I’ve been thinking about how evidence-based practice is relevant to daily life as a therapist. I enjoyed reading Arlene McCurtin and Hazel Roddam’s Review, Evidence-based practice: SLTs under siege or opportunity for growth? The use and nature of research evidence in the profession, in the International Journal of Language and Communication Disorders. Check it out!
Many clinicians and managers I’ve spoken to think that evidence-based practice (EBP) consists solely of evidence from systematic research. Which means the mantra – base service decisions on EBP, can seem punitive rather than supportive. Watch Kate Malcomess describe how clinicians can feel dismissed and devalued if they don’t have an evidence base, in her 5 minute lightning talk. McCurin and Roddam use a definition by Dollaghan (2007) that highlights there are three components of EBP: research evidence, the expertise of the clinician (internal to clinical practice), and patient values and preferences.
They raise a number of issues:
- There’s a mismatch in research agendas: academic researchers aren’t studying what clinicians want to know.
- Evidence from Randomised Control Trials can’t be applied directly to real-life patients as treatment protocols can’t be rigidly applied outside the lab and patients may have co-occurring difficulties.
- The way researchers communicate information to clinicians for example in journal articles, isn’t effective.
Translational Research
McCurtin and Roddam state that translational research addresses these issues however, I wasn’t sure what translational research was! A quick google led to this definition:
“For others-especially health service researchers and public health investigators whose studies focus on health care and health as the primary outcome-translational research refers to translating research into practice; ie, ensuring that new treatments and research knowledge actually reach the patients or populations for whom they are intended and are implemented correctly.”
Steven H. Woolf, in The Meaning of Translational Research and Why It Matters.
Sounds good! It got me thinking about how research carried out in universities could be more effectively used by therapists working on the ground. Summary blog posts, interviews in podcast format or short videos on youtube all seem like they’d be more accessible to the time strapped clinician than reading a journal article is.
Therapy Ideas Live: Using Social Media to Participate in EBP
If you’re interested in this real-life slant on EBP join us at the next Therapy Ideas Live event on Monday 3rd December, when we’ll be talking about how therapists can use social media to participate in EBP. There’ll be talks from featured speakers, including Nicola Botting, and small group discussions. Our venue is Google Campus in Shoreditch, London and the event is sponsored by MyChoicePad – you’ll be able to try out the app on the night. Check out the webpage for more details and to buy tickets. See you there!
Photo by Ohio University Libraries