Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Oct 5:2:726410.
doi: 10.3389/fresc.2021.726410. eCollection 2021.

Rehabilitation Evidence-Based Decision-Making: The READ Model

Iona Novak  1   2 , Anna Te Velde  2 , Ashleigh Hines  2 , Emma Stanton  2 , Maria Mc Namara  2 , Madison C B Paton  2 , Megan Finch-Edmondson  2 , Catherine Morgan  2
Affiliations
Review

Rehabilitation Evidence-Based Decision-Making: The READ Model

Iona Novak et al. Front Rehabil Sci. .

Abstract

Evidence-based practice is the foundation of rehabilitation for maximizing client outcomes. However, an unacceptably high number of ineffective or outdated interventions are still implemented, leading to sub-optimal outcomes for clients. This paper proposes the Rehabilitation Evidence bAsed Decision-Making (READ) Model, a decision-making algorithm for evidence-based decision-making in rehabilitation settings. The READ Model outlines a step-by-step layered process for healthcare professionals to collaboratively set goals, and to select appropriate interventions. The READ Model acknowledges the important multi-layered contributions of client's preferences and values, family supports available, and external environmental factors such as funding, availability of services and access. Healthcare professionals can apply the READ Model to choose interventions that are evidence-based, with an appropriate mode, dose, and with regular review, in order to achieve client's goals. Two case studies are used to demonstrate application of the READ Model: cerebral palsy and autism spectrum disorder. The READ Model applies the four central principles of evidence-based practice and can be applied across multiple rehabilitation settings.

Keywords: READ model; decision-making; evidence-based; goal-setting; rehabilitation.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
READ model.
Figure 2
Figure 2
Case study of an adolescent with cerebral palsy using the READ model.
See this image and copyright information in PMC

References

    1. Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. (2011) 104:510–20. 10.1258/jrsm.2011.110180 - DOI - PMC - PubMed
    1. Barrable B, Thorogood N, Noonan V, Tomkinson J, Joshi P, Stephenson K, et al. . Model for bridging the translational “valleys of death” in spinal cord injury research. J Healthc Leadersh. (2014) 6:15–27. 10.2147/JHL.S58649 - DOI
    1. Gilbert R, Salanti G, Harden M, See S. Infant sleeping position and the sudden infant death syndrome: systematic review of observational studies and historical review of recommendations from 1940 to 2002. Int J Epidemiol. (2005) 4:874–87. 10.1093/ije/dyi088 - DOI - PubMed
    1. Trochim W, Kane C, Graham MJ, Pincus HA. Evaluating translational research: a process marker model. Clin Transl Sci. (2011) 4:153–62. 10.1111/J.1752-8062.2011.00291.X - DOI - PMC - PubMed
    1. McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, et al. . The quality of health care delivered to adults in the United States. N Engl J Med. (2003) 348:2635–45. 10.1056/NEJMsa022615 - DOI - PubMed

LinkOut - more resources