A characterization of clinical questions asked by rehabilitation therapists.

OBJECTIVE: This study explored the information needs of rehabilitation therapists (occupational therapists, physical therapists, and speech-language pathologists) working with patients who have had strokes in order to characterize their clinical questions, defined as their formalized information needs arising in the context of everyday clinical practice. METHODS: The researchers took a constructivist, interpretive approach, in which fifteen rehabilitation therapists working in various settings were recruited. Data were gathered using diaries, followed by diary-guided interviews, and thematically analyzed using template analysis. RESULTS: Rehabilitation therapists' clinical questions were characterized as having one or more of twelve foci and containing one or more of eight possible structural elements. CONCLUSIONS: Findings demonstrate that the evidence-based practice framework currently applied for questions relating to rehabilitation is inadequate for representing rehabilitation therapists' clinical questions. A new framework that is more comprehensive and descriptive is proposed. IMPLICATIONS: Librarians working with students and clinicians in rehabilitation can employ knowledge of the twelve foci and the question structure for rehabilitation to guide the reference interview. Instruction on question formulation in evidence-based practice can employ the revised structure for rehabilitation, offering students and clinicians an alternative to the traditional patient, intervention, comparison, outcome (PICO) structure. Information products, including bibliographic databases and synopsis services, can tailor their interfaces according to question foci and prompt users to enter search terms corresponding to any of the eight possible elements found in rehabilitation therapists' clinical questions.

Clinical information behavior of rehabilitation therapists: a review of the research on occupational therapists, physical therapists, and speech-language pathologists.

OBJECTIVES: The review sought to synthesize existing research relevant to rehabilitation therapists' clinical information behavior and to identify gaps in evidence, particularly in comparison to what is already known about the information behavior of other health professionals, such as physicians. METHODS: A literature review was conducted of both quantitative and qualitative research studies that included information on the clinical information behavior of occupational therapists, physical therapists, and speech-language pathologists. Findings were organized according to a taxonomy of variables derived from the literature. RESULTS: Findings from seventeen studies, mostly surveys, conducted since 1990 demonstrate that very little is known about the clinical information needs of and information use by rehabilitation therapists. The sources most often consulted by rehabilitation therapists are printed materials (books and journals) and colleagues. Databases are consulted less often, and few rehabilitation therapists are aware of databases other than MEDLINE. DISCUSSION: Methodological flaws limit the generalizability and validity of much of the research conducted on the clinical information behavior of this population. More research is needed to better understand the clinical questions that arise in rehabilitation therapists' practice, reasons for consulting certain sources, and ways in which information seeking enhances evidence-based practice.