speechBITE Speech Pathology Database for Best Interventions and Treatment Efficacy

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• Where are we now?

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• What is speechBITE?
• Free website for all to search the literature
• Database and catalogue of treatment studies
  across the scope of speech pathology practice
• Systematic Reviews
• Randomised Controlled Trials
• Non-randomised controlled trials
• Case Series
• Single Case Experimental Designs
• Evidence based practice resource for clinicians
• Contains methodological ratings to discern the
  quality of each group comparison study

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• Based on a sensitive searches across multiple
  databases
• All listed treatment studies contain empirical
  data
• Only trials where the population have a
  communication/swallowing disorder or are at
  risk

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• How did speechBITE develop?

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• Need a faster, easier way for
  clinicians access the latest literature in
  peer reviewed journals on ONE database
• In development since early 2006, joint evidence
  based practice initiative between
• University of Sydney
• Speech Pathology Australia
• Based on PsycBITE www.psycbite.com

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• Who is responsible for speechBITE?
• The University of Sydney
• Project Leader Dr Leanne Togher
• Advisory Committee A/Prof Michelle
  Lincoln Dr Emma Power Dr Tricia
  McCabe Natalie Munro NSW
  EBP Network Rachelle
  Simpson, Tracy Kelly, Rachel Miles.
• Project Manager Kate Smith

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• Funding Support
• Speech Pathology Australia
• Motor Accidents Authority of NSW
• Guild Insurance

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What is speechBITE used for?

• SEARCHING
• Target Area
• e.g. speech, language, voice, literacy,
  swallowing etc
• Intervention Type
• e.g. computer based, surgical,
  pharmacological, assistive devices etc
• Client sub-group
• e.g. Stroke, TBI, congenital syndromes etc
• Service Delivery
• e.g. group, distance, consultative etc
• Age
• e.g. under 2, adults etc
• Method
• e.g. systematic review, single case,
  randomised controlled trials etc

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• METHODOLOGICAL RATINGS
• Randomised Controlled Trials (RCTs) and
  Non-Randomised Controlled trials (NRCTs) are
  rated on the PEDro scale
• Scale that has 11 criterion that discerns the
  validity of the trial
• Lets us know if the design is internally valid
  has sufficient information to make results
  interpretable
• Not a measure of the validity of studys
  conclusions or that treatment is useful
• More information on the PEDro scale at
• www.pedro.fhs.usyd.edu.au

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• EBP Network
• Grass roots
• Focus is on asking clinical questions
• Completing CAPS and CATS
• Deriving answers based on the best available
  evidence

• speechBITETM
• EBP database
• Provides best evidence in order of methodological
  quality
• Doesnt answer questions specifically
• Provides indication of design and level of
  evidence

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speechBITESpeech Pathology Database for Best
Interventions and Treatment Efficacy

• Where to now?
• Predicted to launch in May 2008
• Train clinicians in becoming qualified raters
  and build a network of raters