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What does EBP stand for?
Evidence-Based Practice
What are the three components of EBP?
Best external evidence; Clinical expertise; Client values/preferences
What type of evidence is considered external evidence?
Research evidence from scientific studies and professional resources
What ASHA resource provides filtered evidence?
ASHA Evidence Maps
What ASHA resource provides clinical guidance and evidence summaries?
ASHA Practice Portal
What type of study systematically summarizes all available evidence on a topic?
Systematic Review
What type of study statistically combines results from multiple studies?
Meta-analysis
What is an RCT?
Randomized Controlled Trial
Why are peer-reviewed journals important?
They contain research that has been evaluated by experts before publication
What is the purpose of Evidence-Based Practice?
To make clinical decisions using evidence, expertise, and client values
What does IRB stand for?
Institutional Review Board
What is the primary purpose of an IRB?
To protect human research participants
What is the first step in the IRB process?
Develop a research proposal
What happens after a research proposal is developed?
The protocol is submitted to the IRB
What factors does the IRB review?
Risks, benefits, confidentiality, and informed consent
What are the three possible IRB decisions?
Approve, request changes, or reject
When can a study begin?
After IRB approval
What happens after a study is approved?
The study is conducted and monitored until completion
Why is informed consent reviewed by the IRB?
To ensure participants understand the study and their rights
What is pseudoscience?
Claims that appear scientific but lack objective evidence
What is the first warning sign of pseudoscience?
Reliance on anecdotal evidence
What is anecdotal evidence?
Personal stories or experiences rather than scientific research
What is another warning sign of pseudoscience?
The treatment is not aligned with accepted theories or models
What is a third warning sign of pseudoscience?
New terms are invented or existing terms are misused
What is a fourth warning sign of pseudoscience?
No peer-reviewed publications support the treatment
What is a fifth warning sign of pseudoscience?
The treatment over-promises results
What is NSOME?
Non-speech oral motor exercises
Which pseudoscientific treatment was discussed in class involving oral motor exercises?
NSOME
Which computerized language program was discussed as pseudoscience?
Fast ForWord
Which sensory-based program was discussed as pseudoscience?
Soundsory
What is positive skepticism?
Critically evaluating claims before accepting them
How should clinicians respond to pseudoscientific claims?
Ask for evidence
How should clinicians evaluate a treatment's effectiveness?
Investigate the research
What should clinicians identify when evaluating research?
Bias
What should clinical decisions be based on?
Evidence rather than anecdotes
What does PICO stand for?
Population, Intervention, Comparison, Outcome
What is the first step of the EBP process?
Ask a clinical question using PICO
What is the second step of the EBP process?
Search for evidence
What is the third step of the EBP process?
Critically appraise the evidence
What is the fourth step of the EBP process?
Integrate evidence with expertise and client preferences
What is the fifth step of the EBP process?
Implement the intervention
What is the sixth step of the EBP process?
Evaluate outcomes
What is selection bias?
Participants are not representative of the target population
What is assignment bias?
Groups differ before the intervention begins
What is performance bias?
Participants' behavior changes because they know their group assignment
What is detection bias?
Outcome assessors know which participants received treatment
What is attrition bias?
Participants drop out before the study is completed
What is reporting bias?
Researchers selectively report positive findings
What is publication bias?
Studies with positive findings are more likely to be published
What is implicit bias?
Unconscious attitudes or stereotypes that affect decisions
What is explicit bias?
Conscious attitudes or beliefs that affect decisions
What is confirmation bias?
Favoring evidence that supports existing beliefs
What is informed consent?
A process that ensures participants understand a study before agreeing to participate
What is one right of research participants?
To know the purpose of the study
What is another right of research participants?
To know the risks and benefits
What is another right of research participants?
To ask questions
What is another right of research participants?
To participate voluntarily
What is another right of research participants?
To withdraw at any time
What is the first ethical principle in research?
Respect for Persons
What does Respect for Persons emphasize?
Autonomy and informed consent
What is the second ethical principle in research?
Beneficence
What does Beneficence require?
Maximizing benefits and minimizing harm
What is the third ethical principle in research?
Justice
What does Justice require?
Fair selection of participants
What is sensitivity?
The ability of a test to correctly identify individuals with a disorder
What formula is used for sensitivity?
TP / (TP + FN)
What does TP stand for?
True Positive
What does FN stand for?
False Negative
What does high sensitivity mean?
Few false negatives
Why is high sensitivity important?
It reduces missed diagnoses
What is specificity?
The ability of a test to correctly identify individuals without a disorder
What formula is used for specificity?
TN / (TN + FP)
What does TN stand for?
True Negative
What does FP stand for?
False Positive
What does high specificity mean?
Few false positives
What is the highest level of evidence?
Systematic Review with Meta-analysis
What is a Systematic Review with Meta-analysis?
A systematic review that statistically combines study results
What is a major strength of a meta-analysis?
Large combined sample size
What is another strength of a meta-analysis?
More precise estimate of treatment effect
What is a weakness of a meta-analysis?
It is only as strong as the studies included
When can a meta-analysis be performed?
When studies are sufficiently similar
What factors must be similar for a meta-analysis?
Participants, outcomes, design, and measures
What is a Systematic Review?
A systematic collection and critical evaluation of all relevant studies on a topic
What is the purpose of a Systematic Review?
To summarize all available evidence
What is a strength of a Systematic Review?
Reduces bias through a systematic search process
What is a weakness of a Systematic Review?
Depends on the quality of included studies
What is the gold standard study design for intervention research?
Randomized Controlled Trial
Why is randomization important in an RCT?
It helps make groups comparable
What is a major strength of an RCT?
Can establish cause-and-effect relationships
What is another strength of an RCT?
High internal validity
What is a weakness of an RCT?
Can be expensive and time-consuming
What type of study follows groups over time based on exposure?
Cohort Study
Is a Cohort Study experimental or observational?
Observational
What is the purpose of a Cohort Study?
To examine relationships between exposures and outcomes
What type of study starts with a condition and looks backward for causes?
Case-Control Study
Is a Case-Control Study usually retrospective or prospective?
Retrospective
What is a major strength of a Case-Control Study?
Useful for studying rare disorders
What is a Cross-Sectional Study?
A study that measures participants at one point in time
What does a Cross-Sectional Study provide?
A snapshot of a population
Can a Cross-Sectional Study establish causation?
No