Hello Brent:

There  has been research on outcomes of patients receiving OT ~vs~ those
not receiving OT. And of course, outcomes were as expected.

If  I'm not mistaken, I think that you are calling for more research not
about OT, but about specific OT interventions. If this is correct, I see
a problem because there are not many, if any, strictly OT interventions.
Even  worse,  there  is very little non OT-specific research that can be
attributed  to  our  profession.  While a lot of research applies to our
profession, very little of it is associated to our profession.

Yesterday,  my  wife correlated OT to general practitioner MD's. I think
this  analogy is perfect, well almost. Almost because most people have a
basic  understanding  of  what  GP's do. Unfortunately, most people have
little concept of OT.

Thanks,

Ron

--
Ron Carson MHS, OT
www.OTnow.com

----- Original Message -----
From: Brent Cheyne <[email protected]>
Sent: Tuesday, February 17, 2009
To:   [email protected] <[email protected]>
Subj: [OTlist] Theory vs real world

BC> To Ron and the list,
BC>   Good Subject matter and discussion, according to AOTA, OT in the
BC> future will become more evidence-based and science driven
BC> (Centennial Vision), which means that in addition to all of our
BC> existenial anxst about defining our unique profession by theory, we
BC> now need empirical data that supports our dearest held theories and
BC> beliefs.  In fact our theories should be shaped by trends in our
BC> data as much as our theories dictate our methods. This can be a very
BC> threatening process for professionals. I recently was on a
BC> continuing ed course on evidence-based practice and I found it
BC> fascinating but the scary thng  I learned that was that for OT
BC> there's not a lot of science and evidence that confirms our theories.
BC>     Clinical practice is as likely to be shaped by research in the
BC> future as it is by theory and therefore I think we should all keep
BC> an open mind about what we believe in...and adjust our practices
BC> accordingly. Some practices will be confirmed as more effective (and
BC> cost effective) than others in certain settings, 
BC>     I know that OT is really just in its infancy regarding true
BC> science, and much debate will follow, but the truth of effective
BC> rehabilitation methods may only partially suit our world view (and 
framework).
BC>    Remember at one time the world was thought to be flat, and the
BC> sun was thought to revolve around earth as the center of the
BC> universe. These were another couple of widely held  theories.
BC> Brent C


BC>       
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