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Development of a Practice Profile to Examine Two Implementation Outcomes in Speech-Language Pathologists'
John Heilmann1, Alyssa Wojtyna1, Dawn Merth-Johnson2
1University of Wisconsin-Milwaukee, Milwaukee, WI.
Language, Speech, and Hearing Services in Schools
|April 15, 2026
Summary
A new practice profile shows strong internal consistency for documenting speech-language pathologists' (SLPs) comprehensive evaluation fidelity. However, adoption scores often exceeded fidelity scores, highlighting a gap in actual practice implementation.
Area of Science:
- Speech-language pathology
- Clinical assessment practices
- Professional development
Background:
- Comprehensive evaluations are crucial for speech-language pathologists (SLPs).
- Ensuring fidelity in assessment practices is essential for effective intervention.
- Existing methods for documenting fidelity may be insufficient.
Purpose of the Study:
- To develop and validate a practice profile for documenting SLP fidelity in comprehensive evaluations.
- To assess the internal consistency of the practice profile items.
- To examine differences in fidelity across assessment methods and compare fidelity with adoption.
Main Methods:
- 212 SLPs from six Wisconsin school districts participated.
- Participants self-rated adoption and fidelity for eight assessment tasks.
- Internal consistency of the practice profile was tested using Duhachek's alpha.
Main Results:
- The practice profile demonstrated strong internal consistency (alpha > 0.70).
- Fidelity varied by assessment method, with stimulability highest and language sample analysis/dynamic assessment lowest.
- Adoption scores were significantly higher than fidelity scores for most tasks, indicating a practice gap.
Conclusions:
- Targeted training and tools are needed to improve fidelity in specific assessment tasks (academic standards, language sample analysis, dynamic assessment).
- Further research should investigate how adoption and fidelity measures can support implementation of best practices in speech-language pathology.
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