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Home/ SSU MOT 6691 & 6692/ Research Pyramid: A New Evidence-Based Practice Model for Occupational Therapy
jennburwell

Research Pyramid: A New Evidence-Based Practice Model for Occupational Therapy - 1 views

EBP

started by jennburwell on 09 Aug 17
  • jennburwell
     
    https://ajot.aota.org/article.aspx?articleid=1853025

    A model develop by Borgetto et al. in 2007 was expanded and is presented in this research. The model is referred to as the Research Pyramid and its purpose it to better represent an evidence-based medicine and clinical reasoning in occupational therapy. In the original single hierarchy model the focus is on blinded, RCTs and meta-analyses of this information as the highest levels above qualitative research. The model redesigns the levels to equalize descriptive, experimental, outcome and qualitative research as equal with level 1 being meta-analyses or systematic reviews of each research design. The researchers state this design more aptly aligns with the clinical reasoning demands of occupational therapy, as there are many contexts involved in holistic, client-centered care. It is said that the three sides of the pyramid closely align with procedural reasoning, interactive reasoning and conditional reasoning. This model recognizes that certain questions in occupational therapy can only be answered by particular methods of design. The model proposes a more comprehensive "mega-synthesis" for the literature ultimately impacting evidence based practice, clinical reasoning, and research. The research pyramid is an alternative model of evidence that informs decision making in the field and shows promises to align more closely with the demands of the profession it seeks to inform.

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