Final Exam Flashcards

(63 cards)

1
Q

EBP Model Components

A

Best available research evidence
Clinical expertise
Patient unique values
Clinical circumstances

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2
Q

Barriers to EBP

A

Therapist, system, Profession

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3
Q

What is PICO

A

P- patient, population, problem
I- intervention, exposure, test
C- comparison
O- outcome

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4
Q

Randomized control trial

A

controlled comparison, intervention, placebo, random assignment, restricted subject selection

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5
Q

Pragmatic clinical trial

A

focus on real world outcome, participants are patients and receive intervention, outcomes are the factor

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5
Q

quasi experimental designs

A

comparative design without randomization and control group. time series designs to allow repeated measurement over time

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6
Q

single subject design

A

systematic study on one or more subjects with repeated measurement under controlled and experimental condition

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7
Q

types of explanatory research

A

randomized control trial
pragmatic clinical trial
quasi experimental designs
single subject design

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8
Q

exploratory/observational reserach

A

cohort studies
case-control studies
correlation/predictive studies
methodological studies

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9
Q

cohort studies

A

observational studies on one or two cohorts of individuals over time to determine a disease or outcome or risk factor

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10
Q

case-control studies

A

observational study comparing patients with a control group in terms of disease, outcome or risk factors

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11
Q

correlation/predictive studies

A

exploring relationship. decision making, diagnosis, prevention or prognosis

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12
Q

types of descriptive research

A

developmental
normative
case report/series
historical
qualitative
mixed methods

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13
Q

developmental research

A

pattern of growth or changes over time

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14
Q

normative research

A

establishing a normal values for specific variables as a guideline for diagnosis or treatment planning

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15
Q

case report/series

A

documents unusual condition or intervention by describing a patient or several patients or communities

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16
Q

Historical research

A

reconstruction of the past to generate questions or suggest relationships of historical interest

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17
Q

qualitative

A

observations or interviews to generate hypothesis about human behaviors

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18
Q

mixed methods

A

a combination and quantitative and qualitative research methods

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19
Q

what makes a good research question

A

importance
ethical standards
feasibility

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20
Q

Independent variables

A

factors that are manipulated
cause/predict

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21
Q

dependent variables

A

factors that are measured
effect/outcome

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22
Q

Belmont report created what three ethical principles

A

beneficence
respect for persons
justice

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23
Q

floor effect

A

data hitting the bottom end of distribution– test is too hard

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24
ceiling effect
data all hitting the top of the distribution--- test is too easy
25
test-retest reliability
evaluate whether the measurement is consistent for the test taker
26
intra-rater reliability
consistency of multiple measures take by same person
27
inter-rater
consistency of same measure take by different people
28
ICC numbers
less than .5=poor .5-.75=moderate .75-.9=good greater than .9=excellent
29
SEM number meaning for reliability
larger the SEM, lower the reliability and less precision
30
Face validity
does the test appear to test what its supposed to
31
Criterion validity
is the test the most effective
32
two types of criterion validity
concurrent and predictive
33
concurrent validity
extent to which the test correlates with the gold standard
34
predictive validity
extent to which the test can predict the outcome of
35
content validity
degree to which a test evaluates all aspects of the topic
36
constrict validity
the extent to which the test accurately assesses what its supposed to
37
sensitivity meaning
percent chance that you can rule something out when negative
38
specificity meaning
the percent chance that you can rule something in when positive
39
LR+ meaning
confidence that a positive is a true positive
40
LR- meaning
confidence that a negative is a true negative
41
PPV meaning
liklihood that its a true positive test
42
NVP
likelihood that its a true negative test
43
When to use Relative risk vs odds ratio
relative risk has intervention and is more prospective
44
When is PRISMA used
meta-analysis
45
EER meaning
proportion of patients in the experimental treatment group who are observed to experience the outcome
46
CER meaning
proportion of participants in the control group who have the outcome
47
ARR meaning
actual difference in event rate or improvement between control and experimental group
48
RRR meaning
difference in event rates or improvements between the 2 study groups
49
NNT meaning
number of patients that would need to be treated to have the outcome
50
Threats to internal validity
history maturation attrition testing instrumentation regression to the mean selection social threats
51
time series designs
one group pretest-posttest design repeated measure design interrupted time series design
52
nonequivalent group designs
nonequivalent pretest-postest control group design nonequivalent posttest only control group design
53
statistical tests for one group pretest-posttest
paired t-test
54
statistical test for one group repeated measure/ multiple posttests
one way repeated measures ANOVA
55
statistical test for multiple pretests, then treatments, then multiple posttests
interrupted time series design
56
statistical test for pretest-posttest control group design
unpaired t test unpaired ANOVA
57
What are CPRs
intended to simplify and increase the accuracy of clinicians' diagnostic and prognostic assessments
58
CPRs are useful when:
decision-making is complex clinical stakes are high opportunities exist to avoid unnecessary tests without compromising patient care
59
diagnostic CPRs
maximize the sensitivity to better rule out the diagnosis of
60
intervention CPRs
likelihood that a patient will respond favorable to an intervention
61
Prognosis CPRs
prediction of the natural course of a condition or its risk for development
62
what is a similarity between prognosis and intervention CPRS
there is not control group