How Do Speech-Language Pathologists (SLPs) Know? A Survey of SLPs' Disciplinary Epistemology.
Shanda Duggleby Wenzel, Monique Charest, Lesley Pritchard
PMID 42020682WHAT IT FOUND
Canadian SLPs rated all seven proposed ways of knowing as important, most often naming relationships with clients and learning by doing.
They valued research evidence but adapted it, and rejected the idea that quantitative research beats qualitative. Time and journal access were barriers.
Key findings
01Respondents agreed with almost every statement about how they learn, with one exception: they disagreed that quantitative research gives more useful information for practice than qualitative research.
02When asked to rank the ways of knowing, learning through relationships with clients was most often placed first (14 respondents), ahead of learning for doing (13) and learning by doing (10); no respondent ranked watching for variation first.
03Few demographic links reached significance: more than 20 years in practice was linked to putting integrating information in the top three and, along with a focus on direct client care, to naming scientific approaches as least important; having SLP colleagues at work was linked to putting learning from colleagues in the top three.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Seventy people answered, recruited by convenience and snowball sampling including the lead researcher's own social media, and the authors describe the sample as small and non-representative. The proportions describe these respondents, not SLPs as a profession. Respondents were mostly White women, Masters-prepared, Canadian-trained and working in Western Canada. The survey was available in English only, which the authors give as one reason SLPs working in French in Quebec were largely out of reach. Some groups of questions did not hold together well, with reliability as low as 0.338, so the ratings for learning by doing, learning for doing and scientific approaches in particular rest on shaky ground. All questions were optional and no identifiers were collected, so response numbers vary from question to question and the researchers could not follow up on surveys that were started but not completed. One importance question was left out by mistake, some wording was reported as unclear, and the authors note that a way of knowing is an abstract idea that respondents had to interpret alone online, without the chance to talk it through with others. This records what SLPs say about how they learn, not what they actually do in a clinic.
Declared interests
No funding was received for this work, and the authors report no declarations of interest.
The easy way to misread this
Do not read this as SLPs turning away from research. Most agreed that formal studies matter to their learning, and the claim they rejected was only that numbers are more useful than descriptions. Nor is this a picture of the profession: 70 self-selected SLPs answered, almost all White women trained in Canada and working in the west, and what people say about how they learn is not the same as how they learn in a clinic.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →