17/02/2026
SO why do therapists continue to practice DMI, even when there is no research evidence?
🤔 Remember, Evidence‑based practice rests on three interdependent pillars, each carrying equal weight in clinical decision‑making:
1. Best available research evidence
High‑quality, up‑to‑date scientific evidence from systematic reviews, trials, cohort studies, and validated measurement tools. This pillar ensures decisions are grounded in rigorous, reproducible knowledge rather than habit or tradition. DMI as a community of clinicians are examining ourselves and our practises with case studies to start telling the story of DMI in the literature.
2. Clinical expertise
The clinician’s accumulated skills, reasoning, pattern recognition, and ability to integrate complex information. This includes assessment proficiency, understanding of theoretical and clinical practise, and the capacity to tailor interventions to individual presentations. Essentially how well we do what we do.
3. Client values, preferences, and context
The goals, lived experience, cultural background, family priorities, and practical realities of the person receiving care. In paediatrics, this often includes family capacity, environmental constraints, and developmental priorities.
Together, these pillars ensure practice that is scientifically defensible, clinically nuanced, and genuinely person‑centred.
Because…… lack of evidence is not evidence of lack…… just ask my cuter than cute little friend James🥰
