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Choosing an Evidence-Based Practice

Many provider organizations and individual clinicians decide to implement a particular EBP, whether because a training exposed them to it, or they feel compelled to “do something” to respond to various pressures from funders and regulators.   However, as The Change Book points out, picking a particular intervention is way down the list of tasks when implementing an EBP.  Click here to view The Change Book.

Step 1: Identify the problem.
Step 2: Organize a team for addressing the problem.
Step 3: Identify the desired outcome.
Step 4: Assess the organization or agency.
Step 5: Assess the specific audience(s) to be targeted.
Step 6: Identify the approach most likely to achieve the desired outcome.

1. What approach does research indicate to be effective in addressing the problem? (Again, conduct a literature review in journals, on the Web, with government sources, etc.)
2. How have colleagues in other organizations addressed similar problems? What has been most effective? What approaches have they used?
3. What do staff members think is an appropriate approach to reach the desired outcome?
4. Reflecting on the information obtained, what is the desired approach you’ve identified?
5. What are your reasons for selecting this particular recommended approach?


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