26. Building Evidence-Based Intervention Models

2010 ◽  
pp. 279-296 ◽  
Keyword(s):  
Evidence Based ◽  
Intervention Models

scholarly journals A Framework for Designing and Evaluating Internet Interventions to Improve Tinnitus Care

2019 ◽  
pp. 121-160
Author(s):  
Eldré W. Beukes ◽  
Gerhard Andersson ◽  
Vinaya Manchaiah ◽  
Peter M. Allen ◽  
David M. Baguley
Keyword(s):  
Service Delivery ◽  
Intervention Development ◽  
Cost Effective ◽  
Evidence Based ◽  
Service Delivery Models ◽  
Internet Interventions ◽  
Intervention Models ◽  
Related Symptom ◽  
Delivery Models ◽  
Internet Based Intervention

Tinnitus can be a debilitating hearing-related symptom. Access to evidence-based tinnitus interventions remain limited. Tele-audiology can assist by providing a clinically and cost-effective tinnitus management route. This chapter highlights how this is made possible by focusing on one form of tele-audiology, namely an internet-based intervention. Guidelines are provided for the development of such interventions. A framework outlining the various processes involved in evaluating newly developed interventions is also provided. The chapter closes by discussing factors that may facilitate or hamper the dissemination of new interventions into existing service delivery models. This well-defined outline for intervention development and evaluation can be applied and used to guide innovative intervention models by stakeholders.

scholarly journals A Framework for Designing and Evaluating Internet Interventions to Improve Tinnitus Care

2021 ◽  
pp. 104-134
Author(s):  
Eldré W. Beukes ◽  
Gerhard Andersson ◽  
Vinaya Manchaiah ◽  
Peter M. Allen ◽  
David M. Baguley
Keyword(s):  
Service Delivery ◽  
Intervention Development ◽  
Cost Effective ◽  
Evidence Based ◽  
Service Delivery Models ◽  
Internet Interventions ◽  
Intervention Models ◽  
Related Symptom ◽  
Delivery Models ◽  
Internet Based Intervention

Tinnitus can be a debilitating hearing-related symptom. Access to evidence-based tinnitus interventions remain limited. Tele-audiology can assist by providing a clinically and cost-effective tinnitus management route. This chapter highlights how this is made possible by focusing on one form of tele-audiology, namely an internet-based intervention. Guidelines are provided for the development of such interventions. A framework outlining the various processes involved in evaluating newly developed interventions is also provided. The chapter closes by discussing factors that may facilitate or hamper the dissemination of new interventions into existing service delivery models. This well-defined outline for intervention development and evaluation can be applied and used to guide innovative intervention models by stakeholders.

Interventions for Gang-Affiliated Youth

2019 ◽  
Author(s):  
Paul Boxer
Keyword(s):  
Transition To Adulthood ◽  
Best Practice ◽  
Evidence Base ◽  
Multisystemic Therapy ◽  
Behavioral Theory ◽  
Evidence Based ◽  
Youth Offenders ◽  
Intervention Models ◽  
Social Ecological ◽  
The Life Course

When it comes to helping gang-involved youth, interventionists are faced with a significant primary challenge: Must youth leave their gangs before receiving treatment? Or can treatment successfully be delivered while a youth remains gang-affiliated? Despite a broad evidence base showing the effectiveness of interventions for aggressive, antisocial, and/or justice-involved youth, there is very little research illuminating the effectiveness of individualized interventions for gang-involved youth in particular. This is a significant gap in the literature given that gang-involved youth typically exhibit significantly higher levels of violence and victimization than do other youth. However, existing best-practice intervention models might hold promise for effectively serving gang-involved youth. These models indicate that interventions for youth offenders should be grounded in behavioral theory while focusing on caregiver skills and family dynamics and leveraging broader social-ecological supports. Recent evaluations of two evidence-based interventions (Functional Family Therapy and Multisystemic Therapy) with respect to how they work for gang-involved youth indicate that it is indeed possible to implement effective treatment for this population. The probability of successfully treating gang-involved youth also might be augmented through the integration of new discoveries emanating from the life-course study of gang members. Specifically, it might be possible to leverage the motivating value of typical life events during the transition to adulthood to encourage youth to leave the gang lifestyle and all its attendant risks. One key task for interventionists, then, is to ensure that gang-involved youth can be engaged and maintained long enough in treatment to benefit from those motivations during that critical natural developmental transition.

What Can Elder Mistreatment Researchers Learn About Primary Prevention From Family Violence Intervention Models?

2017 ◽  
Vol 59 (4) ◽  
pp. 601-609 ◽  
Author(s):  
Kylie Meyer ◽  
Jeanine Yonashiro-Cho ◽  
Zachary D Gassoumis ◽  
Laura Mosqueda ◽  
S Duke Han ◽  
...  
Keyword(s):  
Primary Prevention ◽  
Child Maltreatment ◽  
Family Violence ◽  
Partner Violence ◽  
Home Visiting ◽  
Public Health Problem ◽  
Evidence Based ◽  
Elder Mistreatment ◽  
Older Americans ◽  
Intervention Models

Abstract Elder mistreatment (EM) is a public health problem that harms millions of older Americans each year. Despite growing recognition of its occurrence, there are no evidence-based primary prevention programs. Although EM is distinct from other areas of family violence, including child maltreatment and intimate partner violence, common risk factors and theoretical underpinnings point to opportunities for prevention strategies. Drawing on evidence-based best practices found in other fields of family violence, we identify approaches that could be tested to prevent EM at the hands of family caregivers, who are among the most likely to commit mistreatment. Specifically, we examine home visiting approaches primarily used in the child maltreatment field and identify components that have potential to inform EM interventions, including prevention. We conclude that there is enough information to begin testing a prevention intervention for EM that targets caregivers.

Abstraction: An alternative neurocognitive account of recognition, prediction, and decision making

2020 ◽  
Vol 43 ◽  
Author(s):  
Valerie F. Reyna ◽  
David A. Broniatowski
Keyword(s):  
Decision Making ◽  
Software Engineering ◽  
Systems Engineering ◽  
Evidence Based ◽  
Extensive Literature ◽  
Trace Theory ◽  
Fuzzy Trace Theory ◽  
Abstract Representations ◽  
Technical Systems

Abstract Gilead et al. offer a thoughtful and much-needed treatment of abstraction. However, it fails to build on an extensive literature on abstraction, representational diversity, neurocognition, and psychopathology that provides important constraints and alternative evidence-based conceptions. We draw on conceptions in software engineering, socio-technical systems engineering, and a neurocognitive theory with abstract representations of gist at its core, fuzzy-trace theory.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

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