The University of Sydney, Australia.
Lang Speech Hear Serv Sch. 2011 Apr;42(2):140-51. doi: 10.1044/0161-1461(2010/10-0023). Epub 2010 Sep 15.
This article provides both a tutorial and a clinical example of how speech-language pathologists (SLPs) can conduct evidence-based practice (EBP) when working with children with speech sound disorders (SSDs). It is a companion paper to the narrative review of 134 intervention studies for children who have an SSD (Baker & McLeod, 2011).
A seven-step EBP decision-making process is presented for managing SSDs in children (drawing on the work of Dollaghan, 2007, and Gillam & Gillam, 2006). We describe how SLPs can integrate externally published evidence with evidence from clinical practice as well as client factors, values, and preferences, to make clinical decisions. An organized EBP network is described as a clinical example of the application of the EBP decision-making process.
Compared with a matched and national sample, SLPs in the EBP network were more likely to read relevant articles and tended to have more confidence in research evidence and in their own ability to select intervention targets based on published research.
SLPs need to use their clinical expertise to integrate research findings with the constraints and complexities of everyday clinical practice and client factors, values, and preferences in their management of SSDs in children.
本文为言语语言病理学家（SLP）在治疗儿童言语语音障碍（SSD）时提供了一个关于如何进行循证实践（EBP）的教程和临床范例。它是对针对 SSD 儿童的 134 项干预研究的叙述性综述（Baker & McLeod，2011）的补充。
提出了一个七步 EBP 决策过程，用于管理儿童的 SSD（借鉴了 Dollaghan，2007 年和 Gillam & Gillam，2006 年的工作）。我们描述了 SLP 如何将外部发布的证据与临床实践证据以及客户因素、价值观和偏好相结合，从而做出临床决策。描述了一个有组织的 EBP 网络，作为 EBP 决策过程应用的临床范例。
与匹配和全国样本相比，EBP 网络中的 SLP 更有可能阅读相关文章，并且更相信研究证据，并且更有信心根据已发表的研究为干预目标进行选择。
SLP 需要运用其临床专业知识，将研究结果与日常临床实践的限制和复杂性以及客户因素、价值观和偏好相结合，以管理儿童的 SSD。
