Hargrove Patricia, Griffer Mona, Lund Bonnie
Minnesota State University, Mankato, Mankato, MN 56001, USA.
Lang Speech Hear Serv Sch. 2008 Jul;39(3):289-302. doi: 10.1044/0161-1461(2008/028).
This article provides information about clinical practice guidelines (CPGs) to facilitate their application to the practice of speech-language pathology. CPGs are sets of recommendations based on evidence, including expert clinical opinion, that have been developed by a panel of reviewers. In this article, CPGs are defined and their components and rationale for use are discussed. A guide for analyzing CPGs critically and recommendations for applying them to clinical practice are also described.
Two of the authors and 1 graduate student in speech-language pathology independently evaluated a CPG from the early intervention literature using the guide described in the article. An illustrative evaluation of a CPG is presented to facilitate application of the proposed critiquing guide.
The guide was revealed to have high interrater reliability. However, analysis of the raters' responses to the individual items revealed problems with 3 items. The authors present possible resolutions and/or explanations for the problems.
By using the proposed guide, speech-language pathologists can increase their application of research to clinical practice, thereby enhancing their skills in informed clinical decision making.
本文提供有关临床实践指南（CPG）的信息，以促进其在言语病理学实践中的应用。CPG是基于证据（包括专家临床意见）制定的一系列建议，由一组评审员制定。本文对CPG进行了定义，并讨论了其组成部分和使用原理。还描述了批判性分析CPG的指南以及将其应用于临床实践的建议。
两位作者和一名言语病理学研究生使用本文所述的指南，对早期干预文献中的一份CPG进行了独立评估。给出了对一份CPG的示例性评估，以促进所提出的批判指南的应用。
该指南显示具有较高的评分者间信度。然而，对评分者对各个项目的回答进行分析后发现3个项目存在问题。作者针对这些问题提出了可能的解决方案和/或解释。
通过使用所提出的指南，言语病理学家可以增加将研究应用于临床实践的机会，从而提高其在明智临床决策方面的技能。
