FRAMEWORK FOR EVIDENCE-BASEDOCCUPATIONAL THERAPY PRACTICE The  process  of  evidence-based  practice  is  essentially  thesame  for  occupational  therapy  as  for  other  health  disci-plines.Although not represented in the framework, evalu-ation of this process is undertaken to determine improve-ment in relevant outcomes and to identify factors that willmake the process more1, drawingon  concepts  presented  by  Bennett  and  Glasziou  (1997),Law et  al.(1996),  and  Sackett,  Richardson,  Rosenberg  &Haynes,  (1997).Clinical  reasoning  is  usedto determine whether the evidence 'fits' with each featureof  the  client's  context  (person,  occupation  and  environ-ment).This  framework  presents  evidence-basedpractice  as  a  process  that  follows  a  cycle  stemming  fromclinical decisions that need to be made in all stages of theoccupational therapy treatment process.Clinical questionsare identified that reflect the information needed to makeclinical decisions, and which take into account the specificclient or group of clients being treated, as well as the con-text  in  which  treatment  occurs.However,  some  differences  in  its  application  arisefrom  the  differing  practice  domains  and  theoretical  mod-els used.A framework for the use of evidence-based prac-tice in occupational therapy is presented in Fig.As  not  all  studies  are  wellperformed, a critical appraisal of the article for its validityand clinical usefulness is important.Clients,  and  whereappropriate families or carers, are actively engaged in thedecision  making  process  to  determine  the  action  to  betaken.