1what is the process of evidence based practice
1. Formulate a question based on a clinical problem
2. Identify the relevant evidence
3. Evaluate the evidence
4. Implement useful findings
5. Evaluate the outcomes
2what are the 5 types of evidence based questions
1. efficacy of an intervention
2. usefulness of an assessment
3. description of a condition
4. prediction of an outcome
5. lived experience of a client
3what is an example of an efficacy of an intervention question
For wheelchair users, what is the best cushion to prevent pressure sores?
4what is an example of a usefulness of an assessment question
what is the best assessment/how reliable is this assessment
5what is an example of a description of a condition question
what motor problems are associated with cerebral palsy
6what is an example of a prediction of an outcome question
what childhood conditions are related to shuttering in children
7what is an example of a lived experience of a client question
how do athletes deal with career ending injuries
8what is level I of evidence
systematic review of at least two randomized controlled trials
9what is level II of evidence
randomized controlled trial
10what is level III of evidence
nonrandomized controlled trial
11what is level IV of evidence
one group with pretest and posttest
12what is level V of evidence
case reports and expert opinion
13Identify the level of evidence: Forty individuals in a long term care facility receive strength and balance training to reduce falls. The number of falls for a 1 moth period before the intervention is compared with the number of falls for a 1 month period after the intervention.
IV
14Identify the level of evidence: Twenty individuals in one wing of a long term care facility receive strength and balance training, while 20 individuals in another wing of the same long term care facility receive usual care. The number of falls for the two groups is compared for 1 month before the intervention and 1 month after the intervention.
III
15Identify the level of evidence: The results of three randomized controlled trials examining the efficacy of strength and balance training to reduce falls in long term care facilities are analyzed and synthesized
I
16Identify the level of evidence: A resident in a long term care facility receivies individualized strength and balance training. The number of falls for this individual is determined at different time points and presented in a report
V
17Identify the level of evidence: Individuals in three long term care facilites are randomly assigned to receive either strength and balance training or usual care. The number of falls for the two groups is compared for 1 month before the intervention and 1 month after the intervention
II