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EVIDENCE-BASED PRACTICE IN SPEECH AND LANGUAGE PATHOLOGY


Authors: Hlaváčová Simona 1
Published in: Listy klinické logopedie 2021; 5(2): 22-29
Category: Miscellaneous

Overview

EBP is an approach that uses the best scientific evidence, the clinical experience of the professional, and the preferences and values of the patient in treatment. Appropriate integration of these three areas of EBP leads to an ideal impact on the clinical result and quality of life of the patient. The steps for implementation in practice include asking clinical questions related to a specific problem, seeking the best evidence, assessing the quality of the evidence (validity, impact, usability), the application to practice, assessing the quality of impact and modification of the process. Knowledge of the PICO system and the hierarchy of evidence is essential when working with the scientific results. There are some limitations when implementing EBP in the practice of a Speech Therapist: unavailability of sources, incorrect understanding of EBP, organisational problems, conservative approach, and refusing to accept changes to everyday practice. Other medical fields have experienced a positive impact when using EBP, so we can expect the same in Speech Therapy. Examples of the positive impact of EBP include the increased motivation of the patient and his/ her family, ease of communication with other medical professionals, greater effectivity of therapy, reducing the need for more therapy sessions, effective communication with employers and insurance companies and better advocacy of the field.

Keywords:

research – speech and language therapy – review – evidence-based practice – evidence


Sources
  1. AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION, 2007. Scope of Practice in Speech-Language Pathology (Scope of Practice). ASHA.org [online]. [cit. 23. 6. 2021]. Dostupné z: https://www.asha.org/policy
  2. AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION, 2016. Code of ethics (Ethics). ASHA.org [online]. [cit. 23. 6. 2021]. Dostupné z: https://www.asha.org/policy
  3. AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION, nedatováno. Evidence based practice toolkit. ASHA.org [online]. [cit. 23. 6. 2021]. Dostupné z: https://www.asha.org/research/ebp/evidence-based-practice-toolkit/
  4. ASLAM S., EMMANUEL P., 2010. Formulating a researchable question: A critical step for facilitating good clinical research. Indian J Sex Transm Dis. 31(1), s. 47-50. DOI: 10.4103/0253-7184.69003.
  5. BAXENDALE, J., HESKETH, A., 2003. Comparison of the effectiveness of the Hanen Parent Programme and traditional clinic therapy. International Journal of Language and Communication Disorders. 38(4), s. 397-415.
  6. BHOGAL, S. K., TEASELL, R., SPEECHLEY, M., 2003. Intensity of aphasia therapy, impact on recovery. Stroke. 34(4), s. 987-993.
  7. BOTHE, A. K, DAVIDOW, J. H, BRAMLETT, R.E, INGHAM, R. J., 2006. Stuttering treatment research 1970-2005: I. Systematic review incorporating trial quality assessment of behavioral, cognitive, and related approaches. Am J Speech Lang Pathol. ;15(4), s. 321-341. DOI: 10.1044/1058-0360(2006/031).
  8. BOYLE, J. M., MCCARTNEY, E., O‘HARE, A., FORBES, J., 2009. Direct versus indirect and individual versus group modes of language therapy for children with primary language impairment: principal outcomes from a randomized controlled trial and economic evaluation. International Journal of Language & Communication Disorders. 44(6), s. 826-846, DOI: 10.1080/13682820802371848.
  9. BRAY, M., WOOLNOUGH, L., 1988. The language skills of children with Down’s syndrome aged 12–16 years. Child Language Teaching and Therapy. 4(3), s. 311-324.
  10. BRAY, M., WOOLNOUGH, L., 1988. The language skills of children with Down’s syndrome aged 12–16 years. Child Language Teaching and Therapy. 4(3), s. 311-324. ISBN: 978-0-470-74329-4.
  11. BULL, L., 2009, Survey of complementary and alternative therapies used by children with specific learning difficulties (dyslexia). International Journal of Language and Communication Disorders. 44(2), s. 224-235.
  12. CARD, N., 2012. Applied Meta-Analysis for Social Science Research. New York: Guilford Press. ISBN 1609184998. DODD, B., 2007. Evidence-based practice and speech-language pathology: strengths, weaknesses, opportunities and threats. Folia Phoniatr Logop. 59(3), s. 118-29. DOI: 10.1159/000101770. PMID: 17556855.
  13. EL DIB, R., ATALLAH, A. et al., 2005. Mapping the Cochrane evidence for decision making in health care. Journal of Evaluation in Clinical Practice. 13(4), s. 689-692.
  14. FERJENČÍK, J., 2000. Úvod do metodologie psychologického výzkumu. Praha: Portál. ISBN 80-7178-367-6.
  15. GLOGOWSKA, M., ROULSTONE, S., ENDERBY, P., PETERS, T. J., 2000. Randomised controlled trial of community based speech and language therapy in preschool children. BMJ. 321(7266), s. 923-926. DOI: 10.1136/bmj.321.7266.923.
  16. HAYNES, R. B., DEVEREAUX, P. J., GUYATT, G. H., 2002. Physicians‘ and patients‘ choices in evidence based practice. BMJ. 324(7350), s. 1350. DOI: 10.1136/bmj.324.7350.1350.
  17. HOUSER, J., 2011. Evidence-based practice in health care. In: Houser J., Oman, K. S. Evidence-based practice: an implementation guide for healthcare organizations, s. 1-17. Sudbury, MA: Jones & Bartlett Learning, LLC.
  18. JENKINS, C., 2003. Continued language intervention with adolescents and adults with Down syndrome. In: Rondal, J. A., Buckley, S.: Speech and Language Intervention in Down Syndrome. London: Whurr, s. 154-165.
  19. KLUGAROVÁ, J., 2015. Vyhledávací strategie. In: Marečková, J., Klugarová, J., Klugar, M., Jarošová, D., Zeleníková, R., Gurková, E.: Evidence-Based Healthcare: Zdravotnictví založené na vědeckých důkazech. (V tisku). Olomouc: Univerzita Palackého v Olomouci.
  20. LANGMORE, S., KASARAKIS, E. et al., 2006. Enteral tube feeding for amytrophic lateral sclerosis/motor neurone disease. The Cochrane Collaboration, 4.
  21. LEDDY, M., GILL, G., 1999. Enhancing the speech and language skills of adults with Down syndrome. In: J. F. Miller, M. Leddy and L. A. Leavitt (eds): Improving the Communication of People with Down Syndrome. Baltimore: Paul H. Brookes, s. 205-213.
  22. LOF, G. L., Watson, M., 2008. A nationwide survey of non-speech oral motor exercise use: Implications for evidence-based practice. Language, Speech and Hearing Services in Schools. 39, s. 392-407.
  23. MCCURTIN, A., RODDAM, H., 2012. Evidence-based practice: SLTs under siege or opportunity for growth? The use and nature of research evidence in the profession. Int J Lang Commun Disord. 47(1), s. 11-26. DOI: 10.1111/j.1460-6984.2011.00074.x.
  24. MUDFORD, O. C., CULLEN, C., 2005. Auditory integration training: a critical review. In: Jacobson, J. W., Foxx R. M., and Mulick J. A.: Controversial Therapies for Developmental Disabilities: Fad, Fashion and Science in Professional Practice. Mahwah, NJ: Lawrence Erlbaum, s. 351-362.
  25. PRASAD, K., 2014. Fundamentals of evidence based medicine. Second edition. Springer India. ISBN 978-81-322-0831-0.
  26. PRING, T., 2004. Ask a silly question: two decades of troublesome trials. International Journal of Language & Communication Disorders. 39(3), s. 285-302.
  27. RODDAM, H., SKEAT, J., 2010. Embedding evidence-based practice in speech and language therapy: International examples. Hoboken: Wiley-Blackwell.
  28. SAMPSON, E., CANDY, B. et al., 2009. Enteral tube feeding for older people with advanced dementia. Cochrane Database of Systematic Reviews, 2.
  29. SCHLOSSER, R. W., WENDT, O., 2008. Effects of augmentative and alternative communication intervention on speech production in children with autism: a systematic review. American Journal of Speech–Language Pathology. 17, s. 212-230.
  30. SCHLOSSER, R. W., WENDT, O., 2008. Facilitated communication is contraindicated as a treatment choice; a meta-analysis is still to be done. Evidence-Based Communication Assessment and Intervention. 2(2), s. 81-83, DOI: 10.1080/17489530802295121.
  31. SCHMIDT, N. A., BROWN, J. M., 2012. Evidence-based practice for nurses: Appraisal and application of research. Sudbury, MA: Jones & Bartlett Learning.
  32. SCHMIDT, N. A., BROWN, J. M., 2012. What is evidence-based practice? In: N. A. Schmidt, N. A., Brown, J. M.: Evidence-based practice for nurses: appraisal and application of research, s. 3-37. Sudbury, MA: Jones & Bartlett Learning, LLC.
  33. SLEIGH, G., SULLIVAN, P. et al., 2004. Gastrostomy feeding versus oral feeding alone for children with cerebral palsy. Cochrane Database of Systematic Reviews. 2, s. 1-13.
  34. WATSON, M., LOF, G.L., 2008. What we know about nonspeech oral motor exercises. Seminars in Speech and Language. 29, s. 320-330.
  35. WHITHWORTH, A., WEBSTER, J., HOWARD, D., 2005. A Cognitive Neuropsychological Approach to Assesssment and Intervention in Aphasia. A Clinicians Guide. Hove, New York: Psychology Press.
Labels
Clinical speech therapy General practitioner for children and adolescents
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