Evidence-based Practice in CBCAP

What is evidence-based practice?

In the most general terms, evidence-based practice can be defined as the use of research to improve practice. However, what is meant by “research,” “practice,” and even “improve” may look very different in different contexts. It can be difficult for funders and programs to sort through various wording? and determine what programming will be most effective for their needs and desired outcomes.

How does CBCAP define evidence-based practice?

For CBCAP programs, evidence-based (EB) practice is defined as the integration of the best available research with child abuse prevention program expertise within the context of the child, family, and community characteristics, culture, and preferences.[1] These approaches to prevention are validated by some form of documented scientific evidence. This includes findings established through scientific research, such as controlled clinical studies; however, other methods of establishing evidence are also valid.

Evidence-based practices may be considered “supported” or “well-supported,” depending on the strength of the research design. (See the graphic below.)

How does evidence-informed practice differ from evidence-based practice?

Evidence-informed practice is very similar to evidence-based, but the level of evidence supporting the programs or practices is not as strong— these programs are emerging or promising in their design. Evidence- informed practice allows for innovation within CBCAP, while still incorporating lessons learned from the existing research literature.

What are the standards for CBCAP programs?

The following graphic helps to illustrate the goals for programming in CBCAP. It is hoped that all funded programs will "reside in the house," meaning they will rest somewhere on the continuum of EI to EB practice while meeting some basic standards. Every funded program should:

Be based on a logic model
Have a written manual or protocol
Be generally accepted
Shown to do no harm
Demonstrate a commitment to ongoing evaluation and the establishment of a process for continuous quality improvement

house

What are the differences between EB/EI programs and practices?

An EB/EI program is a set of practices or a curriculum that is bundled together as a whole. This program is intended to be implemented with all of its pieces or "core components" in place.

EB/EI practices are individualized practices that can be implemented on their own. These can be thought of as "a la carte" options, because they can be implemented individually or grouped with other practices. Of course, programs should always evaluate their practices to see whether they are achieving the expected results.

Where can I find out more about EB/EI practice in CBCAP?

[1] This definition was adapted from current definitions developed by the Institute of Medicine and the American Psychological Association.