{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T07:21:42Z","timestamp":1792653702886,"version":"4.5.0"},"reference-count":59,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T00:00:00Z","timestamp":1432857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale, aims and objectives<\/jats:title>\n                    <jats:p>\n                      Four pillars of evidence underpin evidence\u2010based behavioural practice: research evidence, practice evidence, patient evidence and contextual evidence. However, it is unknown which of these pillars or other factors are used by clinicians such as speech and language therapists (\n                      <jats:styled-content style=\"fixed-case\">SLTS<\/jats:styled-content>\n                      ) when making treatment choices. The aim of this study was to identify the factors underpinning\n                      <jats:styled-content style=\"fixed-case\">SLT<\/jats:styled-content>\n                      s' treatment decisions and contextualize findings in terms of evidence\u2010based practice (\n                      <jats:styled-content style=\"fixed-case\">EBP<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Ethical approval was obtained for the electronic questionnaire\u2010based study. A questionnaire was designed, piloted and then sent via gatekeepers to\n                      <jats:styled-content style=\"fixed-case\">SLTs<\/jats:styled-content>\n                      to ascertain agreement with a range of statements potentially underpinning treatment choices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 249 respondents completed the survey. The respondents defined themselves as dynamic and pragmatic practitioners with an appreciation for the four pillars of\n                      <jats:styled-content style=\"fixed-case\">EBP<\/jats:styled-content>\n                      . Using factor analysis, treatment decisions were found to rely primarily on practice evidence and pragmatic considerations. Qualifications, clinical experience and the patient group an\n                      <jats:styled-content style=\"fixed-case\">SLT<\/jats:styled-content>\n                      works with further influenced attitudes and treatment decisions. Those with additional qualifications and experience were identified as more autonomous, more scientific in their treatment choices and less influenced by patient preferences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Factors influencing decision making did not clearly align with the four pillars of\n                      <jats:styled-content style=\"fixed-case\">EBP<\/jats:styled-content>\n                      , the principal influences being practice evidence and pragmatic constraints. The findings of this study have implications for understanding why specific treatment choices are made. Attempts to improve practice should focus on a range of evidence sources and take into account clinician's specific needs depending on career stage, post\u2010qualification status and patient group factors of their practice.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.12385","type":"journal-article","created":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T13:05:59Z","timestamp":1432904759000},"page":"1178-1189","source":"Crossref","is-referenced-by-count":58,"title":["What are the primary influences on treatment decisions? How does this reflect on evidence\u2010based practice? 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