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 http://joannabriggs.org/
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!