title: Evidence-based treatment of stuttering: III. Evidence-based practice in a clinical setting.
abstract: At the heart of evidence-based practice in stuttering treatment are four issues: (1) the collection of data to inform treatment; (2) the long standing concern with maintenance of treatment gains; (3) the need to demonstrate accountability to clients, payers and our profession as service providers; and (4) the desire to advance theoretical knowledge. This article addresses the first three of these issues from a practical point of view, illustrating how data collection for stuttering treatment outcome research in a clinical setting is intimately blended with that required for clinical purposes and providing an example of a process of evaluating data for clinical and research purposes.
  
  
  OBJECTIVE
  The reader will learn about and be able to (1) differentiate between treatment outcome and treatment efficacy research, (2) describe models for integrating data collection for treatment outcome and clinical purposes, and (3) utilize guidelines for treatment efficacy that are applicable to outcome research to evaluate data for use in treatment outcome studies and to design outcome studies.
authors.affiliation: Institute for Stuttering Treatment & Research, 3rd Floor, 8220 114 Street, Edmonton, Alta., Canada T6G 2P4. marilyn.langevin@ualberta.ca
authors.forename: Marilyn
authors.initials: M
authors.lastname: Langevin
authors.forename: Deborah
authors.initials: D
authors.lastname: Kully
mesh_terms: D003625:Data Collection; D019317:Evidence-Based Medicine; D006801:Humans; D019458:Insurance Coverage; D019359:Knowledge; D013070:Speech Therapy; D013342:Stuttering / Q000628:therapy*; D016896:Treatment Outcome