The implementation of evidence-based practice in the management of adults with functional voice disorders: A national survey of speech-language pathologists.

This study examined Australian speech-language pathologists' (SLPs) use of evidence-based practice (E3BP) when treating adults with functional voice disorders (FVDs). It was hypothesized that SLPs would report using the available evidence to care for their clients but may be limited by time and skil...

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Publicado en:International Journal of Speech-Language Pathology Vol. 15; no. 3; pp. 334 - 345
Autores principales: Chan, Athena K., McCabe, Patricia, Madill, Catherine J.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2013
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: The implementation of evidence-based practice in the management of adults with functional voice disorders: A national survey of speech-language pathologists.
      aug:
        au:
          Chan, Athena K.
          McCabe, Patricia
          Madill, Catherine J.
        affil: The University of Sydney, Sydney, NSW, Australia
      sug:
        subj:
          Professional Practice, Evidence-Based Utilization
          Speech-Language Pathologists Australia
          Voice Disorders Therapy
          Voice Therapy Methods
          Practice Patterns Australia
          Human
          Australia
          Survey Research Australia
          Speech Acoustics
          Voice Quality
          Respiration
          Decision Making, Clinical
          Time Factors
          Professional Knowledge
          Phonation
          Internet Utilization
      ab: This study examined Australian speech-language pathologists' (SLPs) use of evidence-based practice (E3BP) when treating adults with functional voice disorders (FVDs). It was hypothesized that SLPs would report using the available evidence to care for their clients but may be limited by time and skills. Fifty-eight SLPs completed a 26-item survey. A combination of indirect and direct voice therapy was most frequently reported, with hum and nasal consonants, pitch extension, elimination of glottal attack, and diaphragmatic breathing being the most frequently used techniques. In the absence of higher levels of evidence, 98% of respondents reported they relied on clinical experience to guide their clinical decision-making. Despite a lack of research evidence supporting this decision, SLPs also reported simultaneously using a combination of direct voice therapies to cater to the needs of their individual clients. Barriers to EBP were lack of time, specialty training and high quality evidence. To improve SLPs' management of adults with FVDs, it is suggested that SLPs need both greater access to voice training and to use practice-based evidence by actively collecting and reporting clinical data.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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