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(Occupational Therapy Systematic Evaluation of Evidence)

(Occupational Therapy Systematic Evaluation of Evidence). A Database with Pre-Appraised Research for Occupational Therapists Marianna McCormack, M.S. OTR Chatham University November, 2012.

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(Occupational Therapy Systematic Evaluation of Evidence)

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  1. (Occupational Therapy Systematic Evaluation of Evidence) A Database with Pre-Appraised Research for Occupational Therapists Marianna McCormack, M.S. OTR Chatham University November, 2012

  2. Demonstrate knowledge– Students will demonstrate the ability to navigate OTseekerand identify a systematic review (SR)or randomized controlled trial (RCT) relevant to their clinical question 2. Apply knowledge – Students will formulate conclusions about their SR or RCT based on critical appraisal information provided by OTseeker. 3. Evaluatea problem using that knowledge– Students will integrate this evidence into a clinical decision making process. Learning Objectives

  3. Need for Evidence-Based Practice in OT profession is growing • Barriers to EBP include • Lack of time • Access to literature • Difficulty interpreting research results What is the historical perspective?

  4. OTs at U of Queensland and U of W. Sydney developed OTseeker • OTseeker has been freely available at http://www.otseeker.com since March 2003. • OTseeker contains • bibliographic details, abstracts, and quality ratings of RCTs • abstract of systematic reviews So to meet this need…

  5. Problem-Based Learning Theory

  6. Reduces the time needed to locate research evidence • Helps therapists interpret study results • Encourages practitioners to use research evidence in their daily practice and clinical decisions. Importance of OTseeker to the OT Profession

  7. www.otseeker.com/onlineTutorial.ppt OTseeker Tutorial

  8. First, formulate a clinical PICO question • Go to the SEARCH page • Generate a list of article titles • Click on one of these titles for a. abstract b. article details c. PEDro rating scale Now try it out for yourself!

  9. But don’t forget…

  10. http://www.otseeker.com/PDF/PEDroScale PartitionedGuidelinesExplanations.pdf • Rates the RCTs for methodological quality in two ways (partitioned) • Internal validity (maximum score of 8) • Statistical reporting (maximum score of 2) Total maximum score is 10 The PEDro Scale

  11. abstracts of some articles in OTseeker are not available. • user must retrieve the full-text article either from the online or printed journal. • only effectiveness of interventions is in the database….no qualitative studies Limitations of OTseeker

  12. McCluskey, A., Lovarini, M., Bennett, S., McKenna, K., Tooth, L., & Hoffmann, T. (2006). How and why do occupational therapists use the OTseeker evidence database? AustralianOccupational Therapy Journal, 53, 188-195. Research

  13. Hoffmann, T., McKenna, K., Hadi, T., Bennett, S., McCluskey, A., & Tooth, L. (2007). Quality and quantity of paediatric research: An analysis of the OTseeker database. Australian Occupational Therapy Journal, 54, 113-123. Research

  14. McKenna, K., Bennett, S., Dierselhuis, Z., Hoffmann, T., Tooth, L. and McCluskey, A. (2005), Australian occupational therapists' use of an online evidence-based practice database (OTseeker). Health Information & Libraries Journal, 22, 205–214. Research

  15. http://www.otseeker.com/tutorial.htm - this website answers questions and explains terminology used in OTseeker • Bennett, S., Hoffmann, T., McCluskey, A., McKenna, K., Strong, J, Tooth, L. (2003). Introducing OTseeker:A new evidence database for occupational therapists. American Journal of Occupational Therapy, 57(6), 635-638. • http://www.otseeker.com/PDF/PEDroScalePartitionedGuidelinesExplanations.pdf - this website explains the PEDro rating scale and teaches therapists how to use it • Aust J Physiother. 2009;55(2):129-33. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Additional Resources

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