A practical educational tool for teaching child-care hospital professionals attending evidence-based practice courses for continuing medical education to appraise internal validity in systematic reviews

2012 ◽  
Vol 19 (4) ◽  
pp. 648-652 ◽  
Author(s):  
Paola Rosati ◽  
Franz Porzsolt
Keyword(s):  
Medical Education ◽  
Child Care ◽  
Systematic Reviews ◽  
Continuing Medical Education ◽  
Evidence Based Practice ◽  
Internal Validity ◽  
Evidence Based ◽  
Care Hospital ◽  
Educational Tool

Furthering Dissemination and Implementation Research

2017 ◽  
Author(s):  
Lawrence W. Green ◽  
Mona Nasser
Keyword(s):  
Systematic Reviews ◽  
Implementation Research ◽  
External Validity ◽  
Evidence Based Practice ◽  
Internal Validity ◽  
Implementation Process ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Dissemination And Implementation Research

This chapter raises questions about the reliability of much “evidence-based practice” disseminated from the original studies and systematic reviews of those studies, insofar as they were often conducted and reviewed with inadequate attention to external validity. Important issues are raised for dissemination and implementation researchers. Indeed, the pressure on investigators to provide for increasingly rigorous controls on threats to internal validity, and to exclude studies that fall below standards for internal validity, has made many such sources of evidence more suspect in their external validity and less credible to the practitioners or policymakers who would adopt them. Greater attention is needed to ways to incorporate considerations of external validity into studies and in systematic reviews of studies to produce more generalizable evidence, and greater attention to practice-based evidence that can complement the more formal evidence-based practices in the process of implementing and evaluating the dissemination and implementation process

Evidence-Based Practice: The Cochrane Collaboration, and Occupational Therapy

1998 ◽  
Vol 65 (3) ◽  
pp. 144-151 ◽  
Author(s):  
Robyn L. Hayes ◽  
John J. McGrath
Keyword(s):  
Systematic Reviews ◽  
Randomised Controlled Trials ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Cochrane Collaboration ◽  
Controlled Trials ◽  
Evidence Based ◽  
Randomised Controlled ◽  
The Cochrane Collaboration

This paper describes how occupational therapists can become involved in the Cochrane Collaboration — a well-developed tool for facilitating the involvement of health professionals and lay people in evidence-based practice. The Cochrane Collaboration is a growing international project intended to systematically locate, conduct systematic reviews (including metaanalyses) of, and disseminate information on all available randomised controlled trials of interventions in any area of health. In particular, occupational therapists can use the Cochrane Collaboration to become better informed about best practice and evaluate research in their areas of interest, and learn skills related to conducting randomised controlled trials, systematic reviews, and meta-analyses.

Abstract 127: Cardiovascular Risk and Outcomes in Patients with Diabetes: Using Medical Education to Improve Care

2015 ◽  
Vol 8 (suppl_2) ◽  
Author(s):  
Amy Larkin ◽  
Colleen Healy
Keyword(s):  
Risk Factors ◽  
Medical Education ◽  
High Risk ◽  
Effect Size ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Glucose Lowering ◽  
Multi Media ◽  
And Performance ◽  
Selection Of

Introduction: Mortality rates due to cardiovascular disease (CVD) are 2-4 times higher among people with diabetes than in those without. Glucose control reduces the risk of any CVD event by 42% and the risk of heart attack, stroke, or death from CVD by 57%. We assessed the hypothesis that continuing medical education (CME) improves knowledge and performance of cardiologists in managing glycemic control and other CV risk factors in patients with type 2 diabetes (T2D). Methods: Cardiologists who treat patients with coronary artery disease participated in at least 1 of 2 online CME activities within a curriculum on CV risks and outcomes in patients with T2D. Participant responses to a case-based survey after activity completion were compared with responses from demographically similar control groups of nonparticipants. Educational effect size was calculated using Cohen’s d formula, with a value of <0.4 representing a small effect, 0.4-0.8 a medium effect, and >0.8 a large effect. Results: Participating cardiologists (n = 151) were more likely to make evidence-based practice choices than were nonparticipating cardiologists. Activity 1: Improving CV Outcomes in Patients with T2D Multi-media format Increased Likelihood to Make Evidence-Based Practice Choices Post-Education: 33.5% Effect Size: 0.51 (N = 78) Activity 1: Assessing CV Risk in Patients with T2D Multi-media format Increased Likelihood to Make Evidence-Based Practice Choices Post-Education: 50.3% Effect Size: 0.87 (N = 73) Domain 1: Managing Glycemic Control and Other CV Risk Factors in Patients with CVD and T2D. Participating cardiologists significantly improved their consideration of comorbid conditions when deciding on a glucose management strategy (73% pre vs. 85% post) and selection of treatment for early intervention (85% pre vs. 96% post). Domain 2: Identification of Outcomes Data on Glucose-Lowering Agents in Patients with T2D and CVD. Participating cardiologists significantly improved in the recognition of antihyperglycemic agents shown in clinical trials to be safe for high risk CV patients (36% pre vs. 79% post) and in identification of the effect of saxagliptin on CV events in high risk CV patients with T2D (SAVOR TIMI 53 trial) (55% pre vs. 86% post). Domain 3: Application of Outcomes Data on Glucose-Lowering Agents in Patients with T2D and CVD. Participating cardiologists significantly improved in their selection of a DPP-4 inhibitor as the most appropriate antihyperglycemic agent for patients with T2D and CV risk factors or previous CV events (59% pre vs. 81% post and 53% pre vs. 73% post, respectively). Conclusion: This study demonstrated the success of a curriculum-style educational intervention using multimedia technology on improving knowledge and performance of cardiologists which can lead to enhanced management of CV risks and, thus, improved outcomes in patients with T2D and CVD.

scholarly journals Leveraging Social Media to Promote Evidence-Based Continuing Medical Education

PLoS ONE ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. e0168962 ◽  
Author(s):  
Simone Flynn ◽  
Paul Hebert ◽  
Deborah Korenstein ◽  
Mark Ryan ◽  
William B. Jordan ◽  
...  
Keyword(s):  
Social Media ◽  
Medical Education ◽  
Continuing Medical Education ◽  
Evidence Based

scholarly journals Systematic Review and its Relationship with Evidence-Based Practice in Health

2010 ◽  
Vol 18 (4) ◽  
pp. 824-831 ◽  
Author(s):  
Eugenia Urra Medina ◽  
René Mauricio Barría Pailaquilén
Keyword(s):  
Systematic Review ◽  
Latin America ◽  
Systematic Reviews ◽  
Evidence Based Practice ◽  
Clinical Effectiveness ◽  
Health Professions ◽  
Health Interventions ◽  
Evidence Based ◽  
The World

Systematic reviews (SR) have gained relevance in the world and Latin America because of their credibility in the search, compilation, arranging and analysis of the information obtained from research about health interventions, during a period of time. Consequently, evidence-based practice uses SR as a way to capture the best evidence of clinical effectiveness. This article reviews SR methodology, process, and its usefulness in health professions like nursing and medicine.

Using systematic reviews for evidence-based practice

AORN Journal ◽  
2005 ◽  
Vol 82 (3) ◽  
pp. 363-363
Author(s):  
Peggy Edwards ◽  
Allyson Lipp
Keyword(s):  
Systematic Reviews ◽  
Evidence Based Practice ◽  
Evidence Based

Evidence-Based I–O Psychology: Not There Yet

2011 ◽  
Vol 4 (1) ◽  
pp. 3-22 ◽  
Author(s):  
Rob B. Briner ◽  
Denise M. Rousseau
Keyword(s):  
Social Policy ◽  
Systematic Reviews ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Key Characteristics ◽  
The Future ◽  
Oriented Research

Evidence-based practice is now well established in several fields including medicine, nursing, and social policy. This article seeks to promote discussion of whether the practice of industrial–organizational (I–O) psychologists is evidence based and what is needed to make I–O psychology an evidence-based discipline. It first reviews the emergence of the concept of evidence-based practice. Second, it considers the definitions and features of evidence-based practice, including evidence-based management. It then assesses whether I–O psychology is itself an evidence-based discipline by identifying key characteristics of evidence-based practice and judging the extent these characterize I–O psychology. Fourth, some key strategies for promoting the use of evidence in I–O psychology are considered: practice-oriented research and systematic reviews. Fifth, barriers to practicing evidence-based I–O psychology are identified along with suggestions for overcoming them. Last is a look to the future of an evidence-based I–O psychology that plays an important role in helping consultants, in-house I–O psychologists, managers, and organizations become more evidence based.

Fad, Frenzy, or Future? A Review of the Institute of Medicine’s Report on the Direction of Evidence-Based Practice

2009 ◽  
Vol 28 (1) ◽  
pp. 51-58
Author(s):  
Joan Renaud Smith ◽  
Ann Donze
Keyword(s):  
Clinical Practice ◽  
Systematic Reviews ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Dual Purpose ◽  
The Past

OVER THE PAST TWO YEARS, this column has had a dual purpose: presenting systematic reviews of neonatal clinical practice issues and providing readers with tools needed to utilize the evidencebased practice (EBP) process. We presented detailed examples of applying EBP to answer these reallife clinical practice problems:

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