Session 1: Overview of the EBPs

Instructor

Jason Satterfield, PhD

Aims

  • To present fellows with an overview of evidence based practice process using the 5A’s model. (How to be an EBP Consumer)
  • To present fellows with an overview of how to create and test an evidence-based practice (How to be an EBP Creator)
  • To introduce the core disciplines and related competencies necessary for consuming and creating EBPs

Objectives

After this session, participants will:
  1. Understand how a clinician might use the Five A’s in selecting and applying EBP’s – ASK, ACQUIRE, APPRAISE, APPLY, ANALYZE/ADJUST
  2. Be able to formulate questions using “PICO” (ASK)
  3. Be able to describe initial literature searching and filtering strategies for identifying EBP’s (ACQUIRE)
  4. Describe an approach to finding or adapting an EBP when the literature is not sufficient
  5. Be able to discuss how evidence, patient preferences, social context, and provider expertise are balanced to arrive at a best practice or EBP (clinical decision making, shared decision making)

Key Terms

  1. Evidence-based Practice
  2. Foreground questions
  3. Background questions
  4. Medical informatics
  5. Critical appraisal
  6. Clinical decision making
  7. Shared decision making

Agenda

09:00-09:15: Introduction to EBP, case examples
09:15-09:45: 5A’s of EBP, background and foreground questions
09:45-10:00: PICO and searching the literature
10:00-11:00: Integration of imperfect literatures and conflicting “data”
11:00 -11:10: Break
11:10-12:00: RSG

Readings

Teaching Materials

Supplemental Resources

  • OBSSR/NIH EBBP Council (2008). EBBP Competencies
  • California Evidence-based Clearinghouse for Child Welfare (CEBC)
    • The CEBC helps to identify and disseminate information regarding evidence-based practices relevant to child welfare. The CEBC provides guidance on evidence-based practices to statewide agencies, counties, public and private organizations, and individuals. This guidance is provided in simple straightforward formats reducing the user's need to conduct literature searches, review extensive literature, or understand and critique research methodology.
  • Campbell Collaboration (C2): The Campbell Collaboration Library and Database
    • The C2 website posts a searchable database of randomized controlled clinical trials and systematic reviews of social, psychological, education, and criminological research. All research presented on the website has met rigorous methodological standards and are designed to provide researchers, policy makers, and practitioners with critical reviews of current research. Currently twenty one full reviews are available to download from the website and several more are currently in progress.
  • Centre for Evidence-based Mental Health
    • Promoting and supporting the teaching and practice of evidence based mental healthcare. The Centre is located in the Department of Psychiatry, University of Oxford.
  • Centre for Evidence-Based Social Services (CEBSS)
    • CEBSS is jointly funded by The Department of Health and a consortium of Social Services Departments in the South West of England with the main aim of ensuring that decisions taken at all levels in Social Services are informed by trends from good-quality research. CEBSS is based at the University of Exeter and is part of the Peninsula Medical School.
  • National Clearing House Guidelines

Assignments

  1. Before the session: Consider the patient or client population you most commonly work with.  Identify one evidence-based practice you would like to promote in this community.  Make note of how you decided this practice was evidence-based.  Were there other alternatives?
  2. Recommended: Visit the website, www.ebbp.org.  Click on “training” then click on the module that interests you.  You might want to start with “EBBP Process Module.”  Modules also include “Searching the Literature” and “Systematic Reviews.”  Modules are highly interactive and well done.
  3. During the Session: Consider a specific patient or community you have recently worked with.  Write one background and one foreground question that could guide your learning.  Use PICO’s to create an EBP query for this client.
  4. After the Session (Optional): Visit the website, www.ebbp.org.  If you have already completed the modules, check out the pages for resources, “conversations,” or competencies. 

Summary of Objectives

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