Knowing What We're Doing: Why Specification of Treatment Methods Is Critical for Evidence-Based Practice in Speech-Language Pathology.

Knowing What We're Doing: Why Specification of Treatment Methods Is Critical for Evidence-Based Practice in Speech-Language Pathology.
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了解我们在做什么:为什么治疗方法的规范对于言语病理学的循证实践至关重要。

DOI:
10.1044/2015_ajslp-15-0060
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发表时间:
2016
影响因子:
2.6
通讯作者:
Hart,Tessa
Hart,Tessa
中科院分区:
医学2区
文献类型:
--
作者:
Turkstra,LynS;Norman,Rocío;Whyte,John;Dijkers,MarcelP;Hart,Tessa

文献摘要

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PurposeThe purpose of this clinical focus article is to describe the conceptual framework of the multidisciplinary rehabilitation treatment taxonomy (RTT) and illustrate its potential use in speech-language pathology (SLP) clinical practice and research.MethodThe method used was a critical discussion.ResultsCurrent methods of defining and classifying SLP and other rehabilitation interventions maintain the “black box” of rehabilitation by referring to hours or days of therapy or using problem-oriented labels (e.g.,naming treatment) to describe treatments, none of which reveal what is actually done to effect desired changes in patient functioning. The RTT framework uses treatment targets, ingredients, and mechanisms of action defined by treatment theory to specify SLP and other rehabilitation interventions with greater precision than current methods of treatment labeling and classification. It also makes a distinction between the target of treatment at which ingredients are directed and broader aims of treatment, which may be downstream effects explained instead by enablement/disablement theory.ConclusionFuture application of the RTT conceptual scheme to SLP intervention may enhance clinical practice, research, and knowledge translation as well as training and program evaluation efforts.