Evidence-Based Practice for Children With Speech Sound Disorders: Part 2 Application to Clinical Practice Purpose 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 ... Research Article
Research Article  |   April 01, 2011
Evidence-Based Practice for Children With Speech Sound Disorders: Part 2 Application to Clinical Practice
 
Author Affiliations & Notes
  • Elise Baker
    The University of Sydney, Australia
  • Sharynne McLeod
    Charles Sturt University, Australia
  • Correspondence to Elise Baker: elise.baker@sydney.edu.au
  • Editor: Kenn Apel
    Editor: Kenn Apel×
  • Associate Editor: Peter Flipsen, Jr.
    Associate Editor: Peter Flipsen, Jr.×
Article Information
Speech, Voice & Prosodic Disorders / Research Issues, Methods & Evidence-Based Practice / Research Articles
Research Article   |   April 01, 2011
Evidence-Based Practice for Children With Speech Sound Disorders: Part 2 Application to Clinical Practice
Language, Speech, and Hearing Services in Schools, April 2011, Vol. 42, 140-151. doi:10.1044/0161-1461(2010/10-0023)
History: Received April 6, 2010 , Accepted August 10, 2010
 
Language, Speech, and Hearing Services in Schools, April 2011, Vol. 42, 140-151. doi:10.1044/0161-1461(2010/10-0023)
History: Received April 6, 2010; Accepted August 10, 2010
Web of Science® Times Cited: 9

Purpose 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).

Method 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.

Results 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.

Conclusion 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.

ACKNOWLEDGMENTS
An earlier version of this paper was presented as an invited seminar at the 2008 annual convention of the American Speech-Language-Hearing Association, Chicago, IL. The second author acknowledges assistance from the Australian Research Council Future Fellowship (FT0990588) and the Charles Sturt University Research Institute for Professional Practice, Learning and Education (RIPPLE).
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