evidence-based practice; information literacy; information seeking behaviour; questionnaires
Abstract :
[en] BACKGROUND: Speech–language therapists (SLTs) are encouraged to implement evidence-based practice (EBP). Nevertheless, EBP use by practitioners can be questioned.
OBJECTIVES: The objective of this study was to explore Belgian French-speaking SLTs’ information behaviour and their awareness of EBP. The collected data allow one to determine how far they have embraced this approach.
METHODS: The two Belgian French-speaking SLT professional associations promoted an online
questionnaire survey by email. Additionally, clinical supervisors of students were asked to participate. In March 2012, 2068 emails were sent.
RESULTS: The participation rate was at least 20% (n = 415). The reported information needs mainly concerned treatment or diagnosis. Most of the time, to attempt to fulfil their information needs, SLTs relied on their own resources (personal experience and libraries) and on colleagues in the workplace. When they searched on the Internet, they preferred to use a general search engine rather than a specialised bibliographic database. Barriers to obtaining scientific information are highlighted. Only 12% of the respondents had already heard about EBP.
CONCLUSION: This study provides the first overview of the information behaviour of SLTs working in the French community of Belgium. Several recommendations are suggested for SLTs and librarians.
Disciplines :
Library & information sciences Treatment & clinical psychology
Author, co-author :
Durieux, Nancy ; Université de Liège > Bibliothèque des Sciences de la vie
Pasleau, Françoise ; Université de Liège > Bibliothèque des Sciences de la vie
Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B. & Richardson, W. S. Evidence based medicine: what it is and what it isn't. BMJ 1996, 312, 71-72.
Hoffmann, T., Bennet, S. & Del Mar, C. Evidence-Based Practice Across the Health Professions, 2nd edn. Sydney: Churchill Livingstone, 2013.
Howick, J. The Philosophy of Evidence-Based Medicine. Oxford: Wiley-Blackwell, 2011.
Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W. & Haynes, R. B. Evidence-Based Medicine: How to Practice and Teach EBM, 2nd edn. Edinburgh: Churchill Livingstone, 2000.
Straus, S. E., Glasziou, P., Richardson, W. S. & Haynes, R. B. Evidence-Based Medicine: How to Practice and Teach it, 4th edn. Edinburgh: Churchill Livingstone, 2011.
American Speech-Language-Hearing Association. 2005. Evidence-based practice in communication disorders [position statement] [WWW document]. URL www.asha.org/policy.
Dollaghan, C. A. The Handbook for Evidence-Based Practice in Communication Disorders. Baltimore: Brookes Publishing, 2007.
Schlosser, R. W. & Raghavendra, P. Evidence-based practice in augmentative and alternative communication. Augmentative and Alternative Communication 2004, 20, 1-21.
Oude Rengerink, K., Zwolsman, S. E., Ubbink, D. T., Mol, B. W., van Dijk, N. & Vermeulen, H. Tools to assess evidence-based practice behaviour among healthcare professionals. Evidence-Based Medicine 2013, 18, 129-138.
Courtright, C. Context in information behavior research. Annual Review of Information Science and Technology 2007, 41, 273-306.
Savolainen, R. Information behavior and information practice: Reviewing the "umbrella concepts" of information-seeking studies. Library Quarterly 2007, 77, 109-132.
Pettigrew, K. E., Fidel, R. & Bruce, H. Conceptual frameworks in information behavior. Annual Review of Information Science and Technology (ARIST) 2001, 35, 43-78.
Nail-Chiwetalu, B. & Bernstein Ratner, N. An assessment of the information-seeking abilities and needs of practicing speech-language pathologists. Journal of the Medical Library Association 2007, 95, 182-188.
Richardson, W. S., Wilson, M. C., Nishikawa, J. & Hayward, R. S. A. The well-built clinical question: a key to evidence-based decisions. ACP Journal Club 1995, 123, A-12.
Kloda, L. A. & Bartlett, J. C. Formulating answerable questions: question negotiation in evidence-based practice. Journal of the Canadian Health Libraries Association 2013, 34, 55-60.
Schlosser, R. W., Koul, R. & Costello, J. Asking well-built questions for evidence-based practice in augmentative and alternative communication. Journal of Communication Disorders 2007, 40, 225-238.
Del Mar, C., Hoffmann, T. & Glasziou, P. Information needs, asking questions, and some basics of research studies. In: Hoffmann, T., Bennett, S. & Del Mar, C. (eds). Evidence-Based Practice Across the Health Professions, 2nd edn. Sydney: Elsevier, 2013: 16-37.
Guyatt, G., Haynes, B., Jaeschke, R., Meade, M. O., Wilson, M., Montori, V. & Richardson, S. The philosophy of evidence-based medicine. In: Gyuatt, G., Drummond, R., Meade, M. O. & Cook, D. J. (eds). Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 2nd edn. New York: McGraw Hill Medical, 2008: 9-16.
Irwin, D. L., Pannbacker, M. & Lass, N. J. Clinical Research Methods in Speech-Language Pathology and Audiology, 2nd edn. San Diego: Plural Publishing, 2014.
OCEBM Levels of Evidence Working Group. The 2011 Oxford levels of evidence [WWW document]. 2011. URL http://www.cebm.net/ocebm-levels-of-evidence/.
Vallino-Napoli, L. D. & Reilly, S. Evidence-based health care: a survey of speech pathology practice. Advances in Speech Language Pathology 2004, 6, 107-112.
Carballo, G., Mendoza, E., Fresneda, M. D. & Munoz, J. La practica basada en la evidencia en la logopedia espanola: estudio descriptivo. Revista de Logopedia, Foniatria y Audiologia 2008, 28, 149-165.
Chan, A. K., McCabe, P. & Madill, C. J. The implementation of evidence-based practice in the management of adults with functional voice disorders: a national survey of speech-language pathologists. International Journal of Speech-Language Pathology 2013, 15, 334-344.
Zipoli, R. P. Jr & Kennedy, M. Evidence-based practice among speech-language pathologists: attitudes, utilization, and barriers. American Journal of Speech-Language Pathology 2005, 14, 208-220.
Guo, R., Bain, B. A. & Willer, J. Results of an assessment of information needs among speech-language pathologists and audiologists in Idaho. Journal of the Medical Library Association 2008, 96, 138-144.
O'Connor, S. & Pettigrew, C. M. The barriers perceived to prevent the successful implementation of evidence-based practice by speech and language therapists. International Journal of Language and Communication Disorders 2009, 44, 1018-1035.
Worrall, L. E. & Bennett, S. Evidence-based practice: barriers and facilitators for speech-language pathologists. Journal of Medical Speech-Language Pathology 2001, 9, xi-xvi.
Kronenfeld, M., Stephenson, P. L., Nail-Chiwetalu, B., Tweed, E. M., Sauers, E. L., Valovich McLeod, T. C., Guo, R., Trahan, H., Alpi, K. M., Hill, B., Sherwill-Navarro, P., Allen, M. P., Hartman, L. M., Burnham, J., Fell, D., Pavlick, R., MacNaughton, E. W.& Bernstein Ratner, N.. Review for librarians of evidence-based practice in nursing and the allied health professions in the United States. Journal of the Medical Library Association 2007, 95, 394-407.
Kloda, L. A. & Bartlett, J. C. Clinical information behavior of rehabilitation therapists: a review of the research on occupational therapists, physical therapists, and speech-language pathologists. Journal of the Medical Library Association 2009, 97, 194-202.
Belgian Federal Government. The communities [WWW document]. 2009. URL http://www.belgium.be/en/about_belgium/government/communities/
Autrique, M., Vanderplasschen, W., Broekaert, E. & Sabbe, B. Practitioners' attitudes concerning evidence-based guidelines in Belgian substance abuse treatment. European Addiction Research 2009, 15, 47-55.
Cohen, J., Van Wesemael, Y., Smets, T., Bilsen, J. & Deliens, L. Cultural differences affecting euthanasia practice in Belgium: one law but different attitudes and practices in Flanders and Wallonia. Social Science and Medicine 2012, 75, 845-853.
Network for Tuning Standards and Quality of Education Programmes in Speech and Language Therapy across Europe. NetQues project report: speech and language therapy education in Europe: united in diversity [WWW document]. 2013. URL http://www.netques.eu/?page_id=1051.
Service Public Federal. Etude prospective en vue de l'agrement des logopedes: rapport d'enquete [WWW document]. 2013. URL http://www.health.belgium.be/internet2Prd/groups/public/@public/@dg2/@healthprofessions/documents/ie2divers/19085518_fr.pdf.
Martis, R., Ho, J. J. & Crowther, C. A. & SEA-ORCHID Study Group. Survey of knowledge and perception on the access to evidence-based practice and clinical practice change among maternal and infant health practitioners in South East Asia. BMC Pregnancy and Childbirth 2008, 8, 34.
Kloda, L. A. & Bartlett, J. C. A characterization of clinical questions asked by rehabilitation therapists. Journal of the Medical Library Association 2014, 102, 69-77.
Fourie, I. Learning from research on the information behaviour of healthcare professionals: a review of the literature 2004-2008 with a focus on emotion. Health Information & Libraries Journal 2009, 26, 171-186.
Higgins, O., Sixsmith, J., Barry, M. M. & Domegan, C. A literature review on health information seeking behaviour on the web: a health consumer and health professional perspective [WWW document]. 2011. URL http://bookshop.europa.eu/is-bin/INTERSHOP.enfinity/WFS/EU-Bookshop-Site/en_GB/-/EUR/ViewPublication-Start?PublicationKey=TQ321186339.
Younger, P. Internet-based information-seeking behaviour amongst doctors and nurses: a short review of the literature. Health Information & Libraries Journal 2010, 27, 2-10.
Hannes, K., Goedhuys, J. & Aertgeerts, B. Obstacles to implementing evidence-based practice in Belgium: a context-specific qualitative evidence synthesis including findings from different health care disciplines. Acta Clinica Belgica 2012, 67, 99-107.
Speech Pathology Association of Australia Limited. Position statement: evidence-based practice in speech pathology [WWW document]. 2010. URL http://www.speechpathologyaustralia.org.au/library/position_statements/EBP_in_SP.pdf.
Dodd, B. Evidence-based practice and speech-language pathology: strengths, weaknesses, opportunities and threats. Folia Phoniatrica et Logopaedica 2007, 59, 118-129.
Leslie, P. & Coyle, J. L. Promoting clinical effectiveness with post-graduate students. In: Roddam, H. & Skeat, J. (eds). Embedding Evidence-Based Practice in Speech and Language Therapy: International Examples. Chichester: Wiley-Blackwell, 2010: 36-42.
Spek, B. Teaching undergraduates to become critical and effective clinicians. In: Roddam, H. & Skeat, J. (eds). Embedding Evidence-Based Practice in Speech and Language Therapy: International Examples. Chichester: Wiley-Blackwell, 2010: 27-35.
Schlosser, R. W. & O'Neil-Pirozzi, T. Problem formulation in evidence-based practice and systematic reviews. Contemporary Issues in Communication Sciences and Disorders 2006, 33, 5-10.
Reilly, S. The challenges in making speech pathology practice evidence based. Advances in Speech Language Pathology 2004, 6, 113-124.
Brettle, A., Maden-Jenkins, M., Anderson, L., McNally, R., Pratchett, T., Tancock, J., Thornton, D. & Webb, A. Evaluating clinical librarian services: a systematic review. Health Information & Libraries Journal 2011, 28, 3-22.
Maggio, L. A., Tannery, N. H., Chen, H. C., ten Cate, O. & O'Brien, B. Evidence-based medicine training in undergraduate medical education: a review and critique of the literature published 2006-2011. Academic Medicine 2013, 88, 1022-1028.
McGowan, J. & Sampson, M. Systematic reviews need systematic searchers. Journal of the Medical Library Association 2005, 93, 74-80.