

A

Reporting of research is the culmination and
final stage of the research process.
* Is the most important part of the process
because it
✓amplifies and expands the professional body of
knowledge
✓provides evidence for clinical practice
✓inspires future research
* What kind of formats do research reports take?

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3
Q

Format of research reports

A

Journal Papers
* Written articles published in
peer-reviewed journals
✓JAMA (J of AMA); JAAPA (J
American Academy of PAs);PTJ (physical therapy
journal); Journal of AlliedHealth, etc.
✓Provide a permanent record of research available to a
larger audience

Scientific Presentations
* Poster and Platform (PPT) presentations at
professional meetings
✓Disseminate research information in a timely
fashion though
✓research findings only in abstract forms
✓the audience is limited

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4
Q

Journal/written articles: general & typical steps

A
  • Selecting a journal to submit your manuscript
    ✓Choices are numerous; the key is to choose an
    appropriate one!
    ✓Check the aims/themes of the journal to make sure
    they publish the pertinent topics of and the type of
    your research (e.g., syst rev, case report, qualitative
    study etc.)
  • Preparing the article (manuscript)
    ✓Every journal publishes Instruction to Authors that
    must be followed during the preparation and
    submission of a manuscript
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5
Q

Written Reports
* Pay attention to Standards for Reporting
✓ Checklists to assure inclusion of all relevant information

A

Standards for Reporting Various Types of
Studies (Table 38.1 of Portney 2020)

  • Randomized trials CONSORT
  • Observational studies STROBE
  • Systematic reviews PRISMA
  • Diagnostic accuracy STARD
  • Prediction models/prognosis TRIPOD
  • Qualitative research COREQ
  • Case reports CARE
  • Clinical practice guidelines AGREE
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6
Q

Journal articles: general & typical steps

Structure and content of journal articles (i.e.,
anatomy of a research article)

A

✓Title and Abstract
✓Introduction
✓Methods
✓Results
✓Discussion and Conclusion*
(* No conclusion in clinical case report)
✓References
✓Illustrations (Tables and/or Figures)

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7
Q

✓Discussion and Conclusion*
(* No _________ in clinical case report)

A

conclusion
there is no conclusion in CASE REPORT

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8
Q

Title of a research project

A
  • Title is a project’s introduction, and creates the first
    impression to all potential readers.
  • It should be concise AND informative. Which one is
    the best?
    1. Bronchopulmonary Dysplasia
    2. Cardiovascular Problems in Bronchopulmonary
    Dysplasia
    3. Cardiovascular Effects of Stem-cell Therapy in
    infants with Bronchopulmonary Dysplasia

Option #3 is the best as it conveys information on patients, independent and dependent variables (i.e., PICO).

  • In general, a title for experimental studies would
    more likely be:
    ✓Effects (or Effectiveness) of treatment in patients e.g.,
    o Effect of early low-dose hydrocortisone on survival without bronchopulmonary dysplasia in extremely preterm infants (PREMILOC): a double-blind, placebo-controlled, multicentre, randomized trial
  • The title for correlational studies would be
    something like:
    ✓Association or Relationship between … and …
    o The relationship between lower extremity measures and items on Berg Balance Scale in stroke
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9
Q

Journal articles: Abstracts

A
  • Follow the requirement for an abstract in “Instruction to
    Authors” of the journal you select
  • In general, an abstract includes:
    ✓Background and Purpose of the study
    ✓General description of Methods
    ✓Highlights of Results
    ✓Statement of Significance of results
    ✓General Conclusions
  • An abstract has a word limit of 200/250 etc. and must
    be concise.
    Typically, write abstract after a manuscript is written!
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10
Q

Journal articles: Introduction

A
  • Introduction should consist of
    ✓Descriptions of the problem being studied
    ✓Clinical relevance (why it is important)
    ✓Review of the literature – relevant
    background that is essential in order to
    support:
    ➢Rationale for theoretical framework or
    hypothesis
    ✓Specific purpose/objective (and hypothesis)
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11
Q

Journal articles: Methods

A
  • The Methods section generally includes
    ✓Study design
    ✓Inclusion/exclusion criteria for and methods of
    subject selection
    # of subjects and mean ± SD of age; How were they
    selected? IRB approval and consent form etc.
    ✓Experimental protocol (procedures of Tx and/or
    measures)
    ✓Data collection techniques
    ✓Data analyses procedures including statistical tests
    for quantitative study or coding/theme for
    qualitative study
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12
Q

Journal articles: Results

A
  • Results section contains, ONLY a report of results, with NO interpretation of the results (reserved for Discussion section).
  • A Results section includes:
    ✓Narrative description of statistical outcomes in order of importance relative to the specific aims
    ➢ should emphasize the variables of interests rather then statistics alone;
    “the differences in step length were significant, t = -3.14 (p < 0.01)”
    vs.
    “the elderly group demonstrated a statistically shorter step length than the younger group (t = -3.14, p < 0.01)” [GOOD Example]
    ✓Tables and/or figures that summarize the findings
    ➢ to complement and facilitate the narrative description and explanation of results
    ➢ to provide visual explanation
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13
Q

Journal articles: Discussion and conclusions

A
  • The Discussion section, the heart of a research
    report, reflects the researcher’s interpretation of
    the results in terms of the study purpose and the
    outside world.
  • This section generally covers:
    ➢Interpretation of study results (e.g., statistical
    outcomes) in the context of
    ✓In comparison of results with previous work
    ✓Discussion of clinical significance of outcomes
    ✓Critique of the study limitations and strengths
    ✓Suggestions for future study and clinical implications
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14
Q

Manuscript writing

A
  • It is important to note
    ✓Each paragraph should make one main point
    ✓Intentional sequence of ideas (logical sequence)
    ✓Consistent use of terms (stay consistent avoid confusion)
    ✓Person or “people first” language
    o patients with diabetes, instead of diabetic patients
    ✓Avoid excess verbiage (e.g., “use” instead of “utilize”)
    ✓Active voice (“we applied the intervention ..”; rather than “the intervention was …”
    exception: “The subject was asked to fill ….”; instead of “I asked the subject to fill ….”
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15
Q

Journal articles: References (or Bibliographies)

A
  • Must follow “Instruction to Authors” of the journal about
    the style of citing references throughout the text and in
    the listing of references at the end of a manuscript.
  • Examples of citation styles are
  • AMA (American Medical Asso)
  • APA (American psychological Asso)
  • Vancouver and
  • Others
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16
Q

Who makes final decisions on manuscript revision,
acceptance, or rejection? journal editors or manuscript reviewers?

A
  • Journal Editors
17
Q

Scientific Presentations

A
  • Provide an opportunity for researchers to
    receive valuable feedback from colleagues on
    work in progress, especially useful as one
    prepares to submit for publication.
  • Stimulate consideration of new directions in
    research.
  • May be offered as a poster or a platform (PPT)
    presentation.
  • Typically a Call for Abstract seven months to
    one year in advance of the conference.
18
Q

The Poster presentation

A
  • Displayed so that it can be read and viewed in a
    more casual atmosphere
  • Opportunity to exchange ideas between the
    researcher and viewer
  • Follow formatting guidelines of conference
    organizers (dimension/orientation of poster)
19
Q

The Poster presentation: Content and layout

A
  • The poster should contain the MAJOR ELEMENTS
    of the study in a clear, brief series of statements
  • Tables, graphs or photos should summarize and
    illustrate IMPORTANT FINDINGS or unique aspects
    of the methods.
  • Effective posters are characterized by
    ✓being self-explanatory (use of tables, graphs, and
    photographs to illustrate)
    ✓without containing many written materials to avoid
    losing observers; yet
    ✓being complete enough to allow the observer to
    understand the full intent of the study
20
Q

The Poster presentation
* A ________ PowerPoint slide is used to create a poster.

21
Q

PLATFORM presentation: Visual presentation

A
  • PLATFORM presentation at professional meetings is
    usually assigned with 15 or 20 minutes including a
    Q&A session.
  • General format
    ✓Brief Introduction and outline of Methods
    ✓Present key points from Results
    ✓Include take home message and limitations in the
    Discussion
    ✓Clear conclusions and clinical implications

intro, methods, results, discussion, conclusion

22
Q

Platform presentation: Visual presentation
* Types of slides

A

✓Words or phrases (texts)
✓Photographs (e.g., to illustrate protocol in Methods)
✓Graphs (for Results) and
✓Tables (for Results)

23
Q

Platform presentation: visual present
limiting words

A

✓Must be legible; containing <= 6 lines, <= 45 characters each line

24
Q

Platform present: visual presentation
contents of slides

A

✓Synchronize the content of each slide and verbal commentary
✓Use bulleted lists, easier to follow than the long sentences
✓Outline the presentation, allowing audiences to connect

25
platform presentation: visual presentation graphics
✓Graphs and tables must be simple and easily understood ✓Sensible limits: 6 bars in a graph or 4 rows/columns in a table