Читать книгу Practitioner's Guide to Using Research for Evidence-Informed Practice - Allen Rubin - Страница 46

There may be reasons why Intervention A – despite having the best evidence – is not the best choice for your client. As discussed, your client's characteristics or your practice context might contraindicate Intervention A and thus influence you to select an alternative intervention with the next best evidence base. And even if you conclude that Intervention A is the best choice for your client, you should inform the client about the evidence and involve the client in making decisions about which interventions to use. We are not suggesting that you overwhelm clients with lengthy, detailed descriptions of the evidence. You might just tell them that based on the research so far, Intervention A appears to have the best chance of helping them. Be sure to inform them of what their participation in the intervention would require of them (e.g., time commitment, modality, and homework) as well as any undesirable side effects or discomfort they might experience with that intervention as well as the possibility that the treatment may not work for them. With this information, the client might not consent to the treatment, in which case you'll need to consider an alternative intervention with the next best evidence base. A side benefit of engaging the client in making an informed decision is that doing so might improve the client's commitment to the treatment process, which, in turn, might enhance the prospects for a successful treatment outcome. Recall from our discussion in Chapter 1 that some of the most important factors influencing service effectiveness are related to the quality of the client-practitioner relationship.