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9 Cards in this Set

  • Front
  • Back
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Global vs Local EBP
a. global involves multiple professionals and takes two years "supports creation of guideline documents that contain recommendations for assessment and intervention practices that are assessed on a careful review of current evidence"
b. local involves one professional and much less time b/c there's much less available free time for one SLP
**
7 Step EBP Decision Making Process
1. create general or specific (pico) clinical questions
2. find external evidence that pertains to question
3. determine level of evidence that the study represents and critically evaluate the study
4. evaluate internal evidence related to student-parent factors
5 evaluate internal evidence related to clinician-agency factors
6. make a decision by integrating the evidence
7. evaluate outcomes of your decision
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PICO
P refers to patient or client characteristics and the problem that he or she is experiencing

I refers to intervention program

C refers to comparison treatment

O refers to outcome
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PICO Example
?
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Reasons for Poor Web Results
a. most databases aren't available through school district
b. need to use a wide variety of search terms
c. doesn't compare to literary search by professional librarians working with a guideline writing panel
a
Level One Oxford Research Designs
a. randomized clinical trial
b. systematic review of RCTs

NB: RCT = experiments in wh/ participants are randomly assigned to tx and control groups. Measures are taken before and after tx, and groups are compared to determine wh/ group made largest amt of change
aa
Most Helpful Website
a. HighWirePress search engine, linked from ASHA
aaa
Purpose of Study
a. summarize a 7-step process for making local EBP decisions
aaaa
Rationale of Study
a. There aren't any existing committee-derived EBP guidelines for providing language intervention services for children with language disorders