Evidence-based practice in communication disorders: what do we know, and when do we know it?

Journal of Communication Disorders
Christine A Dollaghan

Abstract

Evidence-based practice (EBP), a framework that originated in clinical medicine, offers a principled means of addressing longstanding questions about clinical practice in communication disorders. However, in several respects EBP represents a radical departure from traditional thinking in speech-language pathology and audiology. In this paper, I first describe some of the ways in which the EBP orientation challenges conventional wisdom. I then describe criteria from the EBP literature to be used in evaluating evidence on diagnostic procedures. Using EBP criteria to design, conduct, and interpret studies will increase the quality of evidence available to support clinical decision-making in communication disorders, and to the credibility of the field as a whole. (1) Readers will be able to explain why rigorous scientific studies provide a stronger basis for clinical decision-making than do the opinions of authorities. (2) Readers will be able to list five EBP criteria for evaluating a study of diagnosis. (3) Readers will be able to describe and interpret two measures of diagnostic accuracy. (4) Readers will be able to explain the limitations of small-sample studies of diagnostic procedures.

References

Nov 4, 1992·JAMA : the Journal of the American Medical Association·UNKNOWN Evidence-Based Medicine Working Group
Feb 1, 1995·JAMA : the Journal of the American Medical Association·K F SchulzD G Altman
Jan 13, 1996·BMJ : British Medical Journal·D L SackettW S Richardson
Nov 7, 1998·Clinical Chemistry and Laboratory Medicine : CCLM·M J McQueen
Jan 16, 2002·Menopause : the Journal of the North American Menopause Society·Elizabeth Barrett-Connor
Apr 1, 1999·Language, Speech, and Hearing Services in Schools·Shelley GrayMary Henrichsen

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Citations

Oct 9, 2008·Language, Speech, and Hearing Services in Schools·Kathryn J GreensladeRebecca Vance
May 14, 2011·International Journal of Speech-language Pathology·Monique E SignorelliPatricia McCabe
Feb 5, 2013·International Journal of Speech-language Pathology·Tammie J SpauldingCalli Schechtman
May 3, 2008·Journal of Communication Disorders·Kathleen S Arnos
Feb 1, 2010·Learning Disabilities Research & Practice : a Publication of the Division for Learning Disabilities, Council for Exceptional Children·Vera F Gutiérrez-Clellen, Gabriela Simon-Cereijido
Apr 7, 2006·Journal of Communication Disorders·Travis T Threats
Oct 14, 2014·The Journal of Head Trauma Rehabilitation·Ilaria GabbatoreFrancesca M Bosco
Jun 18, 2016·Clinical Linguistics & Phonetics·Eleni TheodorouKleanthes K Grohmann
Oct 5, 2013·Topics in Stroke Rehabilitation·William D HulaLinda E Worrall
Jul 12, 2013·Language, Speech, and Hearing Services in Schools·Lavae M HoffmanPerry Flynn
Nov 10, 2010·Language, Speech, and Hearing Services in Schools·Diane Paul, Froma P Roth
Aug 4, 2010·Language, Speech, and Hearing Services in Schools·Elizabeth R Crais
Jan 31, 2008·American Journal of Speech-language Pathology·Rebecca J McCauley, Edythe A Strand
May 3, 2014·Language, Speech, and Hearing Services in Schools·Alan G Kamhi
May 3, 2014·Language, Speech, and Hearing Services in Schools·Kenn Apel
Dec 22, 2010·American Journal of Speech-language Pathology·Nimisha MuttiahTim Brackenbury
Aug 10, 2006·American Journal of Speech-language Pathology·Elizabeth D PeñaElena Plante
Oct 17, 2006·Language, Speech, and Hearing Services in Schools·Sandra Laing Gillam, Ronald B Gillam
Mar 15, 2006·American Journal of Speech-language Pathology·Carla J Johnson
Jan 7, 2006·American Journal of Speech-language Pathology·Peter FlipsenKathryn M Yost
Nov 28, 2012·American Journal of Speech-language Pathology·Nelson RoyRobert Hillman
Jun 6, 2009·Language, Speech, and Hearing Services in Schools·Lavae M Hoffman
Jul 4, 2008·Language, Speech, and Hearing Services in Schools·Norman J Lass, Mary Pannbacker
May 5, 2006·Journal of Speech, Language, and Hearing Research : JSLHR·Stephanie F StokesLaurence B Leonard
Aug 7, 2007·Journal of Speech, Language, and Hearing Research : JSLHR·Thomas F CampbellP David Adelson
Sep 16, 2017·Journal of Speech, Language, and Hearing Research : JSLHR·Maria KapantzoglouM Adelaida Restrepo
May 2, 2013·Language, Speech, and Hearing Services in Schools·Stacy K BetzShanleigh F Sullivan
Nov 29, 2012·Language, Speech, and Hearing Services in Schools·Mark Guiberson, Barbara L Rodríguez
Jun 12, 2020·Language, Speech, and Hearing Services in Schools·Amy K PetersonMegan Israelsen
Aug 5, 2020·American Journal of Speech-language Pathology·Anny Castilla-EarlsElizabeth Peña
Jul 22, 2020·Journal of Speech, Language, and Hearing Research : JSLHR·Hallie Nitido, Elena Plante
Dec 22, 2006·Pró-fono : revista de atualização científica·Haydée Fiszbein WertznerDaniela Evaristo dos Santos Galea
May 24, 2017·International Journal of Audiology·Andrew James Myles
Oct 20, 2009·Pró-fono : revista de atualização científica·Isabel Cristina Cavalcanti LemosDeborah Viviane Ferrari
May 11, 2019·American Journal of Speech-language Pathology·Olivia DaubJanis Oram Cardy
Jan 22, 2021·American Journal of Speech-language Pathology·Tamar Greenwell, Bridget Walsh
Jun 2, 2021·American Journal of Speech-language Pathology·Olivia DaubJanis Oram Cardy

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