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Evidence Based Health Practice

Evidence-based health practice applies the scientific method to use the best available evidence—from physical exams, diagnostic reviews, medical research, and known risks and benefits of treatment options—when making medical decisions. RAND has investigated the impact of adopting evidence-based health practices on patient care and health care policies, and the greater implications of using a national quality measurement and reporting system.

Commentary

CONSORT-SPI 2018: Announcing an Extension for Randomized Controlled Trials of Social and Psychological Interventions

Complete and transparent reporting of randomized controlled trials is integral for replication, critical appraisal and understanding context. A new extension of the CONSORT Statement aims to improve the reporting of randomized controlled trials of social and psychological interventions.

Aug 2, 2018
Report

Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Low Back Pain

As part of a larger study, back pain experts discussed and rated the appropriateness of spinal manipulation and mobilization for chronic low back pain. Ratings were higher for mobilization than manipulation, and rates of agreement increased after panelists met to discuss the issues.

Jul 24, 2018
Report

Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Neck Pain

As part of a larger study, RAND researchers assessed the appropriateness of spinal manipulation and mobilization for chronic neck pain. Ratings were higher for mobilization than for manipulation, and rates of agreement increased after panelists met to discuss the issues.

Jul 24, 2018
Journal Article

Journal Article

Multilevel and Community-Level Interventions with Native Americans: Challenges and Opportunities

To address health disparities among Native American communities, researchers need to collaborate with community leaders to develop, adapt, and test culturally relevant and sustainable measures and interventions.

Jun 28, 2018
Journal Article

Journal Article

Massage for Pain: An Evidence Map

More research is needed to establish confidence in the effect of massage therapy for pain.

Jun 27, 2018
Commentary

Getting Doctors to Make Better Decisions Will Take More than Money and Nudges

While monetary incentives and behavioral nudges both have their strengths, neither is enough to reliably change clinician behavior and improve quality of care. Organizational culture provides another important lens to understand why clinicians are practicing in a certain way and to put forth more comprehensive, long-term solutions.

Jun 21, 2018
Testimony

Three Goals for Developing a Suicide Prevention Plan for California

As California seeks to develop a suicide prevention plan, it should keep three goals in mind: Provide better care to those known to be at risk, identify more at-risk individuals who could benefit from services, and create safer environments designed to prevent suicide.

May 24, 2018
Journal Article

Journal Article

Current and Future Cardiovascular Disease Risk Assessment in the European Union: An International Comparative Study

This study describes how cardiovascular disease (CVD) risk assessment is carried out in practice across Europe.

Mar 15, 2018
Journal Article

Journal Article

Identification of Facilitators and Barriers to Residents' Use of a Clinical Reasoning Tool

A clinical reasoning tool improved residents' diagnostic accuracy on written cases.

Feb 21, 2018
Journal Article

Journal Article

Perioperative Management of Antiplatelet Therapy in Patients Undergoing Non-Cardiac Surgery Following Coronary Stent Placement: A Systematic Review

Current evidence regarding APT management in patients with cardiac stents undergoing NCS is insufficient to guide practice.

Feb 14, 2018
Commentary

Evidence-Based Treatments May Be Casualties of War on Drugs

U.S. schools and community organizations face a difficult battle to keep kids safe and drug-free. They need tools to help them choose programs that will work best for youth. The National Registry of Evidence-based Programs and Practices is such a tool, but its future is uncertain.

Jan 15, 2018
Journal Article

Journal Article

Comparative Effectiveness Research in Integrative Oncology

Future research in the field of integrative oncology should incorporate comparative effectiveness research stakeholders, patient-reported outcomes, and economic evaluations.

Dec 15, 2017
Journal Article

Journal Article

Disparities in the Quality of Cardiovascular Care Between HIV-Infected Versus HIV-Uninfected Adults in the United States: A Cross-Sectional Study

Physicians in the United States generally underuse cardiovascular care guidelines for high-risk adults and are less likely to prescribe aspirin or statin therapy for HIV-infected patients than uninfected patients.

Dec 15, 2017
Journal Article

Journal Article

Association Between Physicians' Experiences With Members of Their Social Network and Efforts to Reduce Breast Cancer Screening

Helping clinicians reflect on how their experiences influence their current screening patterns may be an important approach to improving their adherence to revised breast cancer screening guidelines.

Dec 7, 2017
Journal Article

Journal Article

A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health Outcomes in Community-Based Settings

Getting to Outcomes, an implementation support intervention, can strengthen evidence-based teen pregnancy prevention programs.

Dec 5, 2017
Commentary

Can Vaping Help Smokers Quit? The Real Story from a Real Story

Evidence doesn't support using electronic cigarettes to quit smoking. In fact, doing so could even lead to reduced chances of quitting. Evidence does show that other options work, such as nicotine replacement patches or gum combined with counseling strategies.

Nov 16, 2017
Journal Article

Journal Article

Factors Associated with an Evidence-Based Measure of Implementation for the Adolescent Community Reinforcement Approach

This study found two correlates to an evidence-based measure of substance use treatment (A-CRA) implementation.

Nov 1, 2017
Journal Article

Journal Article

Measuring Sustainment of an Evidence Based Treatment for Adolescent Substance Use

Two composite assessments of quality - one with treatment staffing and delivery elements and the other with clinical supervision elements - can be used to measure the sustainment of evidence-based treatment.

Nov 1, 2017
Journal Article

Journal Article

Simulated Effects of Policies to Reduce Diabetes Risk Among Adults With Schizophrenia Receiving Antipsychotics

Policies to promote early diabetes detection among Medicaid patients receiving antipsychotic medication could reduce the rate of diabetes over ten years, but would likely require higher spending.

Sep 28, 2017
Journal Article

Journal Article

Machine Learning Versus Standard Techniques for Updating Searches for Systematic Reviews: A Diagnostic Accuracy Study

Machine-learning methods can help decrease the effort involved in updating searches for systematic reviews.

Aug 1, 2017

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RAND Topic:
Evidence Based Health Practice

Topic Synonyms:
EBP;
Evidence-Based Practice

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