Practitioner's Guide to Using Research for Evidence-Informed Practice. Allen Rubin

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СКАЧАТЬ or about the comparative effectiveness of exposure therapy versus EMDR – might entail entering search terms like PTSD, exposure therapy, EMDR, sexual abuse, child abuse, and so on.

      On occasion, you may find yourself searching for research on a topic with which you are relatively unfamiliar. In this case, you may struggle to confidently come up with search terms that exactly capture what you're looking for. Many areas of practice might be described using jargon or terms that aren't immediately obvious to a newcomer. It could save you some precious time to have a brief discussion about possible search terms with someone who is more familiar with the area of practice within which you are searching such as a colleague or researcher.

      Your search term at some sites can be rather long. For example, at Google Scholar we conducted a search using the terms: treatment outcome with sexually abused Native Alaskan girls with PTSD. (Actually, we didn't need to use the word with in the search term, but we have kept it here to make the term more readable to you.) Alternatively, some databases will give you the option of coupling shorter search terms by using the connecting word and to more narrowly target the number of studies that will come up. For example, if you just enter the search term PTSD, you'll get an overwhelming list of bibliographic references covering all aspects of PTSD. However, if your search terms include both PTSD and treatment outcome, the list will be shorter and will be limited to references dealing with treatment outcome in PTSD. If you want to reduce further the number of irrelevant references that you'll need to wade through, you can expand your search term using the word and twice. For example, if your search term contains PTSD and treatment outcome and sexually abused girls, you'll get a much shorter list.

      You can also limit the types of research designs that will come up. For example, you can enter the search term PTSD and treatment outcome and randomized experiments and sexually abused girls. If you narrow your search term too much, however, you might not get enough useful references. For example, if your search term is PTSD and treatment outcome and randomized experiments and sexually abused girls and Native Alaskans, you'll probably find no references that meet all your specifications. (We tried this and found none, although some tangential references did come up.) Finding the right types of research for your particular question requires that you know something about which types of research are best used to answer which kinds of questions.

If your search term is so narrow that you get too few (or perhaps no) useful references, you should restart your search with a broader term – one less and, perhaps. Another way to broaden your search is by using the connecting word or. For example, if you are searching for studies on the treatment of trauma symptoms among children exposed to domestic violence, and your search term is treatment outcome and children and domestic violence, you might get more references to children who witness domestic violence and not get some useful ones on children who are themselves abused by a perpetrating family member. To broaden your search to pick up more of the latter type of useful references, you could use the search term treatment outcome and children and domestic violence or child abuse. In some cases, you may want to add the term not to specifically limit your search. For example, you may be searching for studies related to adult attention deficit disorder, but find that you are overwhelmed with studies of children. Your search might include the term: attention deficit disorder not child. The search terms and, or, and not are called Boolean operators, and all search engines include these operators to guide searches.

      Although many electronic databases have elements in common, such as Boolean operators, each of them has its own quirks. For example, when you do not specify one or the other between terms, some search engines assume that the connecting word is and, while others assume that the connecting word is or. Some search engines allow for a smaller number of search terms than others. In general, it's well worth your time to look at the help section of the database that you are using to learn how to use each engine to its fullest potential and save yourself some time.

      The feature titled “An Internet Search Using Google Scholar and PsycINFO” illustrates how you might have to play around with a variety of search terms to find what you need and feel confident that you haven't missed something relevant and valuable. There is no one simple way to conduct your search, so you might ask, “Is it really worth the time and effort?” Well, what if you were the client in great distress and hoping that the practitioner treating you cared enough to make every effort to provide you with the treatment that had the best chance of success? What would your answer be?

2.2.3 An Internet Search Using Google Scholar and PsycINFO

      Several decades ago, in preparing to give a lecture on the EIP process, Allen Rubin decided to conduct an Internet search pertaining to a child he once treated. He conducted this search before gaining more expertise on using Internet bibliographic databases, so his experience might resemble what you encounter when you start using these resources. His EIP question was as follows:

      What interventions have the best empirical support for treating the trauma symptoms of a six-year-old African American boy who witnessed domestic violence?

He conducted this search in several phases. Not wanting to miss any kinds of studies bearing on his question, he began by using Google Scholar and entered his entire EIP question as the search term. (Actually, Google Scholar provides an advanced search option that would have allowed him to just enter certain words like interventions and trauma and domestic violence. The screen for that option is displayed in Figure 2.1.)

      Ten links came up, but only four of them seemed like they might be even remotely relevant to his EIP question. One turned out to be an article on assessment and intervention with parents to stabilize children who have witnessed violence. It did not report a specific evaluation of a particular intervention. Another reviewed in very broad terms mental health treatments for children who are refugees. A third reported a study of the perspectives of battered mothers on the impact of domestic violence on urban preschool children, but did not evaluate an intervention for the children. The fourth was a book chapter that argued that the gender of the perpetrator and the victim are related to aggression during childhood.

FIGURE 2.1 Screen for advanced search option in google scholar.

So far, not so good! So he tried the search term: effective interventions with traumatized children (again using Google Scholar, he really didn't need to include the word with in his search term). He found hundreds of abstracts, but only eight addressed treatment effects. Not fully satisfied with the results of that search, he tried again with a different search term: effective interventions with children who witness domestic violence. Still using Google Scholar, again he found hundreds of abstracts, most of which did not address treatment effects, and only two that were not already found in the previous search.

      Next, he went to the PsycINFO professional literature database to which he had access through the university where he worked. Many local libraries are now making PsycINFO and other related databases available at no cost to the public. These databases can be accessed remotely from your office or home free of charge.

      PsycINFO provides a drop-down menu in between the search terms that includes and/or/not. It also includes a methodology search filter where you can select the types of studies you're looking for, such as an empirical study, treatment outcome study, and so on. You might want to enter the methodology search filter that best fits your research question first, and then work your way down to other types of research designs depending on what you find or don't find. (Chapter 3 СКАЧАТЬ