Evidence Based Practice

Team

Jason Satterfield, Ricardo Muñoz, Alinne Barrera, Rachel Loewy, Ana Naoples Springer, Pat Arean, and Greg Aarons (UCSD)

Educational Aims

  • To educate fellows about how evidence-based practices (EBPs) are defined, created, and evaluated from a research perspective
  • To demonstrate the process of selecting and implementing EBPs in real world settings using the 5A’s model: Ask, Acquire, Appraise, Apply, Analyze/Adjust
  • To introduce how EBPs are manualized/adapted, methods for successful dissemination, and strategies to promote implementation and evaluation

Broad Objectives and Competencies

  1. Identify and evaluate key features of interventions that would classify them as EBP’s.
  2. Apply the EBP process to a clinical case including use of the 5A’s model
    1. ASK foreground and background clinical questions
    2. ACQUIRE evidence that answer the question
    3. APPRAISE the quality of the evidence and its relevance
    4. APPLY the findings to a clinical case
    5. ANALYZE/ADJUST the EBP after evaluating impact on the patient
  3. Adapt an EBP and assessment of and EBP for a community setting.
  4. Manualize a community based intervention (EBP) to facilitate dissemination and implementation (and adjustments to a specific population)
  5. Demonstrate cognitive interviewing techniques and describe their relevance to EBPs and evaluation
  6. Design a CBPR study to evaluate an adapted treatment (EBP)
  7. Summarize dissemination and implementation research and describe its relevance to EBPs and clinical care.

Generalizable Principles

  1. Learners should master the 5 step EBP process for providing evidence-based behavioral interventions to patients in any setting with any diagnosis. 
  2. Learners should be familiar with the common obstacles encountered when developing an EBP and the roadblocks that often slow or stop its dissemination and uptake.  EBP flexibility and adaptation are key but must be weighed against treatment fidelity. 
  3. A wide range of research methods are available to study the implementation and effectiveness of an EBP in all community settings.  Fellows are obligated to responsibly consider these methodologies when implementing an EBP. 

Outline

Contact Information

Jason Satterfield, jsatter@medicine.ucsf.edu
Ricardo Muñoz, Ricardo.munoz@gmail.com
Rachel Loewy, rachel.loewy@gmail.com
Anna Napoles Springer, Anapoles@ucsf.edu
Pat Arean, pata@lppi.ucsf.edu

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