PSYC36H3 Lecture Notes - Lecture 2: Tinnitus, Systematic Review, Paternalism
Document Summary
Empirically-based practice (ebp): integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences (apa, 2005) Normative guidelines (federal/professional agencies: aspirational no teeth for punishment, nomotehetic in that they are homogenous for an average person with a clinical disorder. To ideographic decision-making principles individual clinical decision-making. Knowledge and ability to implement empirically-supported treatments. Meta-analysis: combining the results from several studied: assessing the effect sizes. Case studies/clinical observation: individual accounts of a therapy working with a single patient: usually a new method or difficult patient. Pre-post studies: assessments are made before and after: assess differences in assessments, additional questions: adherence; clinically significant change (vs. statistical significance) Randomized control/clinical trials: control: to minimize impact of exogenous variables, control group: comparison groups, randomization. Dissemination and implementation: dissemination: distributing the treatment to community providers. What are the challenges to dissemination and implementation: implementation: seeing that the community providers are using the treatment and that is sustainable.
