Prática baseada em evidências na intervenção fonoaudiológica com Transtorno do Desenvolvimento da Linguagem
Clinical decision-making according to evidence-based practice (EBP) consists of the integration of clinical expertise, internal and external evidence, and the perspectives of the client and his family members. International studies indicate that in SpeechLanguage Pathology and Audiology the implem...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/49851 |
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| Resumo: | Clinical decision-making according to evidence-based practice (EBP) consists of the
integration of clinical expertise, internal and external evidence, and the perspectives
of the client and his family members. International studies indicate that in SpeechLanguage Pathology and Audiology the implementation of EBP faces some barriers,
mainly referring to the processes of diagnosis and speech-language pathology
intervention with language disorders, especially when it comes to Developmental
Language Disorder (DLD). However, in Brazil there is no research on this topic. With
the objective of characterizing the speech therapy performance in the area of
children's language regarding EBP and the theoretical basis for intervention with DLD,
this study was developed. The collection instrument consisted of an online form that
addressed sociodemographic aspects, work area, knowledge about DLD, aspects of
EBP and intervention principles. In total, we obtained a response from 122 speech
therapists who work with children's language, most of them women, aged between 41
and 50 years, with university education in a private institution for less than 5 years.
The results were divided into two studies. The first considered the total sample to
characterize the particularities of EBP in speech therapy, the main barriers pointed out
were the lack of articles, difficulties related to the practical application of scientific
results and lack of collective support among colleagues; the findings indicate a gap in
the understanding and applicability of the EBP triad. The second considered the 110
professionals who work with DLD cases to point out the main characteristics of the
intervention carried out in this context; intervention in these cases tends to be based
on a client-centered approach, with direct intervention and a frequency of once or twice
a week; in addition, the findings indicate that there are weaknesses in clinical decisionmaking in the process of diagnosis and intervention with DLD. Finally, it is noted that
there are limitations in speech therapy in the field of language pathology in Brazil,
although professionals indicate that they have a theoretical basis. |
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