Research Pyramid: A New Evidence-Based Practice Model for Occupational Therapy
- 1 March 2011
- journal article
- Published by AOTA Press in American Journal of Occupational Therapy
- Vol. 65 (2), 189-196
- https://doi.org/10.5014/ajot.2011.000828
Abstract
In the campaign to implement evidence-based practice, the current single-hierarchy model of levels of evidence fails to incorporate at parity all types of research evidence that are valuable in the practice of occupational therapy. A new model, originally developed by Borgetto et al. (2007) and modified and expanded, is presented. By separating the evidence-level criteria of internal and external validity, by incorporating explicitly the evidence provided by qualitative studies, and by retaining the critical notion of rigor, a pyramidal evidence model emerges. This model, the Research Pyramid, aligns itself with the revised model of evidence-based medicine and, more important, with the basic modes of clinical reasoning in occupational therapy. It constitutes a beginning attempt to order evidence-based practice in accordance with the epistemology of the profession. It may better guide occupational therapy research and meta-synthesis and their incorporation into practice decisions.Keywords
This publication has 28 references indexed in Scilit:
- Diskurs zu: Borgetto B, et al.ergoscience, 2007
- Die Forschungspyramide - Diskussionsbeitrag zur Evidenz-basierten Praxis in der Ergotherapieergoscience, 2007
- Connection and disconnection of research and practice in the education of professional psychologists.Training and Education in Professional Psychology, 2006
- Utilization of evidence-based practice by registered occupational therapistsOccupational Therapy International, 2005
- Qualitative Metasynthesis: Reflections on Methodological Orientation and Ideological AgendaQualitative Health Research, 2004
- The contribution of qualitative research to evidence-based practicePublished by Elsevier BV ,2004
- Interactive Reasoning in the Practice of Occupational Therapy,Pediatric Physical Therapy, 2003
- Comment: Educational Research:The Hardest Science of AllEducational Researcher, 2002
- Randomized, Controlled Trials, Observational Studies, and the Hierarchy of Research DesignsNew England Journal of Medicine, 2000
- The Interpretation of CulturesJournal for the Scientific Study of Religion, 1974