Wednesday, 4 October 2017

Using Twitter to help close the research-to-knowledge-to-practice gap in SLP/SLT worldwide

The ResNetSLT project will link up with @WeSpeechies on Tuesday, 10th October (10–11.00am UK time) to jointly host a Tweetchat.

@HazelRoddam1 and @BronwynHemsley will team up to lead a discussion entitled: 'Using Twitter to help close the research-to-knowledge-to-practice gap in SLP/SLT worldwide'.

Experienced SLP/SLT tweeters often report not being confident in using Twitter, or being 'the only one' in their department to embrace Twitter as a method of exchanging critical information.

In the UK, the hashtag #ResNetSLT was launched to promote increased awareness and implementation of the research evidence-base by SLP/SLT practitioners.

Through hosting themed discussions on applied clinical research papers, #ResNetSLT aims to support SLPs/SLTs to gain more confidence in understanding research design issues and the principles of evidence-based practice.

The hashtag #WeSpeechies is used to focus on a specific topic for a week, involving a different curator each week.

Both #ResNetSLT and #WeSpeechies provide opportunities for SLPs/SLTs to take up 'advanced tweeting' skills, and at the same time encourage many more SLPs/SLTs to make that leap from 'lurker' to 'tweeter'.

This week's one-hour chat will use the #ResNetSLT tag, and several tweets will also sport the #WeSpeechies tag, to ensure the conversation can be seen in both hashtag communities.

Questions will be as follows:
  • Tweeting at work is tough, and tweeting at home can be hard. How do YOU balance your 'work-life-tweeting'?
  • Does the info you find in Twitter stick? What makes you notice it? How can we better promote 'gems' of critical information?
  • What kind of thing do you discover through Twitter – and from whom - that ultimately change your practice?
  • How do you help yourself (or others) to advance in Twitter skills, get more confident, and use Twitter to make a difference?

Friday, 7 July 2017

Exciting opportunity to be involved in ResNetSLT project

ResNetSLT is a unique online research community for SLTs at all stages of their career.

We are launching a ResNetSLT Action Group in September 2017, to develop new initiatives for the future and to ensure sustainability.

We'd like to hear from anyone who is interested to get involved in helping us.

This could be brief news and commentary items for our blogsite or planning and running our Twitter chats (#ResNetSLT).

Please spread the word that this is an exciting chance to get involved and to add to your CV.

All expressions of interest are very welcome – and we would really love to have at least one student SLT or new graduate in our group.

So if you would like to know more about joining us and can commit for one year, please contact Hazel Roddam by 31st August 2017.

Saturday, 7 January 2017

A successful first year for #ResNetSLT

Our monthly Twitter #ResNetSLT Journal Club which began in January 2016 has been a great success.

Nine papers have been discussed during the year, with up to 47 participants being involved in the chats.

Please click here for a summary of the papers discussed and the stats of the impact and reach to linked Twitter accounts.

The highest to date was almost 750,000 accounts from a one hour Tweetchat.

The engagement with our online Journal Club has shown that geography is no barrier, with people joining us from Australia as well as several countries in mainland Europe.

We've also been delighted that people from many other professions have joined our discussions – and that's the message that everyone is welcome.

On several occasions the paper authors have joined the discussions – a feature that we hope to continue next year.

Each month we've either chosen an open access paper, or been able to negotiate with the relevant publishers for them to provide a direct link to our selected paper. Many thanks to all the publishers who've generously helped us with this.

We've posted this on our blogsite, along with a summary of what the paper says, and questions to prompt discussion and debate.

After the Tweetchats we've also posted a summary of the key discussion themes onto our news feed on the blogsite, as we want to share these messages as widely as possible, especially for colleagues who are not (yet) on Twitter.

In February we were delighted that the ResNetSLT blogsite was awarded 'Site of the Month' by Professor Caroline Bowen (@speech_woman).

Our first #ResNet_Rendevous took place in August – that was an opportunity for a face-to-face meeting for colleagues attending the International Association of Phoniatrics and Logopedics (IALP) conference in Dublin.

Tweeting live from that conference event also proved to be a really great way for others to keep updated if they weren't able to attend themselves. It would be great to do this again in the future – please let us know your suggestions.

Thanks to everyone for joining in, it's been an exciting first year and we've learned a lot about online discussion events. Hopefully we will continue to refine and improve the #ResNetSLT chats.

A special word of thanks is due to Dr Joanne Fillingham and Dr Emma Pagnamenta for all their help in getting us started, as well as @RCSLTResearch.

If you have any suggestions for papers you'd like to discuss please let us know.

Friday, 4 November 2016

Cochrane UK launch new campaign

Cochrane UK have launched an 'Understanding Evidence' campaign looking at common errors and misunderstandings, resources and initiatives that can help with making sense of evidence and highlighting opportunities to get involved with others with an interest in evidence.

Please click here for more information.

Thursday, 6 October 2016

#ResNet_Rendevous a big success

In place of our usual monthly #ResNetSLT Journal Club Tweetchat in August, the IALP Conference in Dublin provided an exciting opportunity for some face-to-face meetings.

We used the hashtag #ResNet_Rendezvous to co-ordinate meetings linked to @IALPDublin2016 workshops on the theme of EBP and promoting practice-based and practice-led clinical research.

It was great to meet new contacts and we had such amazing support from the Irish host association @IASLT - special thanks to Adrian Bradley, Aoife McGuire and Pauline Ackermann.

It was also lovely to meet up with Margaret Walshe, Rena Lyons, Arlene McCurtin, Yvonne Wren and so many others too.

Our #ReSNet_Rendezvous 'tweet meets' also proved to work well as twitter clinics – we're all learning together and it's great to be able to share tips we've picked up.

A warm welcome in particular to Linda Schrey, Weibke Schraff and Maria Vlassopoulos.

It was great that we also managed to keep in touch throughout the week with some other colleagues who weren't able to come to Dublin, and who reported that the tweets we shared helped them to at least have a flavour of this really great conference.

Over the week there were more than 1,000 delegates from 57 different countries.

There was a vibrant programme of keynote lectures, plenary sessions, free papers, research posters, and exhibitions - in addition to a stream of working party reports and forums, including an important focus on the WHO and International Communication Project developments.

The over-riding impression of the event was of a deeply shared commitment to promoting clinical excellence through evidence-based practice.

Thank you @IALPDublin2016.

Thursday, 28 July 2016

Tweetchat: 'That doesn't translate’ - the role of evidence-based practice in disempowering speech pathologists in acute aphasia management

Our seventh Tweetchat 'That doesn't translate’: the role of evidence-based practice in disempowering speech pathologists in acute aphasia management’ took place on Wednesday 27th July.

We were delighted by the reach of the chat, hosted by Dr Hazel Roddam, with 37 participants sending 251 tweets that were delivered to 126,391 linked accounts.

Thank you to everyone who contributed and followed the chat. Participants included SLTs from across the UK and in Australia as well as other AHPs.

We know that people from other EU countries were also watching the conversation. We were particularly delighted that a number of people joined the Tweetchat for the first time – hope you enjoyed it!

The paper reports an exploratory study of speech and language therapists working in Australia with patients who have acute aphasia and it uncovered some startling insights into the direct impact of professionals' values and attitudes on their clinical practice.

The SLTs in this study reported feeling so overwhelmed by the published research literature that this generated a resistance to reading or applying any of the evidence.

This sense that the principles of EBP effectively made the clinicians feel disempowered needs to be urgently addressed in pre-registration clinical education, as well as through continuing education with qualified clinicians.

There also remains a challenging question of whether these same findings would be generated with groups of SLTs working with other clinical populations, or in other countries? And to what extent these themes may be identified within other groups of AHPs?

We began the chat by discussing that up until now most published reports indicated that SLTs and other healthcare professionals stated positive attitudes to EBP.

This is an important paper because it reveals deeper insights into alternative perspectives of EBP. This matches with a recent survey of UK SLT's conducted by the RCSLT.

Many of our Tweetchat participants agreed that these findings matched with their own experiences. A discussion took place about implications of this for pre and post qualification training.

Some interesting conversations were started about comparisons in EBP teaching in Australia and the UK.

Many people suggested that an important way forward is for clinical therapists to work together with academics in practice based and practice led research.

We also need to understand better the importance of implementation research designs and strategies that can more effectively support embedding of EBP in clinical practice.

The chat was based around this article - we would like to thank @IJLDC for making this paper open access for the next four weeks from the date of the Tweetchat.

You can find the pre-chat information and questions here.

The transcript can be found here and the stats/analytics are here.

Suggested reading/further references

Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science.

Knowledge Translation in Health Care: Moving from Evidence to Practice.

National Collaborating Centre for Methods and Tools (2010). Ottawa Model of Research Use: A Framework for Adopting Innovations. Hamilton, ON: McMaster University. (Updated 30 August, 2010).

Monday, 18 July 2016

Tweetchat: Are your treatment decisions evidence or craft-based?

Our sixth #ResNetSLT Tweetchat 'Are your treatment decisions evidence or craft-based?' took place on Wednesday 29th June.

Hosted by Mark Jayes and Dr Emma Pagnamenta the chat was based around this article. You can find the pre-chat information and questions here.

It was another lively chat with 28 participants, 268 tweets and a potential reach of 171,046. Thank you to everyone who contributed and followed the discussion.

The inspiration for the chat came from a study carried out by McCurtin & Clifford in 2015 who asked SLTs in Ireland about how they make treatment decisions.

Current understanding of EBP suggests we make decisions using evidence from four sources: i) research; ii) practice - our own and our colleagues' clinical experience; iii) individual patient characteristics; iv) contextual information.

The survey results suggested that the SLTs who responded make treatment decisions using evidence from two main sources: clinical experience (e.g. 'craft' knowledge) and contextual or pragmatic factors (e.g. resource availability).

We began the chat by discussing the role of clinical experience in our treatment decisions. There was agreement on the importance of experience but discussion about how this is integrated with clinical supervision, training, reflection and evidence.

Whilst participants recognised the vital importance of reflective practice, a concern was raised that we may not allow ourselves enough time to engage effectively in reflection.

It was suggested that clinical and student supervision can provide an opportunity for reflection but that we need to incorporate reflection within our daily practice.
Interesting comments were made around how different experiences will lead to different practices, and how the availability of evidence can help to unify practice. But what do we mean by evidence?

There was discussion around whether clinical experience and knowledge can be considered as a form of evidence and the need for this to be backed up by research.

Participants recognised that clinical knowledge represents more than individual opinion.

The absence of evidence was also highlighted and how this acts as a driver for collecting practice-based evidence. Linked to this, one participant raised the issue of innovative practice, which may not have an existing evidence base.

It was agreed that it is important to establish the effectiveness of such practice using evidence from both clinical practice and research studies.

A strong theme was the need for SLTs to engage in shared decision making with patients, clients and 'agents of change' (e.g., carers, teachers). Participants identified that being able to present evidence about treatment options and enable clients to make decisions can feel challenging.

Evidence-based shared decision making tools such as decision aids can support us to do this. A useful online resource can be found here.

Participants reported that treatment decisions can be affected/restricted by local patterns of practice, resource availability and commissioning decisions.

There was agreement that SLTs can and should use evidence to try to challenge/change existing situations.
Suggestions of how to support implementation of evidence into practice were shared, such as journal clubs, clinical research projects, MDT training, RCSLT CENs and regional Hubs, ASHNs and CAHPR hubs.

A number of online resources were also identified, including the RCSLT evidence-based clinical decision-making tool, new AHP evidence summaries from Cochrane Evidence for Everyday Allied Health and a site that promotes critical thinking about interventions.

The chat ended with a discussion about the interplay between developing the craft of therapy alongside learning to become an evidence-based clinician. This tweet sums up the chat:
The link to the full transcript is here and the analytics here.

Suggested reading/further references

Cheung, G., Trembath, D., Arciuli, J. & Togher, L. (2013) The impact of workplace factors on evidence-based speech-language pathology practice for children with autism spectrum disorders, International Journal of Speech-Language Pathology, 15 (4), 396-406, DOI: 10.3109/17549507.2012.714797

Foster, A., Worrall, L. & Rose, M. (2015) "That Doesn't Translate": The Role of Evidence-Based Practice in Disempowering Speech Pathologists in Acute Aphasia Management. International Journal of Language & Communication Disorders, 50 (4), 547-563.

McCurtin, A. & Roddam, H. (2012) Evidence-Based Practice: SLTs under Siege or Opportunity for Growth? The Use and Nature of Research Evidence in the Profession. International Journal of Language & Communication Disorders, 47 (1), 11-26.