Principles Of Intervention Flashcards
What are the 3 main purposes of intervention?
- To change/eliminate the underlying problem
- To change the disorder
- To teach compensatory strategies
*4. To modify environment
Changing the child from language delay to normal language learner
Change/eliminate the underlying problem
improve child’s language by teaching specific behaviors such as expanding the vocabulary, grammatical morphemes, more semantic relations, use of language more flexible
To change the disorder
Main point: work and improve child’s language skils
To change the disorder
Give tools to function better with deficits they have
To teach compensatory strategies
Influence the context in child must function
To modify environment
conscientious, explicit, and unbiased use of current best research results in making decisions about the care of individual clients
Evidence-Based Practice
Integrating clinical expertise with the best available external clinical evidence
EBP
internal evidences in subscribing to EBP are..
Client’s and our own
3 PRINCIPLES OF APPROACHING EXTERNAL
EVIDENCE
- opinions of expert authorities (including expert panels and consensus groups) should be viewed with skepticism.”
- Some studies are better, and therefore better suited to inform clinical decisions, than other
- Clinicians must be critical about the quality of evidence that they use to guide clinical decision-making.
A systematic meta-analysis of multiple well-designed randomized controlled studies
IA
A well-conducted single randomized controlled trial (RCT) with a narrow confidence interval
IB
systematic review of nonrandomized quasi-experimental trials or a systematic review of single subject experiments that documents consistent study outcomes
IIa
A high quality quasi-experimental trial or a lower quality RCT or a single
subject experiment with consistent outcomes across replications
IIb
Observational studies with control (retrospective studies, interrupted time- series studies, case-control studies, cohort studies with controls)
III
Observational studies without controls
IV
Expert opinions without critical appraisal or theoretical background or basic research
V
How to incorporate EBP
- Formulate clinical question (PICO)
- Use internal evidence to determine approach
- Find best external research device
- Grade/Rate studies
- Integrate internal and external devices
- Evaluate and document
Formulate your clinical question by including the four “_____” elements
PICO
P - patient/problem
I - intervention being considered
C - comparison treatment
O - desired outcome
3 ASPECTS OF AN INTERVENTION PLAN
Intended products/objectives
Processes to achieve goals
Contexts
3 kinds of goals
LTG
STG
SG
Areas selected: for functionality or severity of the deficit
Usually long-term objectives
General Goals (LTG)
Greater specification within a goal
Usually there are several intermediate goals to target or reach the basic goal
Intermediate Goals / short term goals
Little steps along the way way in order to achieve the intermediate goal as well as the basic goal.
Session goals
