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Is There a Contradiction Between the Bio-psycho-social Model and Evidence-based Practice?
(2000)
Evidence-based knowledge is essential to good practice. However, there are fundamentally different ways of developing evidence. Data gathering by epidemiologic surveys is most likely to get at the “truth” when the diseases in question are caused...
Practice facilitation to improve colorectal cancer screening in federally qualified health care clinics in rural Missouri
(University of Missouri--Columbia, 2021)
(MPICCS) utilizes staff members called practice facilitators to increase CRC screening rates at rural health care clinics. Practice facilitators assist partner clinics in implementing evidence-based interventions (EBIs)....
Improving the quality of evidence-based care for infants with torticollis
(University of Missouri--Columbia., 2016)
"Increase PTs' ability to use the CPG when making clinical decisions for infants with torticollis. Explore ways to improve knowledge translation in our center."--Aim.
Safe-T expanding services and improving patient outcomes
(2023)
"Sexual assault is a serious public health issue affecting men, women and children statewide. In 2021 there were 3,262 reports of sexual assault in Missouri (Missouri State Highway Patrol, 2023). 12% of reported sexual ...
Perceptions, barriers, and methods for the early detection and intervention of clinical deterioration in hospitalized adults
(2023)
) event (Buist et al., 2004). Components of detection tools are founded on evidence that is overwhelmingly retrospective. A common limitation of CD detection is that these tools are often accurate at predicting decline but are not as successful...
What causes a low TSH level with a normal free T4 level?
(Family Physicians Inquiries Network, 2006)
Subclinical hyperthyroidism (SCH) is defined as a low thyroid-stimulating hormone (TSH) level with normal free T4 and free T3 levels in patients without specific symptoms of hyperthyroidism. There is no evidence that treating SCH results in improved...
What is the best treatment for plant-induced contact dermatitis?
(Family Physicians Inquiries Network, 2013)
It's unclear which treatment is best, because there have been no head-to-head comparisons of treatments for Rhus (plant-induced) contact dermatitis. That said, topical high-potency steroids slightly improve pruritus and ...
Does birth weight predict childhood obesity?
(Family Physicians Inquiries Network, 2008)
A birth weight greater than 4,000 g is associated with an increased risk of obesity in both childhood and adolescence (strength of recommendation [SOR]: B, systematic review and multiple cohort studies)....
What behavioral interventions are safe and effective for treating obesity?
(Family Physicians Inquiries Network, 2006)
with appropriate use (strength of recommendation [SOR]: A, based on multiple randomized controlled trials). Hypnosis can be used as an adjunct to behavioral therapy for weight loss (SOR: A, based on systematic reviews)....
What's the best secondary treatment for patients who fail initial triple therapy for H pylori?
(Family Physicians Inquiries Network, 2018)
Q: What's the best secondary treatment for patients who fail initial triple therapy for H pylori? Evidence-based answer: treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple therapy with either...
Pharmacologic therapy for eustachian tube dysfunction
(Family Physicians Inquiries Network, 2013)
There are no medications that improve patient-oriented outcomes in children or adults with eustachian tube dysfunction. (Strength of Recommendation [SOR]: A, based on a systematic review of randomized controlled trials [RCTs].) Oral corticosteroids...
What's the best diagnostic evaluation of night sweats?
(Family Physicians Inquiries Network, 2007)
There is no single best evidence-based approach to the diagnostic evaluation of night sweats, given the limited number of studies on the subject. A detailed history, however, does appear to be the most important initial diagnostic tool (strength...
A Comparison of Teacher Presence, Social Presence, Cognitive Presence, and Propensity of Lifelong Learning in DNPStudents: A Quasi-Experiemental Study
(2016-05)
of nursing students taking one, or all, of the previously identified courses. The evidence based practice intervention was a test-retest format for the Community of Inquiry Survey that evaluates teacher, social and cognitive presences, and the Jefferson Scale...
Time to stop glucosamine and chondroitin for knee OA?
(Family Physicians Inquiries Network, 2018)
Time to stop glucosamine and chondroitin for knee OA? Prior studies provided conflicting results regarding the efficacy of these medications. This study offers evidence for discontinuing them. Practice changer: Tell patients with moderately severe...
Does caffeine intake during pregnancy affect birth weight?
(Family Physicians Inquiries Network, 2016)
Q: Does caffeine intake during pregnancy affect birth weight? Evidence-based answer: No. Reducing caffeinated coffee consumption by 180 mg of caffeine (the equivalent of 2 cups) per day after 16 weeks-gestation doesn't affect birth weight. Consuming...
A therapist survey of evidence-based practices in publicly funded youth mental health
(University of Missouri--Columbia, 2018)
sizes in controlled clinical trials for evidence-based treatments (EBTs) for youth MH problems (Weisz, Jensen-Doss & Hawley, 2006). One potential reason for this discrepancy may be that therapists within TAU contexts are not implementing EBTs. To date...
How effective is spironolactone for treating resistant hypertension?
(Family Physicians Inquiries Network, 2019)
Q: How effective is spironolactone for treating resistant hypertension? EVIDENCE-BASED ANSWER: VERY EFFECTIVE. Spironolactone reduces systolic blood pressure (SPB) by 11 to 17 mm Hg and diastolic blood pressure (DPB) by up to 6 mm Hg in patients...
Is therapy based on endoscopy results better than empiric therapy for dyspepsia?
(Family Physicians Inquiries Network, 2005)
In the initial management of dyspepsia for patients without "alarm" symptoms (weight loss, recurrent vomiting, dysphagia, anemia, evidence of bleeding, onset of dyspepsia after age 45 years), therapy based on the results of early endoscopy...
Management of ADHD in preschool-aged children
(Family Physicians Inquiries Network, 2013)
RCTs.) Alternative therapies, such as elimination diets, have limited evidence of success and should generally be avoided or used in conjunction with standard therapies. (SOR: B, based on a systematic review of a small number of heterogeneous RCTs.)...
What is appropriate management of iron deficiency for young children?
(Family Physicians Inquiries Network, 2006)
of iron-fortified formula for non-breastfed infants until the age 12 months (SOR: B, based on randomized controlled study), and introduce iron-rich foods between 4 and 6 months to breastfed babies (SOR: C, based on expert opinion)....