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SWK 370 Week 3 day 5

by: Cassidy_SWK2018

SWK 370 Week 3 day 5 SWK 947

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About this Document

Forming a research question
Social Work Research Methods
Dr. Joy Learman
Class Notes
25 ?




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This 3 page Class Notes was uploaded by Cassidy_SWK2018 on Wednesday September 14, 2016. The Class Notes belongs to SWK 947 at Meredith College taught by Dr. Joy Learman in Fall 2016. Since its upload, it has received 3 views. For similar materials see Social Work Research Methods in Social Work at Meredith College.

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Date Created: 09/14/16
SWK 370 9-12-16 1. Practice expertise and client circumstances 2. There is controversy on evidence-based practice a. Main critique is too much focus on evidence and not on client 3. Cycle a. Current best evidence i. Is it best for my population b. Client preferences and actions i. Some people won’t appreciate every practice ii. Cultural barriers, everything varies c. Contextual assessment i. Is the client in crisis? This is important to consider d. Practitioner expertise i. What do you have experience and training for? Is there another beneficial practice you can successfully execute? 4. Over time we have relied more on evidence a. Critical thinking! b. Is this treatment the most effective for this specific client? c. You will need to keep learning about new treatments, etc. d. You need a strong understanding of research methods and designs so you can critique the evidence you find i. Involve the client in this decision e. All evidence is not equal! 5. Steps in EB practice a. Step 1: form a question to answer practice needs i. Questions should: 1. Target frequent, relevant practice decisions where additional info is needed 2. Consider variations in client characteristics 3. Question formulation: CIAO a. C: client characteristics b. I: intervention being considered c. A: alternative intervention (if any) d. O: outcome 4. Ex. Is training on mental health literacy effective in increasing mental health awareness in rural Duplin County, NC? 5. Ex. Is long term individual counseling more effective than support groups for a survivor of intimate partner violence with co-occurring disorders? 6. My question: Is a general therapy more beneficial for my client than a traditional therapy? a. sacred circle b. coping and connecting c. Is Sacred Circle more effective than Coping and Connecting in decreasing symptoms of trauma in a NA client from___tribe who's experienced IPV? 7. FOR THIS PROJECT, PICK MICRO OR MACRO. It will make things simpler! b. Step 2: search for the evidence i. Find academic research (online maybe) c. Step 3: critically appraise the relevant studies you find i. Main questions 1. Was treatment outcome measured in a reliable, valid, and unbiased manner? 2. Was the research design strong enough to indicate conclusively whether the intervention or something else most plausibly explains the variation in client outcomes? ii. Evidence based practice hierarchies 1. Reviews are best b/c you get the info for all the studies included! 2. Random clinical trials a. Medical studies i. High quality 3. Quasi-experimental designs 4. Single-case evaluation 5. Uncontrolled pretest-posttest 6. Correlational studies 7. Anecdotal case reports and expert opinions d. Step 4: determine which evidence-based intervention is most appropriate for your particular client(s) i. Consider: 1. Quality of evidence 2. Client characteristics and context 3. Values and expectations of a client a. Are they wanting a quick fix? Do they have certain religious beliefs? What are they wanting out of the intervention? 6. Problem solving a. What barriers might you face when wanting to implement an evidence based practice? (client barriers and agency barriers) i. Age barriers? ii. Client refusal to participate? iii. Is childcare needed? Is it provided? iv. Transportation? b. What do you do if you find that you are not adequately trained to lead your client through the most effective intervention? i. You may have to refer 1. Talk to the client and give them some options ii. You can seek training 7. Step 5: apply the E-B intervention a. Get the training you need and know how to use it b. Arrange for consultation or supervision c. Formulate measurable treatment goals with client to help in evaluating the effectiveness of the intervention 8. Step 6: evaluation and feedback a. Collaborative measurement and evaluation of set treatment goals b. Ongoing discussion of evaluation and outcomes with client c. Share what you have learned i. Communicate findings with relevant colleagues


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