Implementation and evaluation plan

The questions should be answered while using the citation below.
Sagar V. Parikh et al., (Oct 2009). Canadian Network for Mood and Anxiety Treatments (CANMAT) Clinical guidelines for the management of major depressive disorder in adults. II. Psychotherapy alone or in combination with antidepressant medication
Journal of Affective Disorders, Vol. 117, Suppl. 1, Pgs. S15-S25
Questions
3) Summary statement: What does the preponderance of the evidence suggest you do, and how strong is your conclusion? (It’s okay if it’s not strong at all; it can only be as strong as the evidence). Back this conclusion up in a concise statement, something like 3-5 sentences,
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Proposed Implementation and Evaluation Plan
Now, identify how you have integrated the critical appraisal of this evidence with your clinical expertise and client values and preferences, as you have come to understand the elements of the evidence-based practice model presented in this course.
• What is the best practice you have decided to employ with this client / client system? How has the empirical evidence you found led you to that best practice? How might you plan to seek your client / client system’s input into developing the intervention plan?
o (3 pts) appropriateness of best practice choice to client problem
• Use some of the same material from step 2 but make sure it’s articulated to fit neatly under this subheading – “This practice is appropriate to the client problem because…” If applicable, also note decisions about which practices were not appropriate.
o (3 pts) appropriateness of best practice choice to client characteristics
• Also using material from step 2, the test here is whether you can distinguish material that belongs under this subheading from material that belongs under the previous one. Make it clear why this practice is appropriate and, if necessary, why other practices are inappropriate based on client characteristics. A common mistake here is to keep talking about the client problem, which misses the point that the intervention must be personalized to be appropriate given the client characteristics.
o (2 pts) strategy for obtaining client input
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• A common mistake here is to put the strategy for data collection here; this step is actually about communicating with the client or client system to make sure they are “on board” with the intervention and evaluation before any data are actually collected.
• How do you propose evaluating the practice plan you have chosen? What design / measures might you use to monitor your client’s or client system’s progress / outcome?
o (4) Clearly defined and appropriate independent and dependent variable.
• A common mistake here is to mis-specify the independent variable in a time-series design, e.g., say that “treatment” is the independent variable, when what really varies over time is “time in treatment.” Another common mistake is to specify a dependent variable that is inappropriate under the circumstances, e.g., “recidivism” is not appropriate for single-subject designs.
o (4) Well-articulated and appropriate design
• Design not only includes which design you will use (single-subject, quasi-experiment, uncontrolled clinical trial, etc.) but when and how measurement will take place. If it is not a single-subject design, then this section must also describe method of recruitment, assignment to treatment and control conditions, etc.
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o (4) Appropriate and well-described measures.
• A copy of the measurement instrument isn’t necessary, but citations are, especially if your measure is a scale or clinical assessment.
• What are some strengths and limitations of your proposed design and measures?
• Remember that the strengths and weaknesses that you are to report here are with respect to the validity of the evidence that your evaluation will generate, i.e., the confidence you will be able to have that your intervention was the cause of any observed change in a positive direction. As you have learned, validity mainly comes from design (see notes from Sessions 5 & 7 and chapters 4& 12 of Rubin, 2008), measurement (see notes from Session 6 and chapter 11 of Rubin, 2008), and sampling (see notes from sessions 8 & 10 and chapters 5 and 9 of Rubin, 2008).
• Common mistakes here include describing strengths and weaknesses of the intervention, rather than the evidence, presenting validity-related quotes from the book that do not necessarily apply to your intervention, or simply continuing to list characteristics of the intervention. The goal here is to demonstrate a grasp what contributes to, and detracts from, validity.
o (2) first strength
o (2) second strength
o (2) first limitation
o (2) second limitation
• Provide a summary and reflection of the overall experience of this assignment. What did you learn from using an evidence-based practice approach?
o (2) summary and reflection

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