PowerPoint Presentation
Pam Enderby
University of Sheffield
Integrating Research into SLT PracticeThe Important
Ingredient
Pam Enderby
University of Sheffield
Integrating Research into SLT PracticeThe Important
Ingredient
Michelin Star /NHS Atlas of Variation
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 (Kings Fund, 1999)
Knowing the essentials
Principles of TherapyIdentify/diagnose the disorderrestore
function-excercises/advice/strategieshelp the person to use
remaining abilitiesimprove communication improve social
participationsupport, encourage-assist improve wellbeing
How can we improve our therapy?8ReflectionLearning from
researchLearning from othersLearning from experienceData
collectionComparison
Experience and rescue
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
What is expectedThe 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).
What is expectedThe Signature Bake Each baker creates his or her
own signature version of the bake requested. Hopefully based on
evidenceThe 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
randomThe 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
Be creative---but not too inventive
Problems with integrating researchEssentially different
populations in research as compared to clinical
practiceheterogeneity of patient base
Lack of linearity in therapy examined in
researchrestitution/substitution
Complex interventions interactions within modules of therapy
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.
Outcome DataChoosing the outcome measure matched to the
objective.Real glue between researchers and clinicians/clinician
researchersKey to identifying the right questionsBig data
Choosing an Outcome MeasureRelevanceValidityReliability
Other considerationsEase of useCommunication
Trade-offReliability v Sensitivity
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