Overview
Evidence Based Practice Diagram
Evidence-based
Evidence-based is the practical application of the findings of the best available current research. The research should demonstrate a positive outcome for application. This assignment generally requires you to use scholarly/peer-reviewed resources that are ten or less years old. Primary sources in physical education and exercise science often contain methods, (empirical studies, randomized control trials, clinical trials), results, and discussions.
Levels of Evidence
Hierarchy of Evidence
Level I - Evidence from a systematic review or meta-analysis of all relevant randomized controlled trials (RCTs) or three+ RCTs of good quality with similar results.
Level II - Evidence from at least one well-designed RCTs
Level III - Evidence obtained from well-designed controlled trials without randomization (i.e. quasi-experimental).
Level IV - Evidence from well-designed case-control or cohort studies
Level V - Evidence from systematic reviews of descriptive and qualitative studies
Level VI - Evidence from single descriptive or qualitative studies
Level VII - Evidence from the opinion of authorities and/or reports of expert committees
Ackley, B. J., Swan, B. A., Ladwig, G., & Tucker, S. (2008). Evidence-based Nursing Care Guidelines: Medical-surgical Interventions. (p. 7). St. Louis, MO: Mosby Elsevier.
Evidence Based Practice
Measurement Tools
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NCBI. Integrating Pain Management in Clinical PracticeJamison RN, Edwards RR. Integrating pain management in clinical practice. J Clin Psychol Med Settings. 2012;19(1):49-64. doi:10.1007/s10880-012-9295-2
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Northwest University/NIH. PROMIS.Obtain & Administer Measures
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U.S. Department of Veterans Affairs. VHA Pain ManagementPain Measurements, drawing, numeric rating scale, Defense and Veterans Pain Rating Scale (DVPRS) Complete Assessment, - West Haven-Yale Multidimensional Pain Inventory. and more
Types of Resources
Haynes RB. Of studies, syntheses, synopses, summaries and systems: the “5S" evolution of services for evidence-based health care decisions. ACP J Club. 2006 Nov-Dec;145(3):A8-9.
PICO (T)
P = Patient or Problem - Patients age 65 and older with high blood pressure
I = Intervention - Patient education
C = Comparison - No patient education
O = Outcome - Patient participation in exercise
NIH. National Library of Medicine. https://www.nlm.nih.gov/oet/ed/pubmed/pubmed_in_ebp/02-100.html
PPAARE
Problem, Patient, Action, Alternative, Patient Results, Evidence
PROMs
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NCBI. Patient-Reported Outcomes: A New Era in Clinical ResearchDeshpande PR, Rajan S, Sudeepthi BL, Abdul Nazir CP. Patient-reported outcomes: A new era in clinical research. Perspect Clin Res. 2011;2(4):137-144. doi:10.4103/2229-3485.86879
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NCBI Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs)Weldring T, Smith SM. Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs). Health Serv Insights. 2013;6:61-68. Published 2013 Aug 4. doi:10.4137/HSI.S11093
Patient Reported Outcome Measures
Qualitative versus Quantitative
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Xavier University Library. Qualitative vs Quantitative ResearchChart of comparison
Sources Recommended by Professor Wise
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Cochrane LibraryOnly free access portion
Tutorials from other Libraries
Librarian
websites
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Connecticut State Department of Public Health.Where to Find Evidence-Based Methods and Interventions
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U.S. Department of Health and Human Services. Pain Management Best Practices: Final Reportpage 143 Acupuncture, message therapies, yoga, etc.