Evidence-Based Rehabilitation: A Guide to Practice / Edition 2

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Overview


While evidence-based practice (EBP) has greatly influenced rehabilitation in the past decade, it continues to evolve and practitioners need guidance to implement evidence into their practice. Evidence-Based Rehabilitation: A Guide to Practice, the best-selling text providing step-by-step EBP guidance for rehabilitation professionals, has been updated into an expanded Third Edition.

InEvidence-Based Rehabilitation, Third Edition Drs. Mary Law and Joy MacDermid, along with their contributors, explain evidence-based rehabilitation, the concepts underlying EBP, and build the reader’s knowledge and skills through specific learning. The text is organized by the steps of the EBP process—introduction to EBP, finding the evidence, assessing the evidence, and using the evidence.

EBP focuses first and foremost on making the best decisions for each client and using the best information available. For many rehabilitation practitioners, building skills in EBP is best done one step at a time. Evidence-Based Rehabilitation helps the rehabilitation student and practitioner develop his or her knowledge and skills to implement evidence-based rehabilitation in practice.

Benefits of the Third Edition:
• All chapters have been updated with new information and resources
• New chapters about systematic reviews, and knowledge transfer
• Extensive guide available with specific student activities and answers for faculty use
• Critical review forms included for student use—these forms have been used by practitioners and researchers around the world for 10 to 20 years
• Recognition throughout the book that EBP in rehabilitation means bringing together research evidence, clinical reasoning of the therapist and client values and goals
• Fits the standard 3-unit course design with 11 to 12 sessions

Instructors in educational settings can visit www.efacultylounge.com for additional materials to be used for teaching in the classroom.

Designed and written by an occupational therapist and a physical therapist with extensive research, education, and practice experience, Evidence-Based Rehabilitation: A Guide to Practice, Third Edition will guide both occupational therapy and physical therapy students and practitioners as they incorporate evidence-based practice into their work.

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Editorial Reviews

From The Critics
Specifically written for rehabilitation practitioners, this introductory text focuses on the skills needed for understanding and using evidence. Bringing a holistic approach to the subject, the book encourages readers to become critical consumers of research so that rehabilitation practice may be based on the best evidence available. Critical review forms are included to help structure appraisals of the literature. Contributors are researchers and therapists from the United States and Canada. Annotation c. Book News, Inc., Portland, OR (booknews.com)
From the Publisher

“I use this book to refine my capacity for judging and using evidence in my own clinical practice, as well as in working with students in an occupational therapy graduate program.  The Third Edition has enough updates and new content to support replacement of the Second Edition…The book will be on my desk!”

- Carla Wilhite, OTD, OTR/L, University of New Mexico, Doody’s Review Service

“This updated edition of Law and MacDermid’s text is a highly recommended resource for educational settings as well as for practice teams looking to enhance the evidence-based nature of their practice.”

- Tanya Rihtman, Coventry University, British Journal of Occupational Therapy

“This textbook will appeal to beginners wishing to develop a better grasp of EBP as well as seasoned practitioners wishing to attain exemplary practice.  The sheer number of examples, solutions, and models provided will support readers in defining an optimal process to conduct EBP in their milieu.  This book is convincing in its demonstration of the importance of EBP for continuing professional development as well as for the advancement of the profession.”

- Julie Lapointe, Canadian Journal of Occupational Therapy

Doody's Review Service
Reviewer: Carla Wilhite, OTD, OTR/L(University of New Mexico)
Description: This third edition of a book on evidence-based rehabilitation has updated content and resources, and new chapters that represent the maturing field of evidence-based practice (EBP).
Purpose: It is intended as a primary book for students learning about evidence-based practice, including how to search for evidence, discern the quality of the evidence, and translate the evidence into practice. In an age of increased accountability for measuring healthcare outcomes by healthcare practitioners, and the capability of service recipients to do independent online research about their own health conditions, this is an essential book. The objective, making the process of evidence-based practice understandable and doable, is substantially met.
Audience: Although the book is written primarily for occupational therapy students, most practitioners should be counted as a secondary audience. As the authors' note, in clinical settings, the status quo of "current practice" remains the predominant means of knowledge transfer rather than transfer of knowledge from evidence. Although clinical judgment is an important third leg of EBP, it must go hand in hand with the best evidence available for practice. The authors are the best known authorities on the subject of EBP in the field of occupation therapy, and the contributors are also highly respected in the field.
Features: The book moves readers from basic competence in defining and describing evidence-based practice to actively finding, judging, and using EBP. It then works on refining readers' capabilities in writing and contributing appraisals of the research to EBP projects in occupational therapy. Finally, the book gives practical guidance on strategies to move the evidence into practice settings. The book also includes a new chapter on knowledge translation. Currently, the capacity to ensure knowledge translation from the research bench to the clinic is a prominent feature of government granting and foundation financial support to healthcare systems, universities, and organizations involved in research. Thus, an opportunity exists for clinical settings and practitioners to participate in this paradigm shift and to influence policy. The book raises awareness of this critical and timely information. Future editions should include more information and guidance on developing skills in creating practice-based evidence, and supporting the ideal that research and the art of best practice is a two-way dialogue.
Assessment: I use this book to refine my capacity for judging and using evidence in my own clinical practice, as well as in working with students in an occupational therapy graduate program. The third edition has enough updates and new content to support replacement of the second edition. The explosion of web content, media, information sources, and number of knowledge-makers, as well as the growing interest in and use of evidence for practice, demands staying on the forefront of strategies to give information weight that makes it meaningful and useful. The book will be on my desk!
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Product Details

  • ISBN-13: 9781556427688
  • Publisher: SLACK, Incorporated
  • Publication date: 12/1/2007
  • Edition description: 1
  • Edition number: 2
  • Pages: 375
  • Product dimensions: 7.20 (w) x 10.30 (h) x 1.30 (d)

Meet the Author

Mary Law, PHD, OTReg(Ont), FCAOT, FCAHS is a Professor and Associate Dean (Health Sciences) Rehabilitation Science and associate member of the Department of Clinical Epidemiology and Biostatistics at McMaster University. She holds the John and Margaret Lillie Chair in Childhood Disability Research. Mary, an occupational therapist by training, is Co-Founder of CanChild Centre for Childhood Disability Research, a multidisciplinary research center at McMaster University. Mary's research centers on the development and validation of client-centered outcome measures, evaluation of occupational therapy interventions with children, the effect of environmental factors on the participation of children with disabilities in day to day activities, and transfer of research knowledge into practice. In her educational activities, Mary is involved in teaching the theoretical basis of occupational therapy practice and evidence-based occupational therapy practice in the occupational therapy program, as well as supervising graduate students. Mary is the lead author of the Canadian Occupational Performance Measure, a client-centered outcome measure for occupational therapy, and has written books on client-centered occupational therapy and measurement of occupational performance.

Joy MacDermid, PT, PhD, is an Associate Professor in Rehabilitation Science at McMaster University (Hamilton, ON), and is the Co-director of Clinical Research at the Hand and Upper Limb Centre (London, ON). She is funded as a (physical therapist/epidemiologist) scientist by the Canadian Institutes of Health (CIHR New Investigator). She has published more than 100 articles including systematic reviews, development/evaluation of outcomes measures, clinical trials, knowledge transfer, clinical practice guidelines, and identification of clinical predictors. Her clinical interests are in musculoskeletal pain and disability resulting from upper quadrant disorders and the impact of these disorders on work and subsequent health and quality of life. Joy teaches courses in upper extremity musculoskeletal clinical skills, evidence-based practice, work disability, quality of life, and knowledge exchange and transfer. She is the Vice-President of the American Society of Hand Therapists (ASHT); has twice won its best scientific paper award; and was awarded the Natalie Barr Lecture in 2006, the Philadelphia Hand Meeting Honored Professorship in 2006, and the CIHR Quality of Life Award in 2007. She is an associate editor for The Journal of Hand Therapy and The Journal of Orthopaedic and Sports Physical Therapy and is the editor for the ASHT Clinical Outcome Assessment Recommendations for the Wrist/Hand.

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Table of Contents

Dedication
Acknowledgments
About the Editor
Contributing Authors
Preface
Ch. 1 Introduction to Evidence-Based Practice 3
Ch. 2 Development of Evidence-Based Knowledge 13
Ch. 3 Becoming an Evidence-Based Practitioner 31
Ch. 4 Outcomes in Evidence-Based Practice 49
Ch. 5 Searching for the Evidence 71
Ch. 6 Evaluating the Evidence 97
Ch. 7 Systematically Reviewing the Evidence 109
Ch. 8 The Effectiveness of Cognitive-Behavioral Interventions with People with Chronic Pain: An Example of a Critical Review of the Literature 127
Ch. 9 Evaluating the Evidence: Economic Analysis 171
Ch. 10 Building Evidence in Practice 185
Ch. 11 Practice Guidelines, Algorithms, and Clinical Pathways 195
Ch. 12 Communicating Evidence to Clients, Managers, and Funders 221
Ch. 13 Research Dissemination and Transfer of Knowledge 255
Ch. 14 Health Care Delivery of Rehabilitation Services for Postacute Stroke: Home Care Versus Institutional Care - What is the Evidence? 269
App. A Outcome Measures Rating Form 287
App. B Outcome Measures Rating Form Guidelines 299
App. C Critical Review Form for Quantitative Studies 305
App. D Guidelines for Critical Review Form: Quantitative Studies 309
App. E Critical Review Form for Qualitative Studies 323
App. F Guidelines for Critical Review Form: Qualitative Studies 329
App. G Instructions for the Use of the Functional Independence Measure Decision Trees 339
App. H Clinical Pathway Example 341
App. I Variance Record Example 345
App. J Client Outcomes Example 347
App. K Key Indicator Record Example 349
App. L Template for the Development of Clinical Pathways: Key Indicators 351
App. M Template for the Development of Clinical Pathways: Timeline 353
App. N Developing Outcomes 355
Index 357
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