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https://codas.org.br/article/doi/10.1590/2317-1782/20232022272pt
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Prática baseada em evidências e atuação clínica em linguagem infantil: uma pesquisa online com fonoaudiólogos brasileiros

Evidence-based practice and clinical practice in child language: an online survey with Brazilian speech-language pathologists

Marcelle Stella de Lima Souza; Ana Manhani Cáceres-Assenço

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Resumo

RESUMO: Objetivo: Caracterizar o conhecimento, habilidades, opiniões e principais barreiras percebidas por fonoaudiólogos, da área de linguagem infantil no Brasil, a respeito da prática baseada em evidências (PBE).

Método: O estudo foi conduzido entre agosto de 2021 e julho de 2022 por meio de um questionário online. Além de dados sociodemográficos e de campo de trabalho, foram considerados 22 itens relacionados à PBE e subdivididos em “conhecimento”, “habilidades”, “opinião” e “barreiras”. Cada item apresentava cinco opções de resposta (discordo totalmente, discordo, não estou decidido, concordo, concordo totalmente). Ao total 122 fonoaudiólogos que atuam na área da linguagem infantil responderam ao questionário. Suas respostas foram descritas pela porcentagem de distribuição de frequência. O tempo de formação e o nível de domínio do inglês foram considerados para comparar o padrão de distribuição das respostas.

Resultados: Apesar da maioria dos fonoaudiólogos reportar ter aprendido as bases da PBE em sua formação acadêmica, há fragilidades em seu conhecimento e falta de domínio das estratégias de busca e avaliação crítica dos artigos científicos. Ainda que a maioria concorde que a aplicação da PBE é necessária para a prática fonoaudiológica e considere precisar aumentar o uso de evidências científicas em sua prática diária, são apontadas como barreiras a falta de artigos, dificuldades relacionadas à aplicação prática de resultados científicos e falta de apoio coletivo entre os colegas.

Conclusão: Este estudo alerta a comunidade acadêmica para a urgência de se considerar a PBE no contexto da Fonoaudiologia brasileira.

Palavras-chave

Linguagem Infantil, Prática Clínica Baseada em Evidências, Terapia da Linguagem, Reabilitação dos Transtornos da Fala e da Linguagem

Abstract

Purpose: To characterize the knowledge, skills, opinions, and main barriers perceived by speech-language pathologists, in child language in Brazil, regarding evidence-based practice (EBP).

Methods: The study was conducted between August 2021 and July 2022 using an online questionnaire. In addition to sociodemographic and field data, 22 items related to EBP were considered and subdivided into “knowledge”, “skills”, “opinion” and “barriers”. Each item had five response options (strongly disagree, disagree, not decided, agree, strongly agree). A total of 122 speech-language pathologists who work with child language answered the questionnaire. Their responses were described by the percentage of frequency distribution. The time since graduation and the level of proficiency in English were considered to compare the distribution pattern of the answers.

Results: Although most speech-language pathologists report having learned the basics of EBP in their academic training, there are weaknesses in their knowledge and lack of mastery of search strategies and critical evaluation of scientific articles. Although most agree that EBP’s use is necessary for speech-language practice and consider the need to increase the use of scientific evidence in their daily practice, the lack of articles, difficulties related to the practical application of scientific results and lack of collective support among colleagues are identified as barriers.

Conclusion: This study alerts the academic community to the urgency of considering EBP in the context of Brazilian Speech-Language Pathology.

Keywords

Child Language; Specific Language Disorder; Evidence-Based Practice; Language Therapy; Rehabilitation of Speech and Language Disorders

Referências

1 Dollaghan CA. The handbook for evidence-based practice in communication disorders. 1st ed. Baltimore: Brookes Publishing; 2007.

2 ASHA: American Speech and Hearing Association. Evidence-Based Practice (EBP) [Internet]. Rockville: ASHA; 2021 [citado em 2021 Mar 28]. Disponível em: https://www.asha.org/research/ebp/

3 Miranda VSG, Marcolino MAZ, Rech RS, Barbosa LR, Fischer GB. Evidence-based speech therapy: the role of systematic revisions. CoDAS. 2019;31(2):e20180167. http://dx.doi.org/10.1590/2317-1782/20182018167. PMid:30892421.

4 Greenwell T, Walsh B. Evidence-based practice in speech-language pathology: where are we now? Am J Speech Lang Pathol. 2021;30(1):186-98. http://dx.doi.org/10.1044/2020_AJSLP-20-00194. PMid:33476190.

5 Alhaidary A. Evidence-based practice patterns among speech-language pathologists and audiologists in Saudi Arabia. Comm Disord Q. 2020;41(4):242-9. http://dx.doi.org/10.1177/1525740119843681.

6 Zipoli RP Jr, Kennedy M. Evidence-based practice among speech-language pathologists: attitudes, utilization, and barriers. Am J Speech Lang Pathol. 2005;14(3):208-20. http://dx.doi.org/10.1044/1058-0360(2005/021). PMid:16229672.

7 Chu SY, Hara Y, Wong CH, Higashikawa M, McConnell GE, Lim A. Exploring attitudes about evidence-based practice among speech-language pathologists: a survey of Japan and Malaysia. Int J Speech Lang Pathol. 2021;23(6):662-71. http://dx.doi.org/10.1080/17549507.2021.1877816. PMid:33823717.

8 O’Connor S, Pettigrew C. The barriers perceived to prevent the successful implementation of evidence-based practice by speech and language therapists. Int J Lang Commun Disord. 2009;44(6):1018-35. PMid:19294555.

9 Forsythe R, Murphy C-A, Tulip J, Law J. Why clinicians choose their language intervention approach: an international perspective on intervention for children with developmental language disorder. Folia Phoniatr Logop. 2021;73(6):537-51. http://dx.doi.org/10.1159/000513242. PMid:33508820.

10 McCurtin A, Clifford AM. What are the primary influences on treatment decisions? How does this reflect on evidence-based practice? Indications from the discipline of speech and language therapy. J Eval Clin Pract. 2015;21(6):1178-89. http://dx.doi.org/10.1111/jep.12385. PMid:26032767.

11 Durieux N, Maillart C, Donneau AF, Pasleau F. Controlled before-after study to evaluate change in evidence-based practice of speech and language therapy students. Health Info Libr J. 2018;35(3):213-26. http://dx.doi.org/10.1111/hir.12224. PMid:29963743.

12 Queiroz PS, Santos MJ. Facilidades e habilidades do fisioterapeuta na procura, interpretação e aplicação do conhecimento científico na prática clínica: um estudo piloto. Fisioter Mov. 2013;26(1):13-23. http://dx.doi.org/10.1590/S0103-51502013000100002.

13 Silva TM, Costa LCM, Costa LOP. Evidence-based practice: a survey regarding behavior, knowledge, skills, resources, opinions, and perceived barriers of Brazilian physical therapists from São Paulo state. Braz J Phys Ther. 2015;19(4):294-303. http://dx.doi.org/10.1590/bjpt-rbf.2014.0102. PMid:26443977.

14 Wentz R. Visibility of research: FUTON bias. Lancet. 2002;360(9341):1256. http://dx.doi.org/10.1016/S0140-6736(02)11264-5. PMid:12401287.

15 Roulstone S. Exploring the relationship between client perspectives, clinical expertise and research evidence. Int J Speech Lang Pathol. 2015;17(3):211-21. http://dx.doi.org/10.3109/17549507.2015.1016112. PMid:25850604.

16 Ebbels SH, McCartney E, Slonims V, Dockrell JE, Norbury CF. Evidence-based pathways to intervention for children with language disorders. Int J Lang Commun Disord. 2019;54(1):3-19. http://dx.doi.org/10.1111/1460-6984.12387. PMid:29696726.
 


Submetido em:
26/10/2022

Aceito em:
28/02/2023

66576f9ba953955d4911acd3 codas Articles

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