CE Workshop #11: How Does Evidence-Based Practice Address the ‘Replication Crisis’ in Clinical Neuropsychology?

David Loring, PhD, ABPP, Emory University School of Medicine

David Loring, PhD, ABPP, Emory University School of Medicine

Stephen C. Bowden, PhD, University of Melbourne

Stephen C. Bowden, PhD, University of Melbourne

David Loring, PhD, ABPP and Stephen C. Bowden, PhD Abstract & Learning Objectives: The ‘replication crisis’ in scientific research, including psychology, has cast doubt on the trustworthiness of research including clinical research. This course will initially review concerns voiced by proponents of the ‘replication crisis’ and then demonstrate how these concerns have been addressed, including by proponents of evidence-based clinical practice. Firstly, we will show that in evidence-based practice, not all published studies are of equal quality and the ranking of evidence-quality directly addresses the non-replication question. Secondly, we will illustrate how formalized critical-appraisal skills provide clinicians with the tools to implement a form of post-publication peer review to evaluate the methods-quality and clinical relevance of any published study. Clinicians who routinely undertake critical appraisal and seek to be guided by the highest quality of available evidence will minimize the impact of non-replication on their clinical practice and their research output. Upon conclusion of this course, learners will be able to: Identify levels-of-evidence Describe the critical-appraisal approach for evaluating quality of published research Find levels-of-evidence guidelines and learning-resources for critical appraisal Speaker Biographies: David Loring is Professor in the Departments of Neurology and Pediatrics at Emory University School of Medicine where he is also the Neuropsychology Program Director. He obtained his Ph.D. from the University of Houston and has prior academic appointments at the Medical College of Georgia, Georgetown University, and the University of Florida. Along with Stephen Bowden, he serves as Editor-in-Chief for NEUROPSYCHOLOGY REVIEW, and he is also currently an Associate Editor for EPILEPSIA. Dr. Loring is the Editor for the INS Dictionary of Neuropsychology and Clinical Neurosciences, and is the owner/moderator of the NPSYCH listserve. His research focus is the application of neurobehavioral assessment methods as endpoints in clinical trials to characterize treatment effectiveness including side effects, risks of specific interventions and disease progression, and to increase the specificity of behavioral phenotyping for more accurate patient characterization. Stephen C. Bowden, PhD, FAPS is a Professor in the Melbourne School of Psychological Sciences, University of Melbourne and Honorary Consultant Neuropsychologist in the Department of Clinical Neurosciences, St Vincent’s Hospital, Melbourne, Australia. His research interests include modelling cognition for psychological assessment, Wernicke-Korsakoff syndrome, seizure disorders, and evidence-based neuropsychological practice. His research has been funded by the Australian National Health and Medical Research Council, Australian Research Council, National Campaign Against Drug Abuse and Australian Brain Foundation. Stephen Bowden has served as National Chair of the Australian Psychological Society College of Clinical Neuropsychologists and he is currently Deputy Chair of the College. He has also served as Convenor of the Graduate Professional Program in Clinical Neuropsychology at the University of Melbourne and is currently Chair of Examiners for PhD dissertations in the Melbourne School of Psychological Sciences. He is a member of the Editorial Boards of Psychoeducational Assessment, The Clinical Neuropsychologist and Archives of Clinical Neuropsychology and is co-Editor in Chief of Neuropsychology Review. Celebrating 50 Years-Binding the Past and Present