Developing Evidence-Based Practice Guidelines ANCDS Committees Working in Multiple Content Areas Make It Work
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Make It Work  |   April 01, 2004
Developing Evidence-Based Practice Guidelines
Author Notes
  • Carol Frattali, is chair of the Practice Guidelines Committee.
    Carol Frattali, is chair of the Practice Guidelines Committee.×
Article Information
Research Issues, Methods & Evidence-Based Practice / Make It Work
Make It Work   |   April 01, 2004
Developing Evidence-Based Practice Guidelines
The ASHA Leader, April 2004, Vol. 9, 13. doi:10.1044/leader.MIW1.09072004.13
The ASHA Leader, April 2004, Vol. 9, 13. doi:10.1044/leader.MIW1.09072004.13
The Academy of Neurologic Communication Disorders and Sciences (ANCDS), a professional organization that offers specialty certification in neurologic communication disorders, established its Practice Guidelines Coordinating Committee and five respective Writing Committees in 2001. The purpose of this committee of committees is to develop evidence-based practice guidelines in five content areas (i.e., dysarthria, aphasia, acquired apraxia of speech, cognitive-communication disorders related to traumatic brain injury, and cognitive-communication disorders related to dementia).
The work process involves a series of systematic steps, including a comprehensive review of the professional literature, grading levels of evidence using pre-set and accepted criteria, developing flow charts and decision trees to assist in evidence-supported decision-making during the clinical process, and creating tables of evidence used to support the development of the guidelines.
In 2003, a sixth Writing Committee was added to develop a practice guideline in childhood apraxia of speech. In addition, as evidence continues to accrue in cognitive-communication disorders related to right-hemisphere brain damage (RHBD), particularly in the areas of visuospatial neglect, a writing committee for RHBD is likely to be added in the foreseeable future. The practice guidelines project is driven by a core clinical philosophy that quality of care is best supported by scientific evidence of treatment efficacy.
The committee has made considerable progress in the development of evidence-based practice guidelines, with several guidelines currently published and available. The work of the committee definitely will extend beyond the five-year mark with the establishment of additional writing committees; goals for publication, promotion, and dissemination of guidelines among practitioners; development of consumer-oriented documents; and the need for periodic review and update of each guideline as additional evidence becomes available.
The sidebar on page 14 contains the current list of publications written by various members of the ANCDS Committee. Interested readers are encouraged to visit the ANCDS Web site for up-to-date information about the guidelines, tables of evidence, and the guidelines development process.
In addition to Frattali, members of the Practice Guidelines Committee: Nancy Helm-Estabrooks (ANCDS president); Penelope Myers (archivist); Lee-Ann Golper, Richard Katz, Robert T. Wertz (past presidents), Kathryn Bayles (chair, dementia writing committee), Pelagie Beeson (chair, aphasia writing committee), Mary R.T. Kennedy (chair, TBI writing committee), Donald Robin (chair, childhood apraxia of speech writing committee), Julie Wambaugh (chair, acquired apraxia of speech writing committee), Kathryn Yorkston (chair, dysarthria writing committee).
Evidence-Based Practice Guidelines

Selected Publications by the Practice Guidelines Coordinating Committee of the Academy of Neurologic Communication Disorders and Sciences

2001

Duffy, J. R., Yorkston, K. M., Beukelman, D. R., Golper, L. A., Miller, R. M., Spencer, K. A., Strand, E. A., & Sullivan, M. (2001). Medical interventions for spasmodic dysphonia and some related conditions: A systematic review (Technical Report 2). Minneapolis, MN: Academy of Neurologic Communication Disorders and Sciences.
Duffy, J. R., Yorkston, K. M., Beukelman, D. R., Golper, L. A., Miller, R. M., Spencer, K. A., Strand, E. A., & Sullivan, M. (2001). Medical interventions for spasmodic dysphonia and some related conditions: A systematic review (Technical Report 2). Minneapolis, MN: Academy of Neurologic Communication Disorders and Sciences.×
Yorkston, K. M., Spencer, K. A., Beukelman, D. R., Duffy, J., Golper, L. A., Miller, R. M., Strand, E. A., & Sullivan, M. (2001, April). Practice guidelines for dysarthria: Evidence for the effectiveness of management of velopharyngeal function (Technical Report 1). Academy of Neurologic Communication Disorders and Sciences. Retrieved from the Web: www.ancds.duq.edu/guidelines.html.
Yorkston, K. M., Spencer, K. A., Beukelman, D. R., Duffy, J., Golper, L. A., Miller, R. M., Strand, E. A., & Sullivan, M. (2001, April). Practice guidelines for dysarthria: Evidence for the effectiveness of management of velopharyngeal function (Technical Report 1). Academy of Neurologic Communication Disorders and Sciences. Retrieved from the Web: www.ancds.duq.edu/guidelines.html.×
Yorkston, K. M., Spencer, K. A., Duffy, J. R., Beukelman, D. R., Golper, L. A., Miller, R. M., Strand, E. A., & Sullivan, M. (2001a). Evidence-based medicine and practice guidelines: Application to the field of speech-language pathology. Journal of Medical Speech-Language Pathology, 9(4), 243–256.
Yorkston, K. M., Spencer, K. A., Duffy, J. R., Beukelman, D. R., Golper, L. A., Miller, R. M., Strand, E. A., & Sullivan, M. (2001a). Evidence-based medicine and practice guidelines: Application to the field of speech-language pathology. Journal of Medical Speech-Language Pathology, 9(4), 243–256.×

2002

Kennedy, M. R., Avery, J., Coelho, C., Sohlberg, M., Turkstra, L., & Ylvisaker, M. (2002). Evidence-based practice guidelines for cognitive-communication disorders after traumatic brain injury: Initial committee report. Journal of Medical Speech-Language Pathology, 10(2), ix–xiii.
Kennedy, M. R., Avery, J., Coelho, C., Sohlberg, M., Turkstra, L., & Ylvisaker, M. (2002). Evidence-based practice guidelines for cognitive-communication disorders after traumatic brain injury: Initial committee report. Journal of Medical Speech-Language Pathology, 10(2), ix–xiii.×
Spencer, K. A., & Yorkston, K. M. (2002). Evidence for the treatment of respiratory/phonatory dysfunction from dysarthria. Neurophysiology and Neurogenic Speech and Language Disorders, 12(4), 4–16. [Article]
Spencer, K. A., & Yorkston, K. M. (2002). Evidence for the treatment of respiratory/phonatory dysfunction from dysarthria. Neurophysiology and Neurogenic Speech and Language Disorders, 12(4), 4–16. [Article] ×
Spencer, K. A., Yorkston, K. M., Beukelman, D. R., Duffy, J., Golper, L. A., Miller, R. M., Strand, E. A., & Sullivan, M. (2002, Oct. 2002). Practice Guidelines for Dysarthria: Evidence for the Behavioral Management of the Respiratory/Phonatory System (Technical Report 3). Minneapolis, MN: Academy of Neurologic Communication Disorders and Sciences.
Spencer, K. A., Yorkston, K. M., Beukelman, D. R., Duffy, J., Golper, L. A., Miller, R. M., Strand, E. A., & Sullivan, M. (2002, Oct. 2002). Practice Guidelines for Dysarthria: Evidence for the Behavioral Management of the Respiratory/Phonatory System (Technical Report 3). Minneapolis, MN: Academy of Neurologic Communication Disorders and Sciences.×

2003

Duffy, J. R., & Yorkston, K. M. (2003). Medical interventions for spasmodic dysphonia and some related conditions: A systematic review. Journal of Medical Speech-Language Pathology, 11(4), ix–iviii.
Duffy, J. R., & Yorkston, K. M. (2003). Medical interventions for spasmodic dysphonia and some related conditions: A systematic review. Journal of Medical Speech-Language Pathology, 11(4), ix–iviii.×
Frattali, C., Bayles, K., Beeson, P., Kennedy, M. R. T., Wambaugh, J., & Yorkston, K. (2003). Development of evidence-based practice guidelines: Committee update. Journal of Medical Speech-Language Pathology, 11(3), ix–xviii
Frattali, C., Bayles, K., Beeson, P., Kennedy, M. R. T., Wambaugh, J., & Yorkston, K. (2003). Development of evidence-based practice guidelines: Committee update. Journal of Medical Speech-Language Pathology, 11(3), ix–xviii×
Hanson, E. K., Yorkston, K. M., & Beukelman, D. R. (submitted). Speech supplementation techniques for dysarthria: A systematic review. Journal of Medical Speech-Language Pathology.
Hanson, E. K., Yorkston, K. M., & Beukelman, D. R. (submitted). Speech supplementation techniques for dysarthria: A systematic review. Journal of Medical Speech-Language Pathology.×
Sohlberg, M., Avery, J., Kennedy, M. R. T., Coelho, C., Ylvisaker, M., Turkstra, L., & Yorkston, K. (2003). Practice guidelines for direct attention training. Journal of Medical Speech-Language Pathology, 11(3), xix–xxxix.
Sohlberg, M., Avery, J., Kennedy, M. R. T., Coelho, C., Ylvisaker, M., Turkstra, L., & Yorkston, K. (2003). Practice guidelines for direct attention training. Journal of Medical Speech-Language Pathology, 11(3), xix–xxxix.×
Spencer, K. A., Yorkston, K. M., & Duffy, J. R. (2003). Behavioral management of respiratory/ phonatory dysfunction from dysarthria: A flowchart for guidance in clinical decision-making. Journal of Medical Speech-Language Pathology, 11(2), xxxix–lxi.
Spencer, K. A., Yorkston, K. M., & Duffy, J. R. (2003). Behavioral management of respiratory/ phonatory dysfunction from dysarthria: A flowchart for guidance in clinical decision-making. Journal of Medical Speech-Language Pathology, 11(2), xxxix–lxi.×
Yorkston, K. M., Hanson, E., & Beukelman, D. (2003). Speech supplementation techniques for dysarthria: A systematic review (Technical Report 4). Minneapolis, MN: Academy of Neurologic Communication Disorders and Sciences.
Yorkston, K. M., Hanson, E., & Beukelman, D. (2003). Speech supplementation techniques for dysarthria: A systematic review (Technical Report 4). Minneapolis, MN: Academy of Neurologic Communication Disorders and Sciences.×
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April 2004
Volume 9, Issue 7