Sudsawad, P. (2005). A conceptual framework to increase usability of outcome research for evidencebased practice.

The American Journal of Occupational Therapy, 59, 351-355.

Abhishek Rajan Desai, Graduate Student, MS Occupational Therapy,SHRS, University of Pittsburgh.


MS Occupational Therapy.SHRS. implementation. Graduate Student. Abhishek Rajan Desai. 2 . University of Pittsburgh. and diffusion of research for the purpose of increasing research utilization for EBP by occupational therapy practitioners.Purpose  The purpose of the article was give an introduction to a conceptual framework to guide the design.

MS Occupational Therapy. Abhishek Rajan Desai. & Haynes. University of Pittsburgh. Richardson. and judicious use of the current best evidence in making decisions about the care of individual patients (Sackett. 1997). Rosenberg. SHRS. Graduate Student. 3 .Evidence Based Practice (EBP)  Definition: EBP is defined as the conscientious. explicit.

Graduate Student. MS Occupational Therapy. 3) Lack of skills in interpreting research evidence. 4 . University of Pittsburgh.Barriers in utilization of research outcomes: 1) Lack of relevance of research studies to practice. 2) Lack of communication of research results from the researcher to the practicing therapists. SHRS. Abhishek Rajan Desai.

SHRS.Factors negatively affecting the potential for high quality patient care:  Slow diffusion of research findings into practice  Scarcity of practice-based research Abhishek Rajan Desai. University of Pittsburgh. MS Occupational Therapy. Graduate Student. 5 .

University of Pittsburgh. 6 . or object that is perceived as new (innovation). 1995)  The Diffusions of Innovations Theory identifies the process and the factors influencing communication (diffusion) of an idea. Abhishek Rajan Desai. Graduate Student. SHRS. MS Occupational Therapy. practice.Diffusion of Innovations Theory (Rogers.

Graduate Student. MS Occupational Therapy.Characteristics of innovations according to The Diffusion of Innovations Theory:  Relative Advantage: Advantages over the existing ideas  Compatibility : Consistency with existing values. 7 . University of Pittsburgh. past experiences and the current needs  Complexity : Difficulty to understand  Triability : Degree of usage  Observability : Visibility of results These characteristics influence the eventual use of the innovation by the user. Abhishek Rajan Desai. SHRS.

University of Pittsburgh. Graduate Student. Abhishek Rajan Desai. SHRS. • Research has less complexity.According to The Diffusions of Innovations Theory utilization of research for EBP should increase if : • Research findings have relative advantage over other types of evidences. MS Occupational Therapy. • Research findings are observable. • Research findings have good triability. • Research conduct has good compatibility. 8 .

MS Occupational Therapy. 9 .Concepts that may facilitate research utilization by practitioners. University of Pittsburgh. Graduate Student.  Social Validity  Ecological Validity  Clinical Significance Abhishek Rajan Desai. SHRS.

MS Occupational Therapy. 1978)  Social Validity (SV) is defined as something of social importance. discomfort. Are the intervention techniques acceptable to the consumer or do they cost too much in terms of effort.SHRS.  Three questions to assess SV of the research process and outcomes are: 1. University of Pittsburgh. Are the consumers satisfied with the intervention outcomes? Abhishek Rajan Desai. Are the goals of the intervention relevant to the society? 2. 3.Social Validity (Wolf. Graduate Student. ethics etc. 10 .

SV achieves this by involving both the consumers and the practitioners in the research process.How does SV help?  SV increases Compatibility. MS Occupational Therapy. 11 .  SV increases Triability. SHRS. Graduate Student. Abhishek Rajan Desai. University of Pittsburgh.

12 . 1996). Abhishek Rajan Desai.SHRS. MS Occupational Therapy.  Hence.  EV emphasizes the importance of conveying research findings in ways that are related to real-life performances. EV helps reduce Complexity. University of Pittsburgh.Ecological Validity  Ecological Validity (EV) is defined as the functional and predictive relationship between a person’s performance on a test and his or her performance in a variety of real-world settings (Sbordone. Graduate Student.

1988) because statistically significant differences between groups do not necessarily indicate practical. Graduate Student. 13 .Clinical Significance  Clinical Significance is defined as a way to move beyond merely showing statistically significant change (Kazdin & Kendall. Lunnen & Bonesteel. meaningful.SHRS. or clinically significant differences between groups (Ogles. University of Pittsburgh. Abhishek Rajan Desai. MS Occupational Therapy. 2001)  Hence it helps increase Observability.

14 .Suggestions to facilitate the usability of outcome research for EBP.SHRS. Graduate Student. MS Occupational Therapy.  Researchers should verify the relevance of research questions/hypothesis. University of Pittsburgh.  Team up with practitioners  Includes consumers in research  Include natural environment Abhishek Rajan Desai.

University of Pittsburgh.SHRS. Graduate Student. Abhishek Rajan Desai.Message: The success of Evidence Based Practice depends on utilization of research findings. Hence research should be designed. MS Occupational Therapy. 15 . conducted and presented in a manner which would facilitate greater utilization of research findings in to clinical practice.

University of Pittsburgh. Graduate Student. 16 . MS Occupational Therapy.SHRS.THANK YOU Abhishek Rajan Desai.

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