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Critical Appraisal
judging a study’s quality, credibility, relevance, and applicability to practice before using it
Parts of an article include…
abstract, introduction, methods, results, discussion
Abstract
brief summary: aims, methods, results, conclusions and helps filter
Introduction
background, problem, knowledges gap; justifies why the study was needed
Methods
design, sample. measures, procedures, participant protection
Results
findings only, no interpretation; statistics/p-values
Discussion
meaning of results; ties to intro; also includes limitations, bias, clinical significance
Validity
whether an instrument measures what it is intended to measure
Reliability
consistent results; does not mean valid!
Selection bias
the sample is not representative of entire population
Attrition bias
dropouts differ from completers
Measurement bias
flawed tools or procedures
Researcher bias
expectations shape findings
Participant Withdrawal
dropouts may differ from those who stay and skew the results, so they should always be reported how many left and why
Survey and COI red flags
leading, vague, double-barreled, absolute questions bias answers + funding ties and COI must be disclosedRandomization
Randomization
assigning participants to study groups by chance
Blinding
keeping participants, researchers, outcome assessors, or others unaware of study-group assignments
Statistical Significance
whether the observed findings are statistically inconsistent with the null hypothesis at a specified significance level
Clinical significance
whether the findings represent a meaningful difference in patient outcomes or clinical practice
Applicability
the sample/setting should match your patients, check before implementing in practice
Research
systemic investigation to generate knowledge or answer questions; produces the evidence
Translational Research
moves findings toward clinical application
EBP
integrating the best available evidence, clinical expertise, and patient values and preferences to guide clinical decisions
Quantitative Research
uses numerical data, measures variables, often uses structured data collection and standardized instruments, uses statistical analysis; may examine relationships, compare groups, or test hypotheses; Deductive (theory → specific hypothesis to test)
Qualitative Research
explores experiences, perceptions, meaning/process; commonly uses interviews and descriptive data and examines experiences/perspectives; identifies patterns and themes in data; Inductive (specific observations → broader pattern or theory)
Inductive Reasoning
moves from specific observations to broader patterns, concepts, or theories; commonly associated with qualitative research
Deductive Reasoning
begins with a theory or general principle and develops specific predictions or hypotheses to test; commonly associated with quantitative research
Confounding/extraneous variable
outside factors that distort or add error and can relate to both DV or IV (handle by randomizing, matching, adjusting)
Experimental research
includes manipulation of an IV, random assignment to study groups, can include a control/comparison group; is designed to evaluate intervention effects while controlling alternative explanations
Quasi-experimental research
includes intervention/manipulation, does not use random assignment, may use a control or comparison group; has greater potential for confounding than a well-designed randomized experiment
Non-experimental research
no intervention assigned, oversees variables as they occur, described/finds associations; cannot establish causation based on an observed association alone
Control group
shows what happens without the intervention, so outcomes can be compared
Correlation
association between two variables
Casuation
a cause-and-effect relationship in which a change in one variable produces a change in another
Statistical significance
results are unlikely due to chance; does not prove causation or clinical importance
Primary data
directly collected by researches for their study
Secondary data
existing data used to answer a new question
Generalizability
applying quantitative findings to a broader population; affected by sampling, setting, inclusion criteria
Phenomenology
qualitative research approach that focuses on lived experiences and explores how individuals experience and interpret a particular phenomenon
Ethnography
qualitative research approach that focuses on the culture, beliefs, practices, and life ways of a group and may involve interviews, observations, and immersion in the group's settingG
Grounded theory
focuses on developing a theory that explains a process or pattern of behavior and uses both systematic data collection and analysis to develop concepts and relationships
Coding
organizes qualitative data into categories
Themes
broader patterns of meaning in qualitative data
Data saturation
occurs when additional data no longer produce meaningful new information, concepts, or themes relevant to the research question
Four criteria of trustworthiness in qualitative research
credibility, transferability, dependability, and confirmability
Credibility
the extent to which findings provide a believable and well-supported representation of participants' experiences
Transferability
the extent to which findings may be relevant to other settings or contexts
Dependability
the consistency and transparency of the research process
Confirmability
he extent to which findings are grounded in the data rather than primarily reflecting researcher bias
Triangulation
using multiple data sources, methods, or perspectives can provide a more comprehensive understanding of a phenomenon
Audit Trial
documentation of research decisions and procedures supports transparency
Reflexivity
researchers should consider how their assumptions, experiences, and perspectives may influence the research process
Thick description
detailed descriptions of participants, settings, and circumstances help readers evaluate the transferability of findings
Mixed Methods research
intentionally combines quantitative and qualitative approaches within a study or coordinated series of studies
Advantages of mixed methods research
combines numerical outcomes with people’s experiences, provides context for quantitive findings, can help explain why can outcome occurred, can help identify barriers, provides a more comprehensive understanding of complex research problems
Integration
researchers must bring quantitative and qualitative findings together to develop a more complete interpretation; gives context, explains why, finds barriers
Explanatory sequential
quantitive data first then qualitative; the qualitative data explains the numbers
Exploratory sequential
qualitative data first then quantitive; interviews shape the survey