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Evidence-based Assessment in Pediatric Psychology

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Evidence-based Assessment in Pediatric Psychology

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  1. Evidence-based Assessment in Pediatric Psychology Lindsey L. Cohen, Ph.D. Georgia State University

  2. Schedule • Evidence-based Assessment (EBA) in Pediatric Psychology (20 min) • Grayson Holmbeck – Psychosocial Functioning (15 min) • Anne Kazak – Family Functioning (15 min) • Alexandra Quittner – Adherence (15 min) • Carl von Baeyer – Pain (15 min) • Questions and Answers (10 min)

  3. The Roots of Evidence-based Practice in Psychology Scientist-Practitioner Model Evidence-Based Medicine

  4. Evidence-Based Medicine (EBM) “The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients” (Sackett et al, 1996; pp. 71–72)

  5. The Roots of Evidence-based Practice in Psychology Evidence-based Practice in Psychology Scientist-Practitioner Model Evidence-based Medicine EST Movement in Psychology Accountability, Public Policy

  6. APA Policy Statement on Evidence-Based Practice in Psychology (2005) “Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.”

  7. APA Policy Statement on Evidence-Based Practice in Psychology (2005) “Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.”

  8. EBPP Falls on a Continuum of Care Nomothetic (diagnosis-centered; guidelines; criteria; manuals; ESTs) Evidence-based practice in psychology Idiographic (patient-centered; decisions based on individual characteristics and circumstances; expertise; EBM)

  9. The EBPP Model Best available research evidence EBPP Patient characteristics, culture, and preferences Clinical expertise

  10. The EBP Model Infrastructure Articles, books, websites, algorithms and flowcharts (e.g., PICO, CONSORT), search engines (e.g., TRIP, SumSearch), databases (e.g., Cochrane), journals, and other structure has been developed to support EBM and EBP; however, this is almost wholly focused on treatment

  11. “…is tantamount to taking on a 900-pound gorilla… …while still wrestling with a very large alligator” (Mash & Hunsley, 2005) “Tackling the issue of EBA…” EBA Assessment EBT Treatment So, get your game face on!

  12. Best Available Research Evidence for Assessment • Strategically acquire the evidence from the literature. Easy? Best available research evidence

  13. Cochrane / others* Medical/Health Database – Acquiring the evidence Research Literature PSYCINFO EMBASE MEDLINE *Note that Cochrane and some other databases are not linked to PsycINFO

  14. Best Available Research Evidence for Assessment • Strategically acquire the evidence from the literature. Not so easy. • Evaluate psychometrics qualities of instruments • Select the best literature. Easy? Best available research evidence

  15. Best Available Research Evidence-Treatment

  16. Best Available Research Evidence-Assessment

  17. Best Available Research Evidence for Assessment • Strategically acquire the evidence from the literature. Not so easy. • Evaluate psychometrics qualities of instruments • Select the best literature. Not so easy. • Evaluate the quality of the research Best available research evidence

  18. Patient characteristics, culture, and preferences - Assessment • Assessment is a collaborative endeavor with shared-decision making • Appreciation of specific diverse groups • Ascertain patient values and preferences • Situational characteristics (e.g., hospital, lab) Patient characteristics, culture, and preferences

  19. Ecological Systems Model Macrosystem Exosystem Mesosystem Microsystem Child Age, Health, Temperament, Coping, Experiences Family, Available Health Services, Peers, Schools Media, Health Care, Hospital Policies,Public Policy Attitudes, Cultural Ideologies, Societal Values Chronosystem Sociohistorical Conditions, Life Transitions and Patterns

  20. Clinical Expertise - Assessment • Non-specific or common factors • Awareness of strengths and limits of self and assessment instruments • Administration and interpretation skills • Selection of assessment instruments • Integration of research evidence with patient and situation Clinical expertise

  21. The EBPP Model Best available research evidence EBPP Patient characteristics, culture, and preferences Clinical expertise

  22. Initial Ventures in Evidence-based Assessment in Pediatric Psychology • Division 12 • Division 53 • Ped-IMMPACT • Division 54 • We still have a ways to go to get the horse out in front of the cart, but… Best available research evidence Patient characteristics, culture, and preferences Clinical expertise

  23. Division 54 Should take the Horse and Lead the EBA Charge EBA

  24. Thank You