Barriers to Psychologists’ Adherence to Evidence-Based Practice Guidelines for Treating Musculoskeletal Injuries Within the State Insurance Regulatory Authority Compensation Schemes

Author(s):  
Tahira Haider ◽  
Debra A. Dunstan

AbstractObjectives:The use of evidence-based practice (EBP) guidelines by psychologists working within the State Insurance Regulatory Authority (SIRA) compensation schemes for treating musculoskeletal injuries has been found to vary. The aim of this study was to qualitatively explore psychologists’ perceived barriers to adhering with EBP guidelines implemented by the New South Wales (NSW) SIRA.Methods:Registered psychologists (n= 20) working within the NSW SIRA compensation schemes participated in four focus groups conducted face-to-face (F2F) and online. Participants’ responses were audiotaped, transcribed verbatim and entered into NVivo 11 software. Text data were analysed to identify recurrent themes within and across groups (metropolitan, regional and rural).Results:Thematic analysis revealed three key issues: (a) a lack of trust in the validity of the recommended EBP guidelines; (b) lack of knowledge of the psychologist’s role in this context and insufficient skills to fully apply the guidelines, protocols and procedures; and (c) a poor fit between EBP guidelines, client presentations and circumstances, and the SIRA compensation schemes.ConclusionThe findings showed that both individual practitioner variables and contextual barriers influenced adherence to EBP. Practical implications for future research include generating recommendations to overcome the identified barriers using a collaborative approach between policymakers, researchers and practitioners.

2018 ◽  
Vol 8 (4) ◽  
pp. 170 ◽  
Author(s):  
Soonhwa Seok ◽  
Boaventura DaCosta ◽  
Mikayla McHenry-Powell ◽  
Linda Heitzman-Powell ◽  
Katrina Ostmeyer

This systematic review examined eight studies showing that video modeling (VM) can have a positive and significant effect for students with emotional and behavioral disorders (EBD). Building upon meta-analyses that sought evidence of video-based interventions decreasing problem behaviors of students with EBD in K-12 education, the review examined the standards of the Council for Exceptional Children (CEC) for evidence-based practice as well as additional quality indicators, neglected quality indicators, strategies combined with VM, the impact of the independent variables on the dependent variables, and common recommendations offered for future research. Findings revealed that the eight studies met the CEC standards for evidence-based practices as well as other quality indicators. For instance, all studies reported content and setting, participants, intervention agents, description of practice, as well as interobserver agreement and experimental control. According to the findings, fidelity index and effect size were the two most neglected quality indicators. Furthermore, instructions, reinforcement system, and feedback or discussion were the most common strategies used. Finally, generalizability—across settings, populations, treatment agents, target behaviors in the real world, and subject matter—was the most common recommendation for future research. While further investigation is warranted, these findings suggest that VM is an effective evidence-based practice for students with EBD when the CEC standards are met.


Author(s):  
Alaine E Reschke-Hernández

Abstract Currently, no drug can cure or effectively mitigate symptoms for the growing number of individuals who live with Alzheimer’s disease and related dementias. As they experience declines in memory, communication, and thinking—symptoms that undermine social initiative, autonomy, and well-being—these individuals become increasingly dependent on others. Evidence regarding the benefits of music therapy for persons with dementia is growing. Nonetheless, limitations in existing research have hindered knowledge regarding the use and appropriate application of music as a form of treatment with this population. This article describes the development of The Clinical Practice Model for Persons with Dementia, which provides a theoretical framework to inform evidence-based practice, illustrated here in application to music therapy. Specifically, the model is intended to prompt purposeful application of strategies documented within a broad literature base within 6 thematic areas (Cognition, Attention, Familiarity, Audibility, Structure, and Autonomy); facilitate clinical decision-making and intervention development, including music interventions; and encourage discourse regarding relationships between characteristics of the intervention, the therapist, the person with dementia, and their response to intervention. The model comprises a set of testable assumptions to provide direction for future research and to facilitate the description and investigation of mechanisms underlying behavioral interventions with this population. Although the model is likely to evolve as knowledge is gained, it offers a foundation for holistically considering an individual’s needs and strengths, guidance for applying music and nonmusic strategies in evidence-based practice, and direction for future research.


2014 ◽  
Vol 9 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Mary Beth Zwart ◽  
Bernadette Olson

Context It is the responsibility of athletic training educators, through curriculum and clinical experiences, to engage students towards adopting evidence-based practice (EBP) into their practice. The initial task of implementing EBP into a curriculum or course can seem like a large task for educators and students. As a way to start scaffolding EBP concepts across the curriculum, a modified critical appraisal assignment was developed to teach therapeutic modality concepts. Objective The purpose of this action research project was to demonstrate how a modified critical appraisal assignment can be used to introduce the process and aspects of critical appraisal and begin scaffolding the development of critical appraisal skills over time. The objectives of this study were to evaluate the students' ability to (1) successfully locate relevant research needed to answer clinical questions and (2) successfully appraise the literature according to basic EBP strategy. From a program perspective, the modified critical appraisal assignment was a starting point from which to include EBP principles into didactic coursework. Design Seventeen athletic training students completed 3 modified critical appraisal assignments pertaining to the use of therapeutic modalities. Each paper included 5 sections: (1) clinical question, (2) key clinical findings, (3) clinical applicability based on information from the appraisal and significance of results, (4) article comparison table, and (5) implications for clinical practice, patient education, and future research. The instructor evaluated the assignments blind. Conclusions Students were generally able to complete the critical appraisal assignment; however, students had difficulty locating research that answered the clinical question. Students struggled to relate the key clinical findings of the research articles and implications for clinical practice to the given clinical question. Findings from this study have informed faculty teaching, including introducing EBP skills earlier in the curriculum and inserting assignments that stress various aspects of the critical appraisal process.


2008 ◽  
Vol 17 (2) ◽  
pp. 71-73
Author(s):  
Marilynn J. Wood

Author(s):  
June St Clair Buchanan ◽  
Gregory Elliott

Gambling has traditionally been a part of the national psyche in Australia. In more recent times, however, attitudes in much of the community are changing, with the result that governments are widely expected to develop increasingly restrictive public policies related to electronic gaming machines (EGMs). The purpose of this paper is to examine the relationships between government, business, and the broader community in the context of the gambling industry in New South Wales (NSW), Australia, and to explore the political and social policy implications of reconciling these competing stakeholder interests. The research draws on the results of 38 face-to-face interviews with key stakeholders in Nevada and NSW conducted during 2005 and 2006, with an additional two interviews in 2013 in NSW. Furthermore, 47 newspaper articles were analyzed to further identify key issues. Against a background of widespread community skepticism, we argue that governments have an important role in setting public policies and striking the appropriate balance between protecting those who have, or are susceptible to, gambling problems and the majority of people who play EGMs without any ensuing problems. However, businesses also have an important contribution to make by being proactively socially responsible, thereby increasing their legitimacy and negating the need for further government interventions.En Australie, les jeux de hasard sont traditionnellement ancrés dans les mœurs. Toutefois, depuis quelque temps, les attitudes d’une grande partie de la population sont en train de changer, de sorte que l’on s’attend généralement à ce que les gouvernements élaborent des politiques publiques de plus en plus restrictives à l’égard des appareils de jeux électroniques. Dans cet article, on examine les relations qui existent entre le gouvernement, les entreprises et l’ensemble de la population dans le contexte de l’industrie des jeux de hasard en Nouvelle-Galles du Sud, en Australie et on analyse les implications politiques et sociales d’une conciliation des intérêts complémentaires de ces intervenants. Ces travaux de recherche s’appuient sur les résultats de 38 entrevues en face à face avec les principaux intervenants au Nevada et en Nouvelle-Galles du Sud qui ont été réalisées au cours de 2005 et 2006, auxquelles s’ajoutent deux autres entrevues qui ont été effectuées en 2013 en Nouvelle-Galles du Sud. De plus, 47 articles de journaux ont été analysés pour définir davantage les principaux problèmes. Avec comme toile de fond un scepticisme généralisé dans la population, on soutient que les gouvernements ont un rôle important à jouer dans l’élaboration de politiques publiques et dans le maintien d’un juste équilibre lorsqu’il s’agit de protéger ceux qui ont des problèmes de jeu, ou ceux qui peuvent y succomber, et la majorité des gens qui utilisent des appareils de jeux électroniques sans que cela devienne problématique. Toutefois, les entreprises ont également un rôle important à jouer en prenant l’initiative d’agir de façon responsable sur le plan social, ce qui aura pour effet de renforcer leur légitimité et d’éliminer la nécessité d’avoir recours à d’autres interventions gouvernementales.


Author(s):  
June St Clair Buchanan ◽  
Gregory Elliott

Gambling has traditionally been a part of the national psyche in Australia. In more recent times, however, attitudes in much of the community are changing, with the result that governments are widely expected to develop increasingly restrictive public policies related to electronic gaming machines (EGMs). The purpose of this paper is to examine the relationships between government, business, and the broader community in the context of the gambling industry in New South Wales (NSW), Australia, and to explore the political and social policy implications of reconciling these competing stakeholder interests. The research draws on the results of 38 face-to-face interviews with key stakeholders in Nevada and NSW conducted during 2005 and 2006, with an additional two interviews in 2013 in NSW. Furthermore, 47 newspaper articles were analyzed to further identify key issues. Against a background of widespread community skepticism, we argue that governments have an important role in setting public policies and striking the appropriate balance between protecting those who have, or are susceptible to, gambling problems and the majority of people who play EGMs without any ensuing problems. However, businesses also have an important contribution to make by being proactively socially responsible, thereby increasing their legitimacy and negating the need for further government interventions.En Australie, les jeux de hasard sont traditionnellement ancrés dans les mœurs. Toutefois, depuis quelque temps, les attitudes d’une grande partie de la population sont en train de changer, de sorte que l’on s’attend généralement à ce que les gouvernements élaborent des politiques publiques de plus en plus restrictives à l’égard des appareils de jeux électroniques. Dans cet article, on examine les relations qui existent entre le gouvernement, les entreprises et l’ensemble de la population dans le contexte de l’industrie des jeux de hasard en Nouvelle-Galles du Sud, en Australie et on analyse les implications politiques et sociales d’une conciliation des intérêts complémentaires de ces intervenants. Ces travaux de recherche s’appuient sur les résultats de 38 entrevues en face à face avec les principaux intervenants au Nevada et en Nouvelle-Galles du Sud qui ont été réalisées au cours de 2005 et 2006, auxquelles s’ajoutent deux autres entrevues qui ont été effectuées en 2013 en Nouvelle-Galles du Sud. De plus, 47 articles de journaux ont été analysés pour définir davantage les principaux problèmes. Avec comme toile de fond un scepticisme généralisé dans la population, on soutient que les gouvernements ont un rôle important à jouer dans l’élaboration de politiques publiques et dans le maintien d’un juste équilibre lorsqu’il s’agit de protéger ceux qui ont des problèmes de jeu, ou ceux qui peuvent y succomber, et la majorité des gens qui utilisent des appareils de jeux électroniques sans que cela devienne problématique. Toutefois, les entreprises ont également un rôle important à jouer en prenant l’initiative d’agir de façon responsable sur le plan social, ce qui aura pour effet de renforcer leur légitimité et d’éliminer la nécessité d’avoir recours à d’autres interventions gouvernementales.


2002 ◽  
Vol 21 (1) ◽  
pp. 69-70
Author(s):  
Lynn Rasmussen

This column presents abstracts of recently published research studies and evidence-based practice guidelines of interest to those who care for neonates. These abstracts, printed as written by the authors, have been chosen from peer-reviewed journals with the attempt to provide readers of Neonatal Network:® The Journal of Neonatal Nursing with a timely glimpse at the state of the science. A short commentary regarding the studies and topics is provided.


Author(s):  
David A. Jones

This chapter is about the psychological processes through which individuals evaluate and respond to an organization’s CSR practices. To advance scholarly research and evidence-based practice, directions are outlined for future inquiry informed by an integrated review of findings across three independent streams of “micro-CSR” research conducted among employees, job seekers, and consumers. In a section on CSR evaluations, it is described how individuals cognitively process information to form CSR perceptions and CSR appraisals, and the types of CSR initiatives and evaluative-constructs studied among each stakeholder group are summarized. In the next section, research is reviewed on responses to CSR, and recent findings about psychological mechanisms and boundary conditions are organized within three categories of care-based, self-protective, and relational-status (C-S-R) considerations. In a last section, research is described on stakeholders’ CSR awareness, the non-trivial implications that follow from evidence of low CSR awareness among all three stakeholder groups, and suggestions for future research.


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