Process in which practitioner combines well-researched interventions with clinical experience and ethics, and client preferences and culture to guide and inform the delivery of treatments and services.
All work with self-determination in mind
5 Important steps of EBP
Formulating a client, community, or policy-related question
Systematically searching the literature
Appraising findings for quality and applicability
Applying these findings and considerations in practice; - clients values and preferences in making decisions
Examples of Questions for EBP
• Effectiveness: In elderly clients who are depressed, what method is
most effective in reducing depression?
• Prevention: For poor, inner-city children, are Headstart programs
effective in decreasing school dropout?
• Description or assessment: In families in which there is parent- child
conflict, is self-report or observation most accurate in describing
Randomized Controlled Trial (RCT)
• A type of scientific experiment which aims to reduce bias when testing a new treatment.
• The people participating in the trial are randomly allocated to either the group receiving
the treatment under investigation or to a group receiving standard treatment (or placebo
treatment) as the control
• It eliminates allocation bias and confounding.
Philosophy of Evidence-Based Practice
Uncertainty in our practice
Honest and informed manner, sharing ignorance and knowledge
Transparency (honesty) regarding the evidentiary status of services
Arguments Against Placebo-Based Trials
Providers should always act in the best interest of the patient.
• There is no circumstance in which an effective treatment should be
• Placebo-controlled trials are unnecessary
• They test only significant differences from placebo, not improvement over