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American Journal of Speech-Language Pathology Vol.15 20-35 February 2006. doi:10.1044/1058-0360(2006/004)
© American Speech-Language-Hearing Association
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Tutorial

Getting Started in Evidence-Based Practice for Childhood Speech-Language Disorders

Carla J. Johnson
University of Toronto, Toronto, Ontario, Canada

Contact author: Carla J. Johnson, University of Toronto, Department of Speech-Language Pathology, Rehabilitation Sciences Building,160-500 University Avenue, Toronto, Ontario, Canada MSG 1V7. Email: carla.johnson{at}utoronto.ca

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.

CONCLUSION: Speech-language pathologists who work with children are encouraged to adopt EBP for clinical decision making.

Key Words: evidence-based practice, speech-language pathology, children, language disorders, speech disorders






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