Evidence-Based Practice & Practice-Based Evidence Applied to Adult, Medical Speech-Language Pathology In this paper, we review concepts of evidence-based practice (EBP), and provide a discussion of the current limitations of EBP in terms of a relative paucity of efficacy evidence and the limitations of applying findings from randomized controlled clinical trials to individual clinical decisions. We will offer a complementary model ... Article
Article  |   January 01, 2013
Evidence-Based Practice & Practice-Based Evidence Applied to Adult, Medical Speech-Language Pathology
Author Affiliations & Notes
  • Rik Lemoncello
    Pacific University, Forest Grove, OR
  • Bryan Ness
    University of New Hampshire, Durham, NH
  • Disclosure: Rik Lemoncello is a volunteer member of the practice guidelines committee for TBI at the Academy of Neurogenic Communication Sciences and Disorders
    Disclosure: Rik Lemoncello is a volunteer member of the practice guidelines committee for TBI at the Academy of Neurogenic Communication Sciences and Disorders×
  • Disclosure: Bryan Ness has no financial or nonfinancial relationships related to the content of this article.
    Disclosure: Bryan Ness has no financial or nonfinancial relationships related to the content of this article.×
Article Information
Speech, Voice & Prosodic Disorders / Older Adults & Aging / Research Issues, Methods & Evidence-Based Practice / Articles
Article   |   January 01, 2013
Evidence-Based Practice & Practice-Based Evidence Applied to Adult, Medical Speech-Language Pathology
SIG 15 Perspectives on Gerontology, January 2013, Vol. 18, 14-26. doi:10.1044/gero18.1.14
SIG 15 Perspectives on Gerontology, January 2013, Vol. 18, 14-26. doi:10.1044/gero18.1.14

In this paper, we review concepts of evidence-based practice (EBP), and provide a discussion of the current limitations of EBP in terms of a relative paucity of efficacy evidence and the limitations of applying findings from randomized controlled clinical trials to individual clinical decisions. We will offer a complementary model of practice-based evidence (PBE) to encourage clinical scientists to design, implement, and evaluate our own clinical practices with high-quality evidence. We will describe two models for conducting PBE: the multiple baseline single-case experimental design and a clinical case study enhanced with generalization and control data probes. Gathering, analyzing, and sharing high-quality data can offer additional support through PBE to support EBP in speech-language pathology. It is our hope that these EBP and PBE strategies will empower clinical scientists to persevere in the quest for best practices.

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