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SLP Survey Report_Final - Aphasia Institute

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Section E: Enablers and Barriers<br />

Question 27 - ACCESS TO EVIDENCE: Currently, which of the following are enablers and<br />

which are barriers to the therapy you provide to people with aphasia?<br />

(BPG = Best Practice Guidelines)<br />

Comments:<br />

Usability/Relatability<br />

• Access to evidence is not a barrier. The barrier is being able to apply it. Our programs are<br />

not designed to allow for anything remotely approaching best practice.<br />

• The evidence based guidelines are helpful but I feel the conclusions drawn by Teassell et.<br />

al did not delineate well enough between intensive Tx and non-intensive. We already know<br />

aphasia therapy works with the right dose. We now need to know who needs which type of<br />

Tx.<br />

• Most literature is non-specific and rarely replicable in clinical setting - little exists re:<br />

specific treatments and for which patients they would work<br />

• Almost none of my clients fit research inclusion criteria (they all have multiple severe<br />

conditions and usually ESL). And our model is mostly consultative, so, while read best<br />

practice guidelines, I find they seldom apply<br />

<br />

37

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