Maybe Rayya has hit the 'nail on the head, at least as far as my questions an concerns go.
It seems the E-BP is generally based on a medical approach to understanding the human condition. In other words, E-BP is often approached as: "giving drug 'a' reduces symptoms in disease 'b'". This type of approach is very simplistic/reductionistic as it relates to understanding the human condition. Much literature exists on the 'holistic' nature of our profession and many authors have written on conflicts between OT and reductionistic approaches. Some author's argue that OT should move out of the medical model or at least develop a more unique approach within the model. It seems to me that unless the OT profession defines E-BP in a manner consisted with OT's domains of concern and our theoretical foundations, then E-BP will just become another factor conflicting and confounding what our profession does. E-BP certainly has a place with our profession, and maybe more so than many other professions because we have a paucity of research on OT practice. However, it seems that the preliminary question that may need to be addressed is on what areas should we gathering evidence. As evidenced by the new Practice Framework, our professional direction is changing to focus on occupation as both treatment and outcomes . It seems important that as a profession, we collectively contribute and use evidence that is congruent with this new focus. Ron ~~~~~ On 6/12/02, rg17 <[EMAIL PROTECTED]> said: rcau> I heard a great example of this recently at a talk by Gaynor Sadlo. rcau> Research was carried out on the importance of bathing to people rcau> (general public, not specifically clients) and as it showed how rcau> important it was for many reasons beyond just getting clean, two local rcau> authorities (local government service providers) then changed their rcau> policy on providing people to give clients baths (which they had rcau> previously thought was not necessary). rcau> I think this is exactly the kind of research that OTs should be rcau> involved in and use for evidence. There is lots of research being done rcau> by sociologists, psychologists etc that OTs can use. I am using rcau> literature from a specialist unit that studies leisure for example, rcau> there's research in changes in eating and food preparation habits and rcau> so on. rcau> This is 'evidence' it's just not linear like 'giving drug 'a' reduces rcau> symptoms in disease 'b'. rcau> Rayya Ghul rcau> On Sun, 9 Jun 2002 22:15:25 EDT [EMAIL PROTECTED] wrote: >> A better way to look at evidenced based practice view it as reason and logic >> based. Meaning that you are taking your knowledge and understanding of the >> client, occupation, science, current literature and practice methods and >> integrating the ideas to form the best approach for treatment. By doing this >> you can explain your treatment bringing more validity to practice and >> hopefully providing more effective treatment. >> >> Jennifer >> >> *********��*********** >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] >> >> In the message's *body*, put the following text: unsubscribe OTlist >> >> ** List messages are archived at: >> >> http://www.mail-archive.com/[email protected] >> >> *********��*********** >> rcau> ---------------------- rcau> [EMAIL PROTECTED] rcau> *********��*********** rcau> Unsubscribe? Send a message to [EMAIL PROTECTED] rcau> In the message's *body*, put the following text: unsubscribe OTlist rcau> ** List messages are archived at: rcau> http://www.mail-archive.com/[email protected] rcau> *********��*********** *********��*********** Unsubscribe? Send a message to [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist ** List messages are archived at: http://www.mail-archive.com/[email protected] *********��***********
