Evidence-Based Practice in Speech-Language Pathology: Where Are We Now?

Area of Science:

• Speech-language pathology
• Evidence-based practice (EBP) research
• Clinical decision-making

Background:

• The American Speech-Language-Hearing Association mandated evidence-based practice (EBP) in 2004.
• Accredited graduate programs now require EBP and research methodology training.
• Increased availability of EBP resources and training has occurred over 15 years.

Purpose of the Study:

• To update understanding of how increased exposure to EBP principles affects reported use of EBP.
• To investigate perceived barriers to providing EBP in clinical decision-making.

Main Methods:

• 317 speech-language pathologists completed an online questionnaire.
• Data analyzed using descriptive and inferential statistics.
• Multiple linear regression examined predictors of EBP use.

Main Results:

• EBP exposure in graduate school/fellowship, perceived barriers, and career training predicted EBP use.
• Client preferences, external evidence, and clinical experience are key EBP sources.
• Inadequate time and caseload size remain significant barriers, with time-related barriers linked to others.

Conclusions:

• Graduate and fellowship training establish EBP foundations, enhanced by ongoing learning.
• Positive attitudes and consistent application of EBP components are evident.
• Persistent barriers necessitate accessible resources, efficient processes, and employer support for EBP implementation.