Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Part V-Applications for clinicians and researchers

Karen Wheeler-Hegland, PhD; Tobi Frymark, MA; Tracy Schooling, MA; Daniel McCabe, DMA; John Ashford, PhD; Robert Mullen, MPH; Carol Smith Hammond, PhD; Nan Musson, MA

JRRD, Volume 46 Number 2, 2009, Pages 215 — 222

Abstract —

Evidence-based practice (EBP) involves the integration of three essential principles: (1) the current best available research, (2) the clinician’s experience and expertise, and (3) the patient’s values and preferences. This report is the last in a series that presents the culmination of a collaborative effort between the American Speech-Language-Hearing Association and the Department of Veterans Affairs to examine the state of the evidence on seven behavioral swallowing interventions. This article addresses how speech-language pathologists treating individuals with oropharyngeal dysphagia can incorporate EBP into their clinical decision-making process. A fictitious patient scenario is presented and discussed as an example of the clinical application of the findings from the three systematic reviews in this series on evidence for the use of behavioral swallowing interventions. Also, recommendations for researchers studying dysphagia treatment are discussed, with the overall goal of facilitating the generation of a stronger evidence base for clinicians.

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