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Rehabilitation Research Boot Camp: Research Priorities & Study Types

presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

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Disclosure Statement:

Financial: Chad Cook receives compensation from MedBridge for this course. He also is a research consultant for Hawkins Foundation of the Carolinas. Chad Cook receives royalties from Pearson education, Maitland Australian Physiotherapy Association, AgenceEBP, and is a paid associate editor for JOSPT.

Non-Financial: Chad Cook is a senior associate editor for BJSM and is an editorial board member for J Physiotherapy and JMMT.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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How does the design of a study dictate the question-types that a study can answer? Inherently, it is imperative that a researcher understand and appropriately use the proper study design for their purposes in research. Although the research pyramid is useful in understanding the roles of study designs, it doesn’t necessarily define the intricacies needed to contribute to the evidence. This course introduces a number of study designs through purpose statements and gives perspective of the necessities of each and what one might take away to clinical practice.

Meet Your Instructor

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT, is a professor at Duke University and the program director of the Doctor of Physical Therapy division with a Category A appointment in the Duke Clinical Research Institute. He is a clinical researcher, physical therapist, and profession advocate with a long-term history of clinical care excellence and service…

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Chapters & Learning Objectives

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1. Research Priorities, Study Types

Chapter one discusses the current research priorities at the time of the creation of this module. Priorities in the United States and beyond are dynamic and reflect the ever changing needs of the population and the abilities of health providers and policy makers to influence change.

2. Public Policy: Health Services Research and Outcomes Research

Chapter two discusses the overarching role of public policy and defines health services research. This module discusses how health innovations have improved quality of life and the nature of those innovations. It also discusses the role of clinical practice guidelines in policy.

3. Comparative Effectiveness Research

Chapter three discusses the initial purpose for comparative effectiveness research and how it’s been blended with other forms of research. This module discusses the challenges to performing good comparative research.

4. Diagnostic Accuracy Studies

Chapter four discusses diagnostic accuracy, one of the most challenging study types in research. Diagnostic accuracy studies are expensive, difficult to design and are generally rarely funded. The module discusses the most common mistakes made in this form of research and the reporting mechanisms that are designed to improve the outcomes.

5. Validation Studies

Chapter five is designed to introduce the learner to predictive validity studies and outcomes validation, including clinical prediction rules. Predictive validity studies are very popular in rehabilitation research and the pros and cons of each are discussed.

6. Mechanistic and Basic Science Research

Chapter six addresses mechanistic and basic science research, two forms of research that are commonly associated with rehabilitation and medicine. Pros and cons as well as transferability of each type are addressed.

7. Socio-Behavioral Science Research

Chapter seven addresses the very timely topic of socio-behavioral science research. Socio-behavioral science research addresses the role of the patients situations and thoughts in their own recovery process.

8. Summary

The summary chapter discusses the salient points of the course and provides recommended readings to the learners to enhance the materials within the modules.

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What’s the most effective current method to assure that research findings are valid, appropriate, and are a useful contribution to the literature? At present, our best method is critical appraisal performed through a peer review system. This course discusses the critical appraisal process from a journal’s point of view to the point of view and responsibility of the reviewer. Further, the course discusses legitimate sources of information and illegitimate sources, called predatory journals.

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How is it that the peer review system associated with research allows so many papers that are erroneous, fraudulent, or outright incorrect results to be published? Primarily, it’s related to a number of factors. This course provides examples of errors in research interpretation by breaking down examples as 1) fraudulent, 2) not fraudulent but erroneous, 3) markedly outside a normative finding (outlier) or 4) inappropriately translated into a care process, beyond what it was intended. The course gives methods to recognize each of these conditions to better navigate research findings. Evidence based practice requires one’s ability to appropriately assimilate useful research into the care process. Challenges are present when a large percentage of research is not correct.

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This course will introduce and inform the participant on the fundamental concept of translating research into practice (TRIP). This course will provide further elucidate the many barriers that exist in translation and will cover the dearth of translational research that would assist the clinician in implementing research. This course will pull the previous courses together and show how their concepts either can be used to assist in TRIP or serve as functional barriers to TRIP. Finally, options for translation and strategies to assist will be expanded upon.

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