Procedures for Using Clinical Practice Guidelines Purpose 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 ... Research Article
Research Article  |   July 01, 2008
Procedures for Using Clinical Practice Guidelines
 
Author Affiliations & Notes
  • Patricia Hargrove
    Minnesota State University, Mankato
  • Mona Griffer
    Marywood University, Scranton, PA
  • Bonnie Lund
    Minnesota State University, Mankato
  • Contact author: Patricia M. Hargrove, AH 103, Department of Speech, Hearing, and Rehabilitation Services, Minnesota State University, Mankato, Mankato, MN 56001. E-mail: patricia.hargrove@mnsu.edu.
Article Information
Research Issues, Methods & Evidence-Based Practice / Language Disorders / Research Articles
Research Article   |   July 01, 2008
Procedures for Using Clinical Practice Guidelines
Language, Speech, and Hearing Services in Schools, July 2008, Vol. 39, 289-302. doi:10.1044/0161-1461(2008/028)
History: Received July 28, 2006 , Revised February 16, 2007 , Accepted June 14, 2007
 
Language, Speech, and Hearing Services in Schools, July 2008, Vol. 39, 289-302. doi:10.1044/0161-1461(2008/028)
History: Received July 28, 2006; Revised February 16, 2007; Accepted June 14, 2007
Web of Science® Times Cited: 1

Purpose 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.

Method 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.

Results 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.

Conclusion 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.

ACKNOWLEDGMENT
This article is derived, in part, from a poster session that was presented at the 2004 annual convention of the America Speech-Language-Hearing Association.
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