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Patient-Reported Outcomes and Evidence-Based Practice in Speech-Language Pathology
Matthew L Cohen1, William D Hula2
1Department of Communication Sciences and Disorders and Center for Health Assessment Research and Translation, University of Delaware, Newark.
American Journal of Speech-Language Pathology
|February 4, 2020
Summary
Patient-reported outcomes (PROs) are crucial for evidence-based practice in speech-language pathology. Routine use of PRO measures (PROMs) can enhance patient care and the profession
Area of Science:
- Speech-language pathology
- Health outcomes research
- Evidence-based practice
Background:
- Patient perspectives are central to evidence-based practice (EBP) and person-centered care.
- Patient-reported outcomes (PROs), collected via PRO measures (PROMs), formally capture patient perspectives.
- PROs are currently underutilized in mainstream speech-language pathology (SLP) practice.
Purpose of the Study:
- To explore the application of PROs in EBP for individuals with communication disorders within SLP.
- To identify key questions regarding PRO integration into SLP clinical practice.
- To propose preliminary strategies for addressing these questions.
Main Methods:
- A narrative literature review was conducted.
- Relevant terminology was introduced, and PRO applications in other healthcare fields were described.
- Questions concerning PRO-informed SLP practice were raised and explored through existing research.
Main Results:
- Routine measurement of subjective health constructs (e.g., effort, participation, self-efficacy, psychosocial functioning) via PROMs may enhance EBP in SLP.
- Increased PROM use can broaden clinician understanding of individual clients and strengthen the evidence base for SLP.
- Suggestions for clinical administration, interpretation, and future research of PROs were developed.
Conclusions:
- Integrating PROMs into routine SLP practice holds potential to improve evidence-based care and client understanding.
- Further research and careful consideration are necessary for effectively capturing and interpreting PROs from individuals with cognitive and language impairments.
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