'Integrating Research into Speech and Language Therapy Practice - the important ingredient' Professor Pam Enderby Emeritus Professor of Community Rehabilitation, University of Sheffield

1. Pam Enderby
University of Sheffield
Integrating Research into SLT Practice—The
Important Ingredient

2. Pam Enderby
University of Sheffield
Integrating Research into SLT Practice—The
Important Ingredient

4. Michelin Star /NHS Atlas of Variation

5. Rehabilitation/Enablement
 The process of trying to help people who have
suffered some impairment to maximise
psychological well being, functional ability and
social integration (Wade, 1992)
 An often complex process which enables
individuals after impairment by illness or injury to
regain as far as possible control over their own
lives (King’s Fund, 1999)

6. Knowing the essentials

7. Principles of Therapy
 Identify/diagnose the disorder
 restore function-excercises/advice/strategies
 help the person to use remaining abilities
 improve communication
 improve social participation
 support, encourage-assist improve wellbeing

8. How can we improve our
therapy?
8
 Reflection
 Learning from research
 Learning from others
 Learning from experience
 Data collection
 Comparison

9. Experience and rescue

10. What makes therapy more
successful?
 Timing
 Involvement of family and friends
 Length of treatment
 Intensity
 Technology
It is important to remember that therapy
effectiveness strongly relies on patient
participation and motivation. And it may well be
that one of these skills of therapy is in
improving motivation and participation hope
and determination

11. What is expected
 The Signature Bake – Each baker creates his or
her own signature version of the bake requested.
 The Technical Bake – The bakers are given a
recipe which is incomplete in details (missing
complete instructions, recipe weights, technique,
etc.) in order to see how knowledgeable the
bakers are in their craft.
 The Showstopper – The contestants must
integrate deliciousness with a wow factor
(generally high end presentation and skill
displayed).

12. What is expected
 The Signature Bake – Each baker creates his or her
own signature version of the bake requested.
Hopefully based on evidence
 The Technical Bake – The bakers are given a recipe
which is incomplete in details (missing complete
instructions, recipe weights, technique, etc.) in order
to see how knowledgeable the bakers are in their
craft. Adaptation based on theory rather than random
 The Showstopper – The contestants must integrate
deliciousness with a wow factor (generally high end
presentation and skill displayed). Blending research,
techniques ,interpersonal skillwith knowledge of what
is needed

13. Be creative---but not too
inventive

15. Problems with integrating
research
 Essentially different populations in research as
compared to clinical practice—heterogeneity of
patient base
 Lack of linearity in therapy examined in
research—restitution/substitution
 Complex interventions– interactions within
modules of therapy

16. Controversies
Research polarises the biomedical psychosocial.
There is evidence that some services have one aim
whereas others will emphasise the opposite end of that
spectrum.

17. Outcome Data
 Choosing the outcome measure matched to the
objective.
 Real glue between researchers and
clinicians/clinician researchers
 Key to identifying the right questions
 Big data

18. Choosing an Outcome Measure
 Relevance
 Validity
 Reliability
Other considerations
 Ease of use
 Communication

19. Trade-off
 Reliability v Sensitivity