Beyond research literature: Occupational therapists’ perspectives on and uses of “evidence” in everyday practice / Deborah A. Dougherty in Canadian Journal of Occupational Therapy, 83(5) (Décembre 2016)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 83(5) (Décembre 2016) . - p. 288-296 Titre : Beyond research literature: Occupational therapists’ perspectives on and uses of “evidence” in everyday practice Titre original : Au-delà de la littérature scientifique : Les perspectives des ergothérapeutes sur les « faits probants » et leur usage dans la pratique quotidienne Type de document : texte imprimé Auteurs : Deborah A. Dougherty ; Susan E. Toth-Cohen ; George Tomlin Année de publication : 2016 Article en page(s) : p. 288-296 Langues : Anglais (eng) Mots-clés : ergothérapie  pratique centrée sur le client  pratique fondée sur les faits probants  raisonnement clinique  recherche qualitative Résumé : Background. Recent literature in evidence-based practice indicates that evidence is defined differently from practice and research perspectives. However, few published works address therapists’ perspectives of the nature and use of evidence in everyday practice. Purpose. This study describes the definition, types, and use of evidence from the perspective of six school-based occupational therapists. Method. Data were collected through focus groups and participant-submitted documentation and analyzed using qualitative and quantitative content analysis. Findings. Two categories of evidence emerged: internalized evidence and evidence gathered during the intervention process. Clinical reasoning, identified as a key skill in evidence-based practice, supported the synthesis of therapist internalized evidence with “in-the-moment” evidence gathered from activity, contextual, and occupational analyses of the client. Implications. The findings support current literature that has suggested expanding the definition of evidence (i.e., more than research findings alone). Further investigation of evidence building in practice may help in constructing a more inclusive professional culture of evidence-based practice. Permalink : ./index.php?lvl=notice_display&id=47798 [article] Beyond research literature: Occupational therapists’ perspectives on and uses of “evidence” in everyday practice = Au-delà de la littérature scientifique : Les perspectives des ergothérapeutes sur les « faits probants » et leur usage dans la pratique quotidienne [texte imprimé] / Deborah A. Dougherty ; Susan E. Toth-Cohen ; George Tomlin . - 2016 . - p. 288-296. Langues : Anglais (eng) in Canadian Journal of Occupational Therapy > 83(5) (Décembre 2016) . - p. 288-296 Mots-clés : ergothérapie  pratique centrée sur le client  pratique fondée sur les faits probants  raisonnement clinique  recherche qualitative Résumé : Background. Recent literature in evidence-based practice indicates that evidence is defined differently from practice and research perspectives. However, few published works address therapists’ perspectives of the nature and use of evidence in everyday practice. Purpose. This study describes the definition, types, and use of evidence from the perspective of six school-based occupational therapists. Method. Data were collected through focus groups and participant-submitted documentation and analyzed using qualitative and quantitative content analysis. Findings. Two categories of evidence emerged: internalized evidence and evidence gathered during the intervention process. Clinical reasoning, identified as a key skill in evidence-based practice, supported the synthesis of therapist internalized evidence with “in-the-moment” evidence gathered from activity, contextual, and occupational analyses of the client. Implications. The findings support current literature that has suggested expanding the definition of evidence (i.e., more than research findings alone). Further investigation of evidence building in practice may help in constructing a more inclusive professional culture of evidence-based practice. Permalink : ./index.php?lvl=notice_display&id=47798

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Content Analysis of Qualitative Research on Children and Youth With Autism, 1993–2011: Considerations for Occupational Therapy Services / Yvonne Swinth in American Journal of Occupational Therapy, Vol. 69/5 (Septembre-Octobre 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905185030p1-6905185030p9 Titre : Content Analysis of Qualitative Research on Children and Youth With Autism, 1993–2011: Considerations for Occupational Therapy Services Type de document : texte imprimé Auteurs : Yvonne Swinth, Auteur ; George Tomlin, Auteur ; Marge Luthman, Auteur Année de publication : 2015 Article en page(s) : p.6905185030p1-6905185030p9 Langues : Anglais (eng) Mots-clés : Autistic disorder  child  family  occupational therapist Résumé : OBJECTIVE: Through a content analysis of qualitative research published 1993–2011, we sought to determine how qualitative research can inform clinical reasoning among occupational therapy practitioners to support evidence-based, occupation-focused services for children and youth with autism and their families. METHOD: A qualitative literature search of journals inside and outside occupational therapy, including international journals, yielded 125 articles. We reviewed 110 articles that met inclusion criteria, 79 of which were coded by four occupational therapists with experience working with families with a child or youth with autism. RESULTS: Nineteen content codes were initially derived. Three themes were identified: (1) service challenges for the family, (2) day-to-day experience of autism, and (3) reframing family. CONCLUSION: This content analysis illustrates how qualitative research may help occupational therapy practitioners make comprehensive, occupation-based intervention decisions by considering the lived experience of children and youth with autism and their families. Permalink : ./index.php?lvl=notice_display&id=40866 [article] Content Analysis of Qualitative Research on Children and Youth With Autism, 1993–2011: Considerations for Occupational Therapy Services [texte imprimé] / Yvonne Swinth, Auteur ; George Tomlin, Auteur ; Marge Luthman, Auteur . - 2015 . - p.6905185030p1-6905185030p9. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905185030p1-6905185030p9 Mots-clés : Autistic disorder  child  family  occupational therapist Résumé : OBJECTIVE: Through a content analysis of qualitative research published 1993–2011, we sought to determine how qualitative research can inform clinical reasoning among occupational therapy practitioners to support evidence-based, occupation-focused services for children and youth with autism and their families. METHOD: A qualitative literature search of journals inside and outside occupational therapy, including international journals, yielded 125 articles. We reviewed 110 articles that met inclusion criteria, 79 of which were coded by four occupational therapists with experience working with families with a child or youth with autism. RESULTS: Nineteen content codes were initially derived. Three themes were identified: (1) service challenges for the family, (2) day-to-day experience of autism, and (3) reframing family. CONCLUSION: This content analysis illustrates how qualitative research may help occupational therapy practitioners make comprehensive, occupation-based intervention decisions by considering the lived experience of children and youth with autism and their families. Permalink : ./index.php?lvl=notice_display&id=40866

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Contribution of Qualitative Research to Evidence in Practice for People With Autism Spectrum Disorder / George Tomlin in American Journal of Occupational Therapy, Vol. 69/5 (Septembre-Octobre 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905360010p1-6905360010p4 Titre : Contribution of Qualitative Research to Evidence in Practice for People With Autism Spectrum Disorder Type de document : texte imprimé Auteurs : George Tomlin, Auteur ; Yvonne Swinth, Auteur Année de publication : 2015 Article en page(s) : p.6905360010p1-6905360010p4 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  autistic disorder  child  family Résumé : Appraising the best available evidence substantiating and informing occupational therapy practice is a commonly expressed obligation for the profession (American Occupational Therapy Association [AOTA], 2007). In this article we argue for the full inclusion of qualitative research, on parity with quantitative research, as a source for evidence of relevant and effective occupational therapy practice, review the limitations of quantitative research, and outline the distinctive contributions of qualitative studies to the practice of occupational therapy for people with autism spectrum disorder (ASD). In addition, we describe the role of qualitative studies in the fulfillment of the Centennial Vision (AOTA, 2007) and recommend three action steps for the profession. Permalink : ./index.php?lvl=notice_display&id=40876 [article] Contribution of Qualitative Research to Evidence in Practice for People With Autism Spectrum Disorder [texte imprimé] / George Tomlin, Auteur ; Yvonne Swinth, Auteur . - 2015 . - p.6905360010p1-6905360010p4. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/5 (Septembre-Octobre 2015) . - p.6905360010p1-6905360010p4 Mots-clés : Autism spectrum disorder  autistic disorder  child  family Résumé : Appraising the best available evidence substantiating and informing occupational therapy practice is a commonly expressed obligation for the profession (American Occupational Therapy Association [AOTA], 2007). In this article we argue for the full inclusion of qualitative research, on parity with quantitative research, as a source for evidence of relevant and effective occupational therapy practice, review the limitations of quantitative research, and outline the distinctive contributions of qualitative studies to the practice of occupational therapy for people with autism spectrum disorder (ASD). In addition, we describe the role of qualitative studies in the fulfillment of the Centennial Vision (AOTA, 2007) and recommend three action steps for the profession. Permalink : ./index.php?lvl=notice_display&id=40876

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Research pyramid / George Tomlin in American Journal of Occupational Therapy, Vol. 65/2 (mars-avril 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 189-196 Titre : Research pyramid : a new evidence-based practice model for occupational therapy Type de document : texte imprimé Auteurs : George Tomlin ; Bernhard BORGETTO Année de publication : 2011 Article en page(s) : p. 189-196 Langues : Anglais (eng) Mots-clés : Médecine fondée sur les preuves  Ergothérapie Résumé : In the campaign to implement evidence-based practice, the current single-hierarchy model of levels of evidence fails to incorporate at parity all types of research evidence that are valuable in the practice of occupational therapy. A new model, originally developed by Borgetto et al. (2007) and modified and expanded, is presented. By separating the evidence-level criteria of internal and external validity, by incorporating explicitly the evidence provided by qualitative studies, and by retaining the critical notion of rigor, a pyramidal evidence model emerges. This model, the Research Pyramid, aligns itself with the revised model of evidence-based medicine and, more important, with the basic modes of clinical reasoning in occupational therapy. It constitutes a beginning attempt to order evidence-based practice in accordance with the epistemology of the profession. It may better guide occupational therapy research and meta-synthesis and their incorporation into practice decisions. Permalink : ./index.php?lvl=notice_display&id=14220 [article] Research pyramid : a new evidence-based practice model for occupational therapy [texte imprimé] / George Tomlin ; Bernhard BORGETTO . - 2011 . - p. 189-196. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 189-196 Mots-clés : Médecine fondée sur les preuves  Ergothérapie Résumé : In the campaign to implement evidence-based practice, the current single-hierarchy model of levels of evidence fails to incorporate at parity all types of research evidence that are valuable in the practice of occupational therapy. A new model, originally developed by Borgetto et al. (2007) and modified and expanded, is presented. By separating the evidence-level criteria of internal and external validity, by incorporating explicitly the evidence provided by qualitative studies, and by retaining the critical notion of rigor, a pyramidal evidence model emerges. This model, the Research Pyramid, aligns itself with the revised model of evidence-based medicine and, more important, with the basic modes of clinical reasoning in occupational therapy. It constitutes a beginning attempt to order evidence-based practice in accordance with the epistemology of the profession. It may better guide occupational therapy research and meta-synthesis and their incorporation into practice decisions. Permalink : ./index.php?lvl=notice_display&id=14220

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