Ch. 7: EB Decision Making in Comm. Intervention

Question 1

Evidence Based Practice (ASHA)

Answer 1

An approach in which current, high quality research evidence is integrated with practitioner expertise and client preferences and values into the process of making clinical decisions

• New to the field of speech-language pathology, it has its roots in the medical field.
• Answers the question, “How do I know that what I do actually works?”

Question 2

Three Part Response

Answer 2

EBP forces the SLP to base decisions on evidence rather than opinion, past practice and/or prior teaching

Discount the opinions of expert authorities when those opinions are contradicted by scientific evidence

Focus on the small portion of research that is directly relevant to decisions about practice

Judge the quality of research evidence using strict criteria:

Question 3

Acountability

Answer 3

We must design treatment programs that help patients make authentic, functional progress

Question 4

Due Process

Answer 4

We have to be so sure that the available evidence supports our therapy plan that our service can be defended in a court of law

Question 5

Client/Clinician Time

Answer 5

Therapy plans using EBP practices yield favorable outcomes with greater efficiency

Question 6

Family/Client Satisfaction

Answer 6

EBP clearly states the need for client/family involvement in the treatment process. In doing so, customer satisfaction will increase

Question 7

Enhanced Professionalism

Answer 7

Our field is not fit for a “recipe” approach to therapy.

Thoughtful, informed professional consideration is required to provide the care each client requires

Question 8

Making Decisions

Question 9

EBP Cycle

Answer 9

1. Ask a Clinical Question (PICO)
2. Search for the best available evidence that fits your need
3. Evaluate Evidence (Levels 1-6)
4. Make clinical decision with client/family input and using your professional expertise
5. Implement clinical decision and collect data
6. Evaluate/Document outcome of decision
7. Refer back to original question to validate or modify treatment decision

Question 10

PICO

Answer 10

• P opulation (age, gender, diagnosis)
• I ntervention (target, group/individual)
• C omparison (
• O utcome

Question 11

Search for Evidence

Question 12

Evaluate Evidence

Answer 12

Determine if the study is appropriate and valid for your particular client and practice

Question 13

Decision Based on Shared Input

Answer 13

• Clinician explains the evidence with client’s family and discusses the pros and cons for each intervention.
• Together, make a decision for what is best for client.

Question 14

Implement the Course of Action and Document the Results

Answer 14

Refer back to PICO question to validate or invalidate effectiveness of EBP used