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 into their curricula and clinical practicums. Over the past 15 years, access to EBP resources and employer-led EBP training opportunities have increased. The purpose of this study is to provide an update of how increased exposure to EBP principles affects reported use of EBP and perceived barriers to providing EBP in clinical decision making. Method Three hundred seventeen speech-language pathologists completed an online questionnaire querying their perceptions about EBP, use of EBP in clinical practice, and perceived barriers to incorporating EBP. Participants' responses were analyzed using descriptive and inferential statistics. We used multiple linear regression to examine whether years of practice, degree, EBP exposure during graduate program and clinical fellowship (CF), EBP career training, and average barrier score predicted EBP use. Results Exposure to EBP in graduate school and during the CF, perception of barriers, and EBP career training significantly predicted the use of EBP in clinical practice. Speech-language pathologists identified the three major components of EBP: client preferences, external evidence, and clinical experience as the most frequently turned to sources of EBP. Inadequate time for research and workload/caseload size remain the most significant barriers to EBP implementation. Respondents who indicated time was a barrier were more likely to cite other barriers to implementing EBP. An increase in EBP career training was associated with a decrease in the perception of time as a barrier. Conclusions These findings suggest that explicit training in graduate school and during the CF lays a foundation for EBP principles that is shaped through continued learning opportunities. We documented positive attitudes toward EBP and consistent application of the three components of EBP in clinical practice. Nevertheless, long-standing barriers remain. We suggest that accessible, time-saving resources, a consistent process for posing and answering clinical questions, and on the job support and guidance from employers/organizations are essential to implementing clinical practices that are evidence based. The implications of our findings and suggestions for future research to bridge the research-to-practice gap are discussed.
journal_name
Am J Speech Lang Patholjournal_title
American journal of speech-language pathologyauthors
Greenwell T,Walsh Bdoi
10.1044/2020_AJSLP-20-00194subject
Has Abstractpub_date
2021-01-27 00:00:00pages
186-198issue
1eissn
1058-0360issn
1558-9110journal_volume
30pub_type
杂志文章abstract:PURPOSE:This study examined the test-retest reliability of select measures of word-retrieval errors in narrative discourses of individuals with aphasia assessed with the AphasiaBank stimuli. METHOD:Ten participants with aphasia were video recorded during 2 sessions producing narratives elicited with pictures. Discours...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2015_AJSLP-14-0152
更新日期:2015-11-01 00:00:00
abstract::Purpose Standard treatment for nasopharyngeal carcinoma (NPC) is radiation therapy (RT); however, long-term effects of RT frequently include significant swallowing impairments (dysphagia; Gaziano, 2002; Hui, Chan, & Le, 2018). Our objective was to describe swallowing physiology in consecutive outpatients with a histor...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2019_AJSLP-19-0116
更新日期:2020-02-07 00:00:00
abstract::Twelve school-age children with language-learning disabilities (LLD) participated in a study comparing the effects of two reading feedback strategies for improving their oral and written language performance. Children were matched for age, disability, gender, and general reading performance. Participants were assigned...
journal_title:American journal of speech-language pathology
pub_type: 临床试验,杂志文章
doi:10.1044/1058-0360(2003/049)
更新日期:2003-02-01 00:00:00
abstract:PURPOSE:The effects of intention gesture treatment (IGT) and pantomime gesture treatment (PGT) on word retrieval were compared in people with aphasia. METHOD:Four individuals with aphasia and word retrieval impairments subsequent to left-hemisphere stroke participated in a single-participant crossover treatment design...
journal_title:American journal of speech-language pathology
pub_type: 临床试验,杂志文章
doi:10.1044/1058-0360(2012/11-0076)
更新日期:2012-05-01 00:00:00
abstract::Purpose The purpose of this study was to improve our understanding of the language characteristics of people with latent aphasia using measures that examined temporal (i.e., real-time) and episodic organization of discourse production. Method Thirty AphasiaBank participants were included (10 people with latent aphasia...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2019_AJSLP-CAC48-18-0210
更新日期:2020-02-21 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:The purpose of this study was to examine the attitudes, feelings, and practice characteristics of speech-language pathologists (SLPs) in Israel regarding the subject of delivering bad news. Method:One hundred and seventy-three Israeli SLPs answered an online survey. Respondents represented SLPs in Israel in al...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-17-0045
更新日期:2018-02-06 00:00:00
abstract:Purpose:This study investigated the acoustic properties of 6 Taiwan Southern Min vowels produced by 10 laryngeal speakers (LA), 10 speakers with a pneumatic artificial larynx (PA), and 8 esophageal speakers (ES). Method:Each of the 6 monophthongs of Taiwan Southern Min (/i, e, a, ɔ, u, ə/) was represented by a Taiwan ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2016_AJSLP-15-0068
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:We investigated the feasibility of using a virtual clinician (VC) to promote functional communication abilities of persons with aphasia (PWAs). We aimed to determine whether the quantity and quality of verbal output in dialogues with a VC would be the same or greater than those with a human clinician (HC). MET...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2015_AJSLP-14-0160
更新日期:2015-11-01 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::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:Purpose:In a feasibility study for a randomized controlled trial of treatments for phonological disorders conducted over a period of 8 months, we examined 6 clinically relevant outcome measures. We took steps to reduce error variance and to maximize systematic variance. Method:Six children received traditional treatme...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-16-0225
更新日期:2018-05-03 00:00:00
abstract:PURPOSE:In contrast to clinician-as-expert models, social models of clinical practice typically acknowledge people with aphasia as equal partners in intervention. Given this, there may be a place within speech-language pathology education for programs situating people with aphasia as experts. This paper describes an ap...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2013/12-0071)
更新日期:2013-05-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-16-0058
更新日期:2018-02-06 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: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
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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:Designing augmentative and alternative communication (AAC) displays that minimize operational demands is an important aspect of AAC intervention. The current study compared the effect of 2 display designs on the speed of locating target words by preschoolers without disabilities. Method:Across 5 sessions, part...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2018_AJSLP-17-0129
更新日期:2018-08-06 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2014_AJSLP-13-0031
更新日期:2014-11-01 00:00:00
abstract::Normal elderly and mildly aphasic individuals may exhibit similar impairments in comprehension and expression. The discriminative validity between normal and aphasic performance on most standardized measures of aphasia has not been reported. The authors compared the performance of 18 aphasic and 18 normal adults to de...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2003/077)
更新日期:2003-08-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2015_AJSLP-14-0028
更新日期:2015-05-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章,多中心研究
doi:10.1044/2018_AJSLP-18-0037
更新日期:2019-02-21 00:00:00
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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 study was to investigate how maternal gesture relates to speech production by children with fragile X syndrome (FXS). METHOD:Participants were 27 young children with FXS (23 boys, 4 girls) and their mothers. Videotaped home observations were conducted between the ages of 25 and 37 months (t...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2013_AJSLP-13-0046
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:This study compared a new adult stuttering treatment program (Modifying Phonation Intervals, or MPI) with the standard of care for reducing stuttered speech in adults (prolonged speech). METHOD:Twenty-seven adults who stutter were assigned to either MPI or prolonged speech treatment, both of which used similar...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章,随机对照试验
doi:10.1044/2015_AJSLP-14-0076
更新日期:2015-05-01 00:00:00
abstract::Purpose The swallowing motor system and, specifically, its cortical substrates appear to have certain unique properties that make it highly susceptible to brain plasticity, both driven and following injury. Furthermore, neurogenic dysphagia is a common complication of brain disease, associated with poor outcomes, and ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-19-00073
更新日期:2020-07-10 00:00:00
abstract:PURPOSE:Unanswered questions regarding the nature of auditory processing disorders (APDs), how best to identify at-risk students, how best to diagnose and differentiate APDs from other disorders, and concerns about the lack of valid treatments have resulted in ongoing confusion and skepticism about the diagnostic valid...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/002)
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:The purpose of this study was to examine the associations between vocabulary knowledge and word retrieval in younger and older adults. METHOD:Three tests of word retrieval and 2 tests of word knowledge were administered to 140 Hebrew-speaking adults, half of whom were younger (M(age) = 24.20 years) and half of...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2013/12-0136)
更新日期:2014-02-01 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:Purpose:Three children ages 3;6 to 5;3 with developmental and language delays were provided experience with a traditional grid-based display and a contextually organized visual scene display on a speech-generating device to illustrate considerations for practice and future research in augmentative and alternative commu...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2016_AJSLP-15-0166
更新日期:2017-05-17 00:00:00