Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC.
Department of Health Services and Information Management, East Carolina University, Greenville, NC.
Am J Speech Lang Pathol. 2021 Sep 23;30(5):2032-2039. doi: 10.1044/2021_AJSLP-20-00346. Epub 2021 May 21.
Purpose The purpose of this article is to explore how racism, privilege, power, and positionality negatively impact clinical research conducted in the discipline of communication sciences and disorders. Conclusions Evidence suggests solutions will not emerge from a minor revision or adjustment of current research approaches. Instead, to make deep and necessary changes, a complete restructuring of the research process is needed. This restructuring calls for a reconceptualization of how research questions and hypotheses are formed, how methods are selected, how data are analyzed and interpreted, and who is at the table throughout this process of knowledge generation. Such an overhaul of current research approaches will offer the field a solution-oriented roadmap for scientific investigation that facilitates greater equity in the research enterprise that translates into improved clinical outcomes for all clients served.
目的 本文旨在探讨种族主义、特权、权力和定位如何对传播科学与障碍领域的临床研究产生负面影响。 结论 有证据表明，当前研究方法的微小修订或调整不会产生解决方案。相反，要进行深刻和必要的变革，需要对研究过程进行全面重构。这种重构要求重新构想研究问题和假设的形成方式、方法的选择、数据分析和解释的方式，以及在整个知识生成过程中谁在参与。这种对当前研究方法的彻底改革将为该领域提供一个面向解决方案的科学研究路线图，促进研究企业更加公平，从而为所有服务对象带来更好的临床结果。
