Abstract:
PURPOSE:Evidence-based practice (EBP) entails a critical mindset and rigorous methods that foster the judicious integration of scientific evidence into clinical decision making. The purpose of this tutorial is to present strategies, resources, and examples to help speech-language pathologists get started in EBP for childhood speech and language disorders. METHOD:The tutorial begins with an overview of key principles of EBP, including potential benefits and challenges, and other initial considerations. Five recommended steps for implementing EBP are then presented: posing a question, locating the evidence, appraising the evidence, making and implementing clinical decisions, and evaluating those decisions. Included is a compilation of synthesized evidence resources, such as systematic reviews/meta-analyses and EBP guidelines. Finally, illustrative examples are provided to assist practitioners with integrating research evidence into clinical decision making in childhood speech-language disorders. CONCLUSIONS:Speech-language pathologists who work with children are encouraged to adopt EBP for clinical decision making.
journal_name
Am J Speech Lang Patholjournal_title
American journal of speech-language pathologyauthors
Johnson CJdoi
10.1044/1058-0360(2006/004)keywords:
subject
Has Abstractpub_date
2006-02-01 00:00:00pages
20-35issue
1eissn
1058-0360issn
1558-9110journal_volume
15pub_type
杂志文章,评审abstract:Purpose:Visuographic supports in the form of images are utilized during assessment and treatment for individuals with aphasia to supplement speech, language, and cognitive losses limiting communication. Clinicians rely on prior experience and intuition to make decisions regarding image-based support design and selectio...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,评审
doi:10.1044/2017_AJSLP-16-0190
更新日期:2018-03-01 00:00:00
abstract:Purpose:Mean length of utterance in morphemes (MLUm) is underreported in people who use augmentative and alternative communication (AAC). MLUm is difficult to measure in people who use AAC because of 2 challenges described in literature: the challenge of small language samples (difficulty collecting representative samp...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-16-0114
更新日期:2017-08-15 00:00:00
abstract:Purpose:The purposes of this investigation were to determine if measures such as mean length of utterance (MLU) and percentage of comprehensible words can be derived reliably from language samples of children with severe speech impairments and if such measures correlate with tools that measure constructs assumed to be ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2016_AJSLP-15-0100
更新日期:2016-11-01 00:00:00
abstract:Purpose:Dysphagia is common sequelae of chemical ingestion injury, resulting from damage to critical swallowing structures. From a speech-language pathology perspective, this study outlines the physiological deficits in 2 individuals with severe injury (1 woman, acid; 1 man, alkali) and the pattern of dysphagia rehabil...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2016_AJSLP-15-0043
更新日期:2016-11-01 00:00:00
abstract::The purpose of this study was to examine certified nurse assistants' (CNAs') knowledge of dysphagia and how to feed nursing home residents using nonparticipatory structured feeding observation, critique of staged feeding behaviors on film, and semistructured interview in a triangulation methods design. Content analysi...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2004/012)
更新日期:2004-05-01 00:00:00
abstract::This study examined the concurrent validity of the Language Development Survey (LDS), a 310-word parent report screening tool for language delay in toddlers, by testing its associations with the MacArthur-Bates Communicative Development Inventories: Words and Sentences (CDI:WS), a 680-word parent report instrument. Pa...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2005/016)
更新日期:2005-05-01 00:00:00
abstract::Purpose In 2004, American Speech-Language-Hearing Association established its position statement on evidence-based practice (EBP). Since 2008, the Council on Academic Accreditation has required accredited graduate education programs in speech-language pathology to incorporate research methodology and EBP principles in...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-20-00194
更新日期:2021-01-27 00:00:00
abstract:Purpose:Annually, nearly 700,000 U.S. children and adolescents experience a traumatic brain injury (TBI). Many of them struggle academically, despite failing to qualify for special education services because their cognitive communication impairments are subtle. Method:In this exploratory study, five adolescents with T...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-16-0131
更新日期:2018-02-06 00:00:00
abstract:Purpose:The aim of this article was to identify what school-aged children who stutter consider to be the most important outcomes from therapy. Method:A Delphi approach was employed for the study. Eighteen participants aged 9-13 years completed a survey, generating 90 statements that would constitute successful therapy...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-ODC11-17-0195
更新日期:2018-10-19 00:00:00
abstract::Purpose Individuals with Down syndrome (DS) often receive speech-language therapy services starting in infancy or toddlerhood. When providing speech-language therapy services for children with DS, speech-language pathologists (SLPs) need to consider the impact of other developmental and comorbid disorders that can aff...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-20-00050
更新日期:2021-01-27 00:00:00
abstract:Purpose:The current study examined treatment outcomes and generalization patterns following 2 sentence comprehension therapies: object manipulation (OM) and sentence-to-picture matching (SPM). Findings were interpreted within the framework of specific deficit and resource reduction accounts, which were extended in orde...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2016_AJSLP-15-0134
更新日期:2016-12-01 00:00:00
abstract:PURPOSE:Voluntary stuttering is a strategy that has been suggested for use in the clinical literature but has minimal empirical data regarding treatment outcomes. The purpose of the present study is to explore client perspectives regarding the impact of the use of this strategy on the affective, behavioral, and cogniti...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2016_AJSLP-15-0018
更新日期:2016-08-01 00:00:00
abstract::Purpose The purpose of this cross-sectional investigation was to expand the comparative database of pediatric tongue strength for children and adolescents with typical development, ages 3-17 years, and compare tongue strength among children with typical development, speech sound delay/disorders (SD), and motor speech ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-18-0023
更新日期:2019-05-27 00:00:00
abstract:PURPOSE:Recent investigations into effects of intensity or distribution of aphasia therapy have provided moderate evidence supporting intensive therapy schedules on aphasia treatment response. The purpose of the present study was to investigate the feasibility of creating an intensive therapy session without extending ...
journal_title:American journal of speech-language pathology
pub_type: 临床试验,杂志文章
doi:10.1044/2014_AJSLP-13-0081
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:Tracheostomy speaking valve use may increase airflow resistance and work of breathing. It remains unclear which valve offers the best performance characteristics. We compared the performance characteristics of the Shikani speaking valve (SSV; unidirectional-flow ball valve) with those of the Passy-Muir valve (P...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2015_AJSLP-14-0115
更新日期:2015-11-01 00:00:00
abstract::Purpose The purpose of this article was to examine the current state of counseling education and to present examples of strategies for teaching counseling based on the author's 40 years of university teaching. Conclusion Current research suggests that students and clinicians are not getting sufficient training in pers...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2019_AJSLP-19-00013
更新日期:2020-05-08 00:00:00
abstract:PURPOSE:The purpose of this meta-analysis was to systematically evaluate the effects of parent-implemented language interventions on the language skills of children between 18 and 60 months of age with primary and secondary language impairments. METHOD:A systematic literature search yielded 18 studies that met the pre...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,meta分析
doi:10.1044/1058-0360(2011/10-0055)
更新日期:2011-08-01 00:00:00
abstract::Purpose Macrostructural narrative analyses are important clinical measures, revealing age-related declines and disorder-related impairments in the accuracy, completeness, logical sequencing, and organization of content. The current study aims to provide preliminary data on typical aging and psychometric evidence suppo...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-19-00151
更新日期:2020-11-12 00:00:00
abstract:Purpose:The aim of this study was to establish reliability and validity for self-ratings of vocal status obtained during the daily activities of patients with vocal hyperfunction (VH) and matched controls. Method:Eight-four patients with VH and 74 participants with normal voices answered 3 vocal status questions-diffi...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-17-0031
更新日期:2017-11-08 00:00:00
abstract::Purpose Every adult with aphasia displays a unique constellation of language comprehension skills and varies in the benefit derived from different content presentation formats. For many, multiple modality presentation enhances comprehension. This study's purpose was to determine the comprehension benefits for people w...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-17-0132
更新日期:2019-03-11 00:00:00
abstract::Purpose The purposes of this longitudinal study were to (a) examine the impact of Parkinson's disease (PD) progression on breath pause patterns and speech and linguistic errors and (b) determine the extent to which breath pauses and speech and linguistic errors contribute to speech impairment. Method Eight individuals...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-20-00003
更新日期:2020-11-12 00:00:00
abstract:PURPOSE:This study explores the importance of production frequency during speech therapy to determine whether more practice of speech targets leads to increased performance within a treatment session, as well as to motor learning, in the form of generalization to untrained words. METHOD:Two children with childhood apr...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2011/09-0005)
更新日期:2011-05-01 00:00:00
abstract:PURPOSE:To explore the similarities and differences in self-reported restrictions in communicative participation across different communication disorders in community-dwelling adults. METHOD:Interviews were conducted with 44 adults representing 7 different medical conditions: spasmodic dysphonia, multiple sclerosis, s...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2011/10-0084)
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:To develop a method for clinicians to evaluate stuttering treatment efficacy research with very little burden of work. METHOD:The clinical trial is the most fundamental, clinically interpretable, and useful output unit of stuttering treatment research. We define a clinical trial of a stuttering treatment and s...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/07-0047)
更新日期:2008-11-01 00:00:00
abstract:PURPOSE:Based on visual inspection, prior research documented increased movement of the posterior pharyngeal wall in healthy volunteers during tongue-hold swallows. This manometric study investigated the immediate effects of the tongue-hold maneuver on pharyngeal peak pressure generation, duration of pressure generatio...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/06-0061)
更新日期:2009-02-01 00:00:00
abstract::Purpose Dynamic assessment (DA) has generally been accepted and recommended for use with bilingual children; however, no meta-analysis or systematic review of the diagnostic accuracy for language impairment within this population exists. Therefore, this study aimed to examine the current use of DA and its diagnostic a...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,meta分析
doi:10.1044/2019_AJSLP-18-0202
更新日期:2019-08-09 00:00:00
abstract:Purpose:The impact of clear speech or an increased vocal intensity on consonant spectra was investigated for speakers with mild dysarthria secondary to multiple sclerosis or Parkinson's disease and healthy controls. Method:Sentences were read in habitual, clear, and loud conditions. Spectral moment coefficients were o...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-16-0090
更新日期:2017-06-22 00:00:00
abstract::Purpose We report on a study that replicates previous treatment studies using Abstract Semantic Associative Network Training (AbSANT), which was developed to help persons with aphasia improve their ability to retrieve abstract words, as well as thematically related concrete words. We hypothesized that previous results...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-19-00066
更新日期:2020-08-04 00:00:00
abstract::[Figure: see text]. ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,已发布勘误
doi:10.1044/2019_AJSLP-19-00015
更新日期:2019-11-19 00:00:00
abstract::Background and Purpose The severity of aphasic impairment in chronic stroke survivors is typically thought to be stable by 6 months postonset. However, a recent study showed that stroke survivors with aphasia experience language improvement or decline in the chronic phase, years beyond onset. Little is known about why...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-18-0123
更新日期:2019-05-27 00:00:00