Afterword: Drawing new horizons.

Elliott, Timothy R.; Frank, Robert G.

doi:10.1037/10361-032

Cited by 6 publications

(8 citation statements)

References 15 publications

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“…Rehabilitation has made remarkable accomplishments during its 50-year history, and consistent with the field's multidisciplinary vision, rehabilitation psychologists have been integrally involved in the inception, operation, and direction of the broader medical rehabilitation enterprise and in the development of its research base (Elliott & Frank, 2000). Some of this research figures prominently in a recent IOM report (2007) titled "The Future of Disability in America."…”

Section: Research Accomplishments That Inform Practicementioning

confidence: 98%

“…Furthermore, because many processes important to disability adjustment and participation outcomes (see Elliott & Warren, 2007) cannot be manipulated or subjected to random assignment, theory is especially needed to guide intervention development and the derivation of associated predictions that can be investigated in quasi-experimental research. The disconnection of research in rehabilitation psychology from larger theoretical perspectives on behavior change has meant that most available data are descriptive and do not follow from theoretical propositions that could be used to predict behavior or guide intervention development (Elliott, 1994; Elliott & Frank, 2000). …”

Section: History Benefits and Limitations Of Randomized Controlled mentioning

confidence: 99%

“…Rehabilitation has made remarkable accomplishments during its 50-year history, and consistent with the field’s multidisciplinary vision, rehabilitation psychologists have been integrally involved in the inception, operation, and direction of the broader medical rehabilitation enterprise and in the development of its research base (Elliott & Frank, 2000). Some of this research figures prominently in a recent IOM report (2007) titled “ The future of disability in America .” For example, psychologists were instrumental in the development and direction of the Model Systems of rehabilitation care for spinal cord, traumatic brain, and severe burn injuries, funded since the 1970s by the National Institute on Disability and Rehabilitation Research (NIDRR) in the U.S. Department of Education.…”

Section: Advancing the Applied Knowledge Base For Rehabilitation Psycmentioning

confidence: 99%

“…In spite of these many accomplishments, psychological research in rehabilitation has frequently been limited by being embedded in larger projects framed by the perspective and research needs of medical rehabilitation. Elliott and Frank (2000) observed that rehabilitation psychologists have often used their research skills in support of overall medical rehabilitation, but, in so doing, have “ignored the need to demonstrate the worth and cost-effectiveness of psychological interventions while nurturing medical databases” (p. 646). They criticized rehabilitation psychology for failing to advance and evaluate psychological models of behavior change, which they say has unwittingly advanced a medical model and has fallen short with respect to providing the evidence demanded in today's health care environment for psychological interventions.…”

Section: Advancing the Applied Knowledge Base For Rehabilitation Psyc...mentioning

confidence: 99%

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Evidentiary pluralism as a strategy for research and evidence-based practice in rehabilitation psychology.

Tucker

Reed²

2008

Rehabilitation Psychology

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This paper examines the utility of evidentiary pluralism, a research strategy that selects methods in service of content questions, in the context of rehabilitation psychology. Hierarchical views that favor randomized controlled clinical trials (RCTs) over other evidence are discussed, and RCTs are considered as they intersect with issues in the field. RCTs are vital for establishing treatment efficacy, but whether they are uniformly the best evidence to inform practice is critically evaluated. We argue that because treatment is only one of several variables that influence functioning, disability, and participation over time, an expanded set of conceptual and data analytic approaches should be selected in an informed way to support an expanded research agenda that investigates therapeutic and extra-therapeutic influences on rehabilitation processes and outcomes. The benefits of evidentiary pluralism are considered, including helping close the gap between the narrower clinical rehabilitation model and a public health disability model. KEY WORDS: evidence-based practice, evidentiary pluralism, rehabilitation psychology, randomized controlled trials Over the past two decades, medicine and then public health and the mental health professions have embraced the evidence-based practice (EBP) movement, which seeks to bring health care practices and policies in line with the best scientific knowledge (Brownson, Baker, Leet, & Gillespie, 2003;Goodheart, Kazdin, & Sternberg, 2006; Institute of Medicine [IOM], 2001Jenicek, 2003; Vitora, Habicht, & Bryce, 2004;Westen, Novotny, & Thompson-Brenner, 2004). Rising health care costs and the growth of managed care in the United States in the late 20 th century energized the early EBP movement, as did the rapid growth of the scientific knowledge base. The EBP movement is now an international movement that focuses on "evidence" as a guiding force in health care practice and policy. Although the concept of evidence remains at the heart of the movement, the nature and scope of the relevant evidence continue to evolve as EPB has expanded from its origins in acute medical care and drug therapies to encompass care for chronic health conditions and mental and substance use disorders. This paper is about that evolution and how it has affected Correspondence concerning this article should be addressed to Jalie A. rehabilitation psychology, sometimes in adverse ways, and why a broadened conception of evidence and the methods used to obtain it may be necessary for advancing the field.The early EBP movement emphasized the restrictive use of treatments that were "empirically validated" by a minimum of two randomized controlled clinical trials (RCTs) and used the findings as the basis for guidelines and manuals for best practices (Agency for Health Care Policy and Research, 1993;Chambless et al., 1996; Sackett, Strauss, Richardson, Rosenberg, & Haynes, 2000). RCTs came to be viewed as the "gold standard" of evaluation research and as superior evidence compared to non-randomized observat...

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Section: Research Accomplishments That Inform Practicementioning

confidence: 98%

Section: History Benefits and Limitations Of Randomized Controlled mentioning

confidence: 99%

Section: Advancing the Applied Knowledge Base For Rehabilitation Psycmentioning

confidence: 99%

Section: Advancing the Applied Knowledge Base For Rehabilitation Psyc...mentioning

confidence: 99%

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Evidentiary pluralism as a strategy for research and evidence-based practice in rehabilitation psychology.

Tucker

Reed²

2008

Rehabilitation Psychology

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“…Notably, population health differs from public health, which has also been identified as an important perspective and point of intervention for rehabilitation psychologists (Elliott & Frank, 2000). Population health is the health outcomes of a group of individuals, including the distribution of such outcomes within the group.…”

Section: Robert G Frank and Timothy R Elliottmentioning

confidence: 99%

Afterword.

Frank¹,

Elliott²

2019

Handbook of Rehabilitation Psychology (3rd Ed.).

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Spinal Cord Injury

Elliott

Rivera

2003

Handbook of Psychology

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Spinal cord injury is a high‐cost, low‐incidence neurological disability. This condition has a significant impact on the individual, the family, health care service delivery systems, and society in general. Medical advancements have improved the likelihood of survival following spinal cord injury, and estimated life spans for persons with this condition now approach life expectancies of other people. Unfortunately, the costs associated with ongoing care and assistance escalate as financial support for these services decline. In this chapter, we review the major aspects of spinal cord injury and current information about the condition and its concomitants. We will then provide a model of adjustment and present evidence concerning the major components of the model. We consider the alternative views of adjustment, assistance and service delivery espoused by health care programs, professionals, and by consumers and their families. We conclude with an overview of intervention strategies and issues in health and public policy that affect persons with SCI.

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Afterword: Drawing new horizons.

Cited by 6 publications

References 15 publications

Evidentiary pluralism as a strategy for research and evidence-based practice in rehabilitation psychology.

Evidentiary pluralism as a strategy for research and evidence-based practice in rehabilitation psychology.

Afterword.

Spinal Cord Injury

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