What are the 3 pillars of the Evidence-Based Practice Model?
- Clinical Experience
- Patient Values
- Best scientific evidence
As PTs, we are responsible for evaluating and treating a patient. What 3 components fall under “evaluate” ?
- Exam
- Analyze Interpret
- Assess
As PTs, we are responsible for evaluating and treating a patient. What 3 components fall under “Treat “ ?
- Plan of Care
- Interventions
- Discharge
What are the three research method types that fall under “secondary, pre-appraised, or filtered” on the level of evidence pyramid?
- Clinical Practice Guidelines (CPG)
- Meta-Analysis
- Systematic Review
What is the HIGHEST level of study that can be performed?
Clinical Practice Guidelines (CPG)
Briefly describe what a Narrative Review is and what information it provides.
- Broad review of the content of select literature
- Provides general information that supports an author’s perspective.
Briefly describe what a Systematic Review is and what information it provides.
- Methodical analysis of study quality.
- Rigorous process of searching, appraising, and summarizing.
- Comprehensive report of research findings.
Briefly describe what a Meta-Analysis is and what information it provides.
- Pools data from several studies together
- Provides collective statistical measures of the pooled data.
- Termed the “analysis of analyses”
What method of research is referred to as “The anlysis of analyses”
Meta-Analysis
What is the best/ideal scenario that would lead us to choose a systematic review as our research method?
When MULTIPLE RTCs have been completed, but the results are DIFFERENT.
What is ‘summarized’ during a systematic review?
Current evidence on a topic in a systematice way.
- Interventions
- Prognosis/Risk Factors
- Development of recommendations for CPGs/practice
- Diagnostice Accuracy
- Qualitative Research
Systematic Review
What factors are used when determining the inclusion/exclusion criteria?
- Study Design
- Participants
- Topic of Interest – composed of interventions, risk factor, outcome measure, & diagnostic test
Systematic Review
What are some search strategies used?
- Search Terms
- Databases
- Restrictions based on language/full text available
Systematic Review
When Screening your references, what two criteria are used to determine if an article should be removed?
- Duplicates
- Relevance (to the research topic)
Systematic Review:
a PRISMA Flow Diagram is used to…
Identify the final selection of studies reviewed
Systematic Review:
a PEDro Scale is used to…
Provide a summary of the quality of each study.
Systematic Review
a Cochrane Risk of Bias is used to…
Evaluate the level of bias in each study.
The following image is an example of …
PEDro Scale
The following image is an example of …
Cochrane Risk of Bias
Systematic Review
What study types fall under “Studies of Diagnostic Accuracy”?
- Quality Assessment of Diagnostic Accuracy Studies (QUADAS & QUADAS 2)
Systematic Review
What study types fall under “Studies of Prognosis”?
- Quality in Prognosis Studies (QUIPS) ; Examines 6 sources of bias
