Evidence Based Practice

Introduction

The recent emergence of Evidence Based Practice (EBP) encourages clinicians to approach occupational therapy practice with a critical eye. The skills needed to assess the evidence for our practice include searching for research literature and then evaluating it to determine if the findings of the study are of high or low quality.

Essentially you are asking yourself the question:

How do I know that what I do is effective?

Your observational skills will provide ‘evidence’ of this, however, the evidence-based-practice movement considers that this type of evidence is of low quality; the preference is to base practice on research which uses randomised controlled trials.

There are many databases that will provide summaries of this type of research. Your task is to see if it exists for your area of interest (e.g. as a systematic review).   If it does not exist (which is often the case!) then you need to evaluate any reported studies to determine the quality of this work.

The linked pages in this section are an NZAOT Member Benefit. If you want to know more about NZAOT Membership: Click Here

Otago Polytechnic Student EBP work

Students from the third year occupational therapy class at Otago Polytechnic, have been using the Occupational Therapy Critically Appraised Topics (OTCATS) outline to critique chosen research articles. To read their work you can click on the PDF documents listed below. The assigned task was to review two of the following types of articles: quantitative research, qualitative research and/or a systematic review. For any comments or queries please contact Linda Robertson at Otago Polytechnic.

2010 Student reviews

STUDENT

TOPIC

  • Bridget Brown & Fiona Brown

The effectiveness of leisure activities on older people with depression 

  • Olivia Chambers

Volunteering and well-being

  • Karen Cruikshank

The Effectiveness of Reminiscence Therapy in Reducing Levels of Depression in Older Adults

  • Rachel McFedries & Nicole McGill

The effectiveness of physical activity as an intervention for elderly people with depression

  • Emily Connor & Kate Dyer

The effectiveness of work hardening for people with chronic lower back pain

  • Angeline Loh

What is the evidence for upper limb splinting in children with cerebral palsy?

  • Philippa Prebble

The effectiveness of splinting or casting as a sole intervention, for upper limb function in children with cerebral palsy

  • Kate Truman

Effectiveness of upper limb splinting for children with Cerebral Palsy

  • Ashleigh Stewart

Current practice patterns in forearm flexor tendon rehabilitation

  • Paula Brown

The effectiveness of Social Stories in changing behaviour for children with Autism Spectrum Disorder

  • Claire Pettifer-Stocks

The effectiveness of Social Stories on reducing challenging behaviour in students with autism

  • Chrissy Frew

The effectiveness of using social stories to modify inappropriate behaviours in children with autism

  • Tania Christie

The effectiveness of pre-discharge occupational therapy home visits for the elderly

 

2009 Student reviews

The effectiveness of cognitive Strategies as an intervention for children with Developmental Co-ordination Disorder - prepared by Melissa Sherlock

The effectiveness of functional assessments for people with dementia - prepared by Hamish Wohlers

Employment experiences for people with severe mental illness - prepared by Tara Morrison

There is insufficient evidence to prove that assistive devices (ADs) have a positive psychological impact on adults with physical disability -  prepared by Rebecca Lovett

2008 Student Reviews

Measures that lead to successful community integration following severe brain injury - prepared by Aften Little

There is insufficient evidence to support the use of lycra splints for functional benefits for children with cerebral palsy - prepared by Carly Halkett and Monica McMahon

Home assessments and people who have dementia. Differences in clinical and home environments - prepared by Rachel Blair

Functional assessments for older people with dementia - prepared by Sarah Hamilton

Are caregiver's perceptions a reliable source for rating functional performance of a dementia client? - prepared by Colette Steel

There is insufficient evidence for using life skills training programmes to integrate clients back into the community - prepared by Jessica Rodger

 

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Extraordinary claims require extraordinary evidence - Carl Sagan