title: Challenging evidence-based decision-making: a hypothetical case study about return to work.
abstract: A hypothetical case study about return to work was used to explore the process of translating research into practice. The method involved constructing a case study derived from the characteristics of a typical, sick-listed employee with non-specific low back pain in Norway. Next, the five-step evidence-based process, including the Patient, Intervention, Co-Interventions and Outcome framework (PICO), was applied to the case study. An inductive analysis produced 10 technical and more fundamental challenges to incorporate research into intervention decisions for an individual with comorbidity. A more dynamic, interactive approach to the evidence-based practice process is proposed. It is recommended that this plus the 10 challenges are validated with real life cases, as the hypothetical case study may not be replicable.
authors.affiliation: PreSenter, International Research Institute of Stavanger (IRIS), Stavanger, Norway. randi.aas@iris.no
authors.forename: Randi W
authors.initials: RW
authors.lastname: Aas
authors.forename: Kristina
authors.initials: K
authors.lastname: Alexanderson
mesh_terms: D003657:Decision Making; D055317:Evidence-Based Practice / Q000379:methods*; D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation; D009788:Occupational Therapy / Q000379:methods*; D018582:Sick Leave; D014937:Work