IntroductionWith advances in rehabilitation interventions and rising expectations from consumers to receive best possible care, occupational therapists (OTs) are expected to work within an evidence-based practice (EBP) context [1][2][3]. There is good evidence that findings from scientific research are not routinely used to inform decisions about patient care [4][5][6][7].In fact, although there has been a rise in available scientific evidence in areas of occupational therapy (OT) such as stroke and cerebral palsy, many clinicians continue to use practices that are not supported by this research. As a result, researchers are now shifting their focus towards identifying and applying effective strategies to help clinicians embrace and adopt EBP. To support clinicians in this endeavour, a clearer understanding of what characterizes optimal performance in an evidence-based decision-making approach is needed. Attributes of expert performance gleaned from observations of clinicians who apply EBP in their daily practice can provide useful insights into what expert EBP looks like in a particular clinical area. These attributes can then be used to design models of EBP that present clinicians with a framework for best practice. Expert models can also be useful for educators in the design of curricula that help students acquire EBP competencies [8,9]. Although falls in the elderly is a growing problem with substantial resources being allocated for prevention and management of patients with falls and that there is a large body of scientific evidence on fall prevention strategies, there is no empirical evidence on the behaviours and decisions of expert OT clinicians who apply the EBP process in this area of practice. This paper describes the process of generating an OT reference model
ReseaRch papeRCreation of an evidence-based practice reference model in falls prevention: findings from occupational therapy