rrtc-ebp-vr the rehabilitation research and training center on effective vocational rehabilitation...
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RRTC-EBP-VR
The Rehabilitation Research and Training Center on Effective Vocational Rehabilitation Service Delivery Practices (RRTC-EBP-VR) is established at both the University of Wisconsin-Madison, and the University of Wisconsin-Stout
under a grant from the Department of Education, National Institute on Disability and Rehabilitation Research (NIDRR) grant number PR# H133B100034.
Promoting Evidence-Based Vocational Rehabilitation Practice
John Lui Ph.D., MBA, CRC
Cayte Anderson ABD, CRC
National Employment ConferenceArlington, VirginiaDecember 6, 2012
• Rehabilitation• Research &• Training• Center for
• Evidence-• Based • Practice in
• Vocational • Rehabilitation
What does this stand for?
The RRTC-EBP-VR is a national research collaborative partnered by the following key institutions and organizations:
The University of Wisconsin – Madison Department of Rehabilitation Psychology and Special Education
The University of Wisconsin – Stout Stout Vocational Rehabilitation Institute (SVRI)
Michigan State University
The University of Texas – El Paso
Southern University at Baton Rouge
What does the RRTC-EBP-VR do?
•Conduct research on evidence-based practice
•Provide VR practitioners with knowledge and tools for implementing evidence-based vocational rehabilitation practices
•Goal: improve employment rates and quality of employment for people with disabilities
How does the RRTC-EBP-VR function?
Vocational Rehab
Practitioners
Community Partners
Rehab Researchers
Families and Individuals
with Disabilities
Our Goal…
• To ensure that new knowledge gained through the course of research ultimately improves the lives of people with disabilities, and furthers their participation in society (NIDRR, 2005).
Research Initiatives
Phase 1– ID practices that improve employment rates, and quality
of employment.– ID best practices among state VR agencies.
Phase 2– Develop new knowledge regarding best practices.
Phase 3– Develop reliable tools that counselors can easily use.
What is Evidence Based Practice?
• Evidence Based Practice (EBP) is “…a clinical decision-making process beginning with formulating clinical questions to ask, determining the best practice, and critically appraising the evidence for validity and applicability to the particular situation." (Chan et al. 2010).
What does EBP Involve?
• Asking critical questions• Identifying reliable sources of information• Evaluating the significance of the evidence• Using professional expertise and judgment
Critical Questions:
Background – to obtain general information about setting or context
• What are the most effective treatments for presenting issue Y?
• Is treatment X an effective treatment for presenting issue Y?
• Are there any significant risks associated with treatment X?
Critical Questions:
Foreground – to obtain information about a specific case within context
Ask in PICO format:P - Patient group (also referred to as “consumers” within VR)I – InterventionC - Comparison group O - Outcome Measures
Example: For an Hmong man with bipolar disorder (patient/consumer group), is there any evidence that the individual placement and support model of supported employment (Intervention) is superior to state VR services (comparison group) in improving the quality of his employment outcome (Outcome)?
5 Levels of EBP
Level 1Systematic review of multiple, well designed, randomized controlled
trials.
Level 2Properly designed, randomized controlled trials of appropriate size.
Level 3Well-designed trials, single-group pre-post, cohort, time series, or
matched case-controlled studies
Level 4 Well-designed non-experimental studies
Level 5Opinions of respected authorities based on clinical evidence, descriptive
studies, or reports of expert committees
3E’s
EfficacyStatistical and clinical significance
EffectivenessUsefulness
EfficiencyCost Effectiveness
• Knowledge Translation (KT) is the process of taking information gained from relevant research and delivering it to Vocational Rehabilitation Counselors in a clear and useable format.
Research Practice
What is Knowledge Translation?
Our Study
“Engaging Vocational Rehabilitation Counselors in Knowledge Translation Processes: A Participatory Action Approach”
•Identify incentives, barriers, and specific training needs of vocational rehabilitation counselors
•Participation in a Knowledge Translation process
•Enable implementation of evidence-based practices and services within VR
Study Demographics
• Disseminated nationally to state-federal VR• N=938 – 10.4% response rate• 87% - “Vocational Rehabilitation Counselor”• 13% - District and Area Manager, Supervisor,
Specialist, and Case Coordinator
Specific Knowledge-to-Action Questions
How interested are you in ACQUIRING new knowledge that promotes evidence-based practice in VR?
How interested are you in APPLYING new knowledge that may affect employment outcomes for people with disabilities?
How interested are you in SHARING new knowledge that may affect employment outcomes for people with disabilities?
In what areas would VRC’s benefit from receiving more information and training?
• Disability-specific strategies connected with successful employment outcomes
• Employer Needs & Labor Market Demands
• Skill Development
• Develop a better understanding of disability-specific strategies
• Improve efficient use of time and resources• Improve employment outcomes• Assess client motivation• Improve understanding of disability-related
laws and policies
Where do VRC’s believe training in EBP could help them perform their job differently?
How can information provided through the RRTC-EBP-VR be of value?
• Efficient• Meaningful• Training practical and accessible at anytime• Forums and social media important • Medium for peer-to-peer sharing of
information
Communicate important research findings related to high performing state VR programs
Showcase effective Vocational Rehabilitation Service Delivery
Enhance and influence policy development to improve outcomes in the Vocational Rehabilitation System
Demonstrate effective tools, strategies, and relationships for sharing key information
Improve employment and quality of employment outcomes for people with disabilities who receive services from state Vocational Rehabilitation Agencies
What is the desired impact of the RRTC-EBP-VR?
If you want to improve employment and quality of work outcomes for people with disabilities,
make OUR research, YOUR best practice!
www.research2VRpractice.org
EBP Resources
RRTC-EBP-VR
The Rehabilitation Research and Training Center on Effective Vocational Rehabilitation Service Delivery Practices (RRTC-EBP-VR) is established at both the University of Wisconsin-Madison, and the University of Wisconsin-Stout
under a grant from the Department of Education, National Institute on Disability and Rehabilitation Research (NIDRR) grant number PR# H133B100034.