Journal Club Discussion #15: The FAME Scale

Hey readers! This week’s journal club discussion is slightly different than usual. Instead of reading an article and discussing it, we will actually be discussing a scale that can be used to assess the interventions that we learn about in the future. I learned about the FAME scale in my research class. This scale was created by the Joanna Briggs Institute (JBI) for the purpose of assessing whether or not to implement research findings in practice. I thought it would be a great idea to use the FAME scale whenever we discuss new interventions, that way we can clearly determine whether they are adequate to translate to OT practice. What’s the point of reading research if we don’t translate it to practice, right?! Hopefully this scale will help us make these decisions! AOTA members can access the article that I am using here.

The FAME Scale

The FAME scale stands for feasibility, appropriateness, meaningfulness, and effectiveness. After you read a research article, you can use the criteria set out by JBI to give the intervention(s) a “grade” in each of these subsections. This will help you assess whether you want to use the research in practice. According to Pearson et al. (2007), here is the breakdown (…as cited in Murphy, Robinson, & Lin, 2009):


Grade A: practicable immediately

Grade B: practicable with little training or resources

Grade C: practicable with significant training or resources

Grade D: practicable with extensive training or resources

Grade E: not practicable


Grade A: ethically acceptable and justifiable

Grade B: unclear ethical acceptance

Grade C: Some ethical conflicts

Grade D: Considerable ethical conflicts

Grade E: Ethically unacceptable


Grade A: strong rationale for change in practice

Grade B: moderate rationale for change in practice

Grade C: limited rationale for change in practice

Grade D: minimal rationale for change in practice

Grade E: no rationale for change in practice


Grade A: effectiveness is established for application

Grade B: effectiveness is established to suggest application

Grade C: effectiveness is established to consider application

Grade D: limited effectiveness is established

Grade E: effectiveness is not established


Joanna Briggs Institute (n.d.). Retrieved from

Murphy, S. L., Robinson, J. C., & Lin, S. H. (2009). Conducting systematic reviews to inform occupational therapy practice. American Journal of Occupational Therapy, 63, 363-368.

Pearson, A., Srivastava, R., Craig, D., Tucker, D., Grinspun, D., Bajnok, I., et al. (2007). Systematic review on embracing cultural diversity for developing and sustaining a healthy work environment in healthcare. International Journal of Evidence-Based Healthcare, 5, 54-91.

Thanks for reading!

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