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Clinical decision-making in aphasia therapy :

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Material Information

Title:
Clinical decision-making in aphasia therapy : a survey of perceived levels of evidence for common treatment approaches
Physical Description:
Book
Language:
English
Creator:
Rowe, Erin
Publisher:
University of South Florida
Place of Publication:
Tampa, Fla
Publication Date:

Subjects

Subjects / Keywords:
Evidence-based practice
Neurogenics
Survey
Perceptions
Implementation
Dissertations, Academic -- Communication Sciences & Disorders -- Masters -- USF   ( lcsh )
Genre:
non-fiction   ( marcgt )

Notes

Abstract:
ABSTRACT: The past three decades have produced a surge of interest in the role of evidence-based practice (EBP) in the clinical decision-making of speech-language pathologists and other healthcare professionals in delivering optimally effective patient care. A review of the literature revealed several studies investigating potential barriers to EBP implementation and attitudes toward EBP. However, few studies have been designed to probe what treatment approaches to neurogenic communication disorders clinicians are currently implementing and the rationales behind their use. Furthermore, a review of the literature failed to reveal any surveys designed to probe the correlation between what clinicians perceive to be evidence based and what truly is evidence based as outlined in current practice guidelines. The primary aim of this study was to examine potential trends within the field of speech-language pathology relating to the role of EBP in the clinical decision-making of aphasia therapy and the quality of evidentiary support for these decisions. Launching both Web-based and hard copy versions of an 18-question survey, questions probed clinicians' perceptions of the evidence level, primary sources of information, and timeframe of implementation related to various traditional treatment approaches for aphasia. Analysis of the 104 survey responses revealed a disconnect between the implementation of aphasia treatments and the research behind their use. Results indicate that many of the common treatment approaches for aphasia currently in practice are evidence based. However, a research-to-practice gap exists as many treatment approaches that clinicians are not reportedly using are also supported by evidence. Similarly, clinicians' perceptions of what is evidence based are not always in accordance with current practice guidelines. Clinicians appear to rely on professional journals, graduate school training, and professional conferences as their primary sources of evidence-based information. It does not appear as though advertising significantly affects clinicians' decision making in treatment selection. Furthermore, clinicians tend to implement new or alternative treatment approaches rather quickly after exposure to the treatment. Although participants reportedly acknowledge the importance of EBP, further research is needed to investigate causes of and ways to eliminate the research-to-practice gap in the treatment of neurological communication disorders.
Thesis:
Thesis (MS)--University of South Florida, 2010.
Bibliography:
Includes bibliographical references.
System Details:
Mode of access: World Wide Web.
System Details:
System requirements: World Wide Web browser and PDF reader.
Statement of Responsibility:
by Erin Rowe.
General Note:
Title from PDF of title page.
General Note:
Document formatted into pages; contains X pages.

Record Information

Source Institution:
University of South Florida Library
Holding Location:
University of South Florida
Rights Management:
All applicable rights reserved by the source institution and holding location.
Resource Identifier:
usfldc doi - E14-SFE0004531
usfldc handle - e14.4531
System ID:
SFS0027846:00001


This item is only available as the following downloads:


Full Text
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ABSTRACT: The past three decades have produced a surge of interest in the role of evidence-based practice (EBP) in the clinical decision-making of speech-language pathologists and other healthcare professionals in delivering optimally effective patient care. A review of the literature revealed several studies investigating potential barriers to EBP implementation and attitudes toward EBP. However, few studies have been designed to probe what treatment approaches to neurogenic communication disorders clinicians are currently implementing and the rationales behind their use. Furthermore, a review of the literature failed to reveal any surveys designed to probe the correlation between what clinicians perceive to be evidence based and what truly is evidence based as outlined in current practice guidelines. The primary aim of this study was to examine potential trends within the field of speech-language pathology relating to the role of EBP in the clinical decision-making of aphasia therapy and the quality of evidentiary support for these decisions. Launching both Web-based and hard copy versions of an 18-question survey, questions probed clinicians' perceptions of the evidence level, primary sources of information, and timeframe of implementation related to various traditional treatment approaches for aphasia. Analysis of the 104 survey responses revealed a disconnect between the implementation of aphasia treatments and the research behind their use. Results indicate that many of the common treatment approaches for aphasia currently in practice are evidence based. However, a research-to-practice gap exists as many treatment approaches that clinicians are not reportedly using are also supported by evidence. Similarly, clinicians' perceptions of what is evidence based are not always in accordance with current practice guidelines. Clinicians appear to rely on professional journals, graduate school training, and professional conferences as their primary sources of evidence-based information. It does not appear as though advertising significantly affects clinicians' decision making in treatment selection. Furthermore, clinicians tend to implement new or alternative treatment approaches rather quickly after exposure to the treatment. Although participants reportedly acknowledge the importance of EBP, further research is needed to investigate causes of and ways to eliminate the research-to-practice gap in the treatment of neurological communication disorders.
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