why evidence based practice or ebp.docx

7/29/2019 Why Evidence Based Practice or EBP.docx

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Why Evidence Based Practice or EBP?

It is one step toward making sure each client gets the best service possible.

Some argue it helps keep your knowledge up to date, supplements clinical judgment,

can save time and most important can improve care and even save lives. Its a way tobalance your own views with large scale research evidence.

Some say it's unethical to use treatments that aren't known to work. (Of course,services may need to be so individualized in unique circumstances that so that knowing"what works" in general may not be the most salient factor in helping any particularclient. Still, using the best available research knowledge is always beneficial.)

Several web sites serve as portals to bodies of research useful to EBP. The focus onthese organizations varies, but the emphasis remains on (mainly) experimentaldemonstration of the efficacy of treatments.

How is EBP Implemented in Practice?

Profiling research that informs professionals and clients about what works is whereevidence based practice starts. These summaries tells us what we know abouttreatment and program efficacy based on experimental work - as well as what we don'tknow or aren't really sure about.

Having access to information on what works allows professionals, in conjunction withclients, to select treatments that are most likely to be helpful (and least likely to beharmful) before intervention is begun. Practice evaluation is quite different in that

takes place at the start of treatment, during treatment and after treatment. Practiceevaluation also uses single case methods rather than large sample, experimentalresearch designs. EBP and practice evaluation work together very well, but they havedifferent purposes and use very different methods.

The creation of"User's Guides"is one way to make the results of research moreavailable to practitioners. In medicine, the idea is to get research results to thepractitioner in an easy to assimilate fashion, though this often has a price.

Fundingis being offered to support EBP from governments and private/insurancesources.

However, to understand and critically appraise this material, a lot of methodologicalknowledge is needed. Sites offeringintroductions to the technology of EBParegrowing.

How is EBP Taught?
http://www.cche.net/usersguides/main.asphttp://www.cche.net/usersguides/main.asphttp://www.cche.net/usersguides/main.asphttp://www.ahrq.gov/clinic/epc/http://www.ahrq.gov/clinic/epc/http://healthlinks.washington.edu/ebphttp://healthlinks.washington.edu/ebphttp://healthlinks.washington.edu/ebphttp://healthlinks.washington.edu/ebphttp://www.ahrq.gov/clinic/epc/http://www.cche.net/usersguides/main.asp


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There are some useful resources forTeaching and Learning about EBP. One fineexample is offered by Middlesex University in the United Kingdom which includes goodinformation oncritical appraisal of information in EBP.

The State University of New York's Downstate Medical center offers a (medically

oriented)online course in EBP, including a brief but usefulglossary.

The Major Sources of Research for use in EBP:

TheCochrane Collaboration[www.cochrane.org] sets standards for reviews ofmedical, health and mental health treatments and offers "systematic reviews" of relatedresearch by disorder. TheCochrane Reviewsoffer a summary of internationalpublished and sometimes pre-publication research. Cochrane also offersMethodological Abstractsto orient researchers and research consumers alike.

TheCampbell Collaboration[www.campbellcollaboration.org] offers review of the

impact of social service programs. "The Campbell Collaboration (C2) is an organizationthat aims to help people make well-informed decisions about the effects of interventionsin the social, behavioral and educational arenas. C2's objectives are to prepare,maintain and disseminate systematic reviews of studies of interventions. C2 acquiresand promotes access to information about trials of interventions. C2 builds summariesand electronic brochures of reviews and reports of trials for policy makers, practitioners,researchers and the public."

C2 SPECTRis a registry of over 10,000 randomized and possibly randomized trials ineducation, social work and welfare, and criminal justice.

C2 RIPE[Register of Interventions and Policy Evaluation] offers researchers,policymakers, practitioners, and the public free access to reviews and review-relateddocuments. These materials cover 4 content areas: Education, Crime and Justice,Social Welfare and Methods.

The United States government also offers treatment guidelines based on EBP principlesat theNational Guideline Clearinghouse. [http://www.guideline.gov/] This siteincludes very good information on medication as wll as very clear statements of concernabout medications indicated in guidelines which later prove to have limitations.

The U.S. government provides information onongoing, government sponsored, clinical

trials.

Other Online Resources for EBP and Treatment Guidelines Derived from EBPCriteria and Procedures:

The American Psychiatric Association offersPractices Guidelines. Please be awarethat the numbers of practice guidelines are few. Existing guidelines may be up to 50
http://www.mdx.ac.uk/www/rctsh/ebp/main.htmhttp://www.mdx.ac.uk/www/rctsh/ebp/main.htmhttp://www.mdx.ac.uk/www/rctsh/ebp/main.htmhttp://www.mdx.ac.uk/www/rctsh/ebp/3aspects.htmhttp://www.mdx.ac.uk/www/rctsh/ebp/3aspects.htmhttp://www.mdx.ac.uk/www/rctsh/ebp/3aspects.htmhttp://servers.medlib.hscbklyn.edu/ebm/toc.htmlhttp://servers.medlib.hscbklyn.edu/ebm/toc.htmlhttp://servers.medlib.hscbklyn.edu/ebm/toc.htmlhttp://servers.medlib.hscbklyn.edu/ebm/glos.htmhttp://servers.medlib.hscbklyn.edu/ebm/glos.htmhttp://servers.medlib.hscbklyn.edu/ebm/glos.htmhttp://www.cochrane.org/http://www.cochrane.org/http://www.cochrane.org/http://www.cochrane.org/http://www.cochrane.org/http://www.cochrane.org/http://www.cochrane.org/reviews/index.htmhttp://www.cochrane.org/reviews/index.htmhttp://www.cochrane.org/reviews/index.htmhttp://www.cochrane.org/cochrane/mrabstr/index.htmhttp://www.cochrane.org/cochrane/mrabstr/index.htmhttp://www.campbellcollaboration.org/http://www.campbellcollaboration.org/http://www.campbellcollaboration.org/http://www.campbellcollaboration.org/http://www.campbellcollaboration.org/http://www.campbellcollaboration.org/http://geb9101.gse.upenn.edu/http://geb9101.gse.upenn.edu/http://www.campbellcollaboration.org/Fralibrary2.htmlhttp://www.campbellcollaboration.org/Fralibrary2.htmlhttp://www.guideline.gov/http://www.guideline.gov/http://www.guideline.gov/http://www.guideline.gov/http://www.guideline.gov/http://www.guideline.gov/http://www.clinicaltrials.gov/http://www.clinicaltrials.gov/http://www.clinicaltrials.gov/http://www.clinicaltrials.gov/http://www.psych.org/psych_pract/treatg/pg/prac_guide.cfmhttp://www.psych.org/psych_pract/treatg/pg/prac_guide.cfmhttp://www.psych.org/psych_pract/treatg/pg/prac_guide.cfmhttp://www.psych.org/psych_pract/treatg/pg/prac_guide.cfmhttp://www.clinicaltrials.gov/http://www.clinicaltrials.gov/http://www.guideline.gov/http://www.guideline.gov/http://www.campbellcollaboration.org/Fralibrary2.htmlhttp://geb9101.gse.upenn.edu/http://www.campbellcollaboration.org/http://www.campbellcollaboration.org/http://www.cochrane.org/cochrane/mrabstr/index.htmhttp://www.cochrane.org/reviews/index.htmhttp://www.cochrane.org/http://www.cochrane.org/http://servers.medlib.hscbklyn.edu/ebm/glos.htmhttp://servers.medlib.hscbklyn.edu/ebm/toc.htmlhttp://www.mdx.ac.uk/www/rctsh/ebp/3aspects.htmhttp://www.mdx.ac.uk/www/rctsh/ebp/main.htm


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pages in length. If you are not allowed to enter via this hyperlink, paste the followingURL into your browser: http://www.psych.org/psych_pract/treatg/pg/prac_guide.cfm

The Agency for Healthcare Research and Quality also offersoutcome researchinformation. AHRQ offers an alphabetical listing out outcome studies.

Note that there are a growing number of commercial [.com] sites that offer theirconsultation regarding EBP. It is not always easy to determine their organizationstructure and purposes, the basis of their recommendations and any potential conflictsof interest. In this regard, the sites of the government and of professional organizationsare "better" resources as their purposes, missions and funding sources are generallymore clear and publicly stated.
http://www.ahrq.gov/clinic/index.htmlhttp://www.ahrq.gov/clinic/index.htmlhttp://www.ahrq.gov/clinic/index.htmlhttp://www.ahrq.gov/clinic/index.htmlhttp://www.ahrq.gov/clinic/index.htmlhttp://www.ahrq.gov/clinic/index.html

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