Semin Speech Lang 2023; 44(03): 139-154
DOI: 10.1055/s-0043-1761949
Research Article

Like, Comment, and Share: Speech-Language Pathologists' Use of Social Media for Clinical Decision Making

1   Center for Communication and Social Development, St. Ambrose University, Davenport, Iowa
Shannon Hall-Mills
2   School of Communication Science and Disorders, Florida State University, Tallahassee, Florida
› Author Affiliations
Funding None declared.


Many social media sites are dedicated for speech-language pathologists (SLPs); however, the extent to which SLPs utilize them in clinical decision making and evidence-based practice (EBP) is not well understood. The purpose of this study was to explore SLPs' use of traditional and modern resources, including social media, within clinical decision making for assessment and intervention practices. Using a stratified random sampling approach, we invited school-based SLPs in Florida and Ohio and on pediatric-focused, SLP Facebook sites to complete an online survey. The majority (N = 271) reported using social media for professional purposes at least once per week: most frequently Facebook (19–25% of SLPs) or Pinterest (15–18% of SLPs) to learn about new treatment ideas or resources for (12–18%) or read others' summaries of treatment-related research (8–11%), but rarely to pose or answer a clinical question (3–5%). The number of reasons for one's professional social media use was moderately correlated with frequency of social media use, traditional EBP training, and reading a greater number of articles from ASHA and other sources. The results warrant further consideration of how to leverage social media as a tool to increase SLPs' knowledge and implementation of EBP.

Supplementary Material

Publication History

Article published online:
23 May 2023

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  • References

  • 1 Evidence-based practice in communication disorders [Position Statement]. American Speech-Language-Hearing Association. Publication date unavailable. Updated 2005. Accessed August 29, 2022 at:
  • 2 Emparanza JI, Cabello JB, Burls AJ. Does evidence-based practice improve patient outcomes? An analysis of a natural experiment in a Spanish hospital. J Eval Clin Pract 2015; 21 (06) 1059-1065
  • 3 Dollaghan CL. The Handbook for Evidence-Based Practice in Communication Disorders. Baltimore: Paul H. Brookes Publishing Co; 2007
  • 4 Higginbotham J, Satchidanand A. From triangle to diamond: recognizing and using data to inform our evidence-based practice. 2019. Accessed August 29, 2022 at:
  • 5 Harold M. The research translation problem: a modest proposal. ASHA Lead 2019; 24: 52-61
  • 6 Kent RD. Evidence-based practice in communication disorders: progress not perfection. Lang Speech Hear Serv Sch 2006; 37 (04) 268-270
  • 7 Nail-Chiwetalu B, Bernstein Ratner N. An assessment of the information-seeking abilities and needs of practicing speech-language pathologists. J Med Libr Assoc 2007; 95 (02) 182-188 , e56–e57
  • 8 Zipoli Jr RP, Kennedy M. Evidence-based practice among speech-language pathologists: attitudes, utilization, and barriers. Am J Speech Lang Pathol 2005; 14 (03) 208-220
  • 9 Meaux AB, Norris JA. Curriculum-based language interventions: what, who, why, where, and how?. Lang Speech Hear Serv Sch 2018; 49 (02) 165-175
  • 10 Hoffman LM, Ireland M, Hall-Mills S, Flynn P. Evidence-based speech-language pathology practices in schools: findings from a national survey. Lang Speech Hear Serv Sch 2013; 44 (03) 266-280
  • 11 Thome EK, Loveall SJ, Henderson DE. A survey of speech-language pathologists' understanding and reported use of evidence-based practice. Perspect ASHA Spec Interest Groups 2020; 5: 984-999
  • 12 Cunningham BJ, Hidecker MJC, Thomas-Stonell N, Rosenbaum P. Moving research tools into practice: the successes and challenges in promoting uptake of classification tools. Disabil Rehabil 2018; 40 (09) 1099-1107
  • 13 Sugden E, Baker E, Munro N, Williams AL, Trivette CM. Service delivery and intervention intensity for phonology-based speech sound disorders. Int J Lang Commun Disord 2018; 53 (04) 718-734
  • 14 Goldstein BA. Integration of evidence-based practice into the university clinic. Top Lang Disord 2008; 28: 200-211
  • 15 Justice LM, Nye C, Schwarz J, McGinty A, Rivera A. Methodological quality of intervention research in speech-language pathology: analysis of 10 years of group-design studies. Evid Based Commun Assess Interv 2008; 2: 46-59
  • 16 Roberts MY, Sone BJ, Zanzinger KE. et al. Trends in clinical practice research in ASHA journals: 2008 to 2018. Am J Speech Lang Pathol 2020; 29 (03) 1629-1639
  • 17 Thielst CB. Social Media in Healthcare: Connect, Communicate, Collaborate. Chicago, IL: Health Administration Press; 2010
  • 18 Rowlands I, Nichols D, Russell B, Canty N, Watkinson A. Social media use in the research workflow. Learn Publ 2011; 24: 183-195
  • 19 Green LW, Ottoson JM, García C, Hiatt RA. Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annu Rev Public Health 2009; 30: 151-174
  • 20 Botting N, Dipper L, Hilari K. The effect of social media promotion on academic article uptake. J Assoc Inf Sci Technol 2017; 68 (03) 795-800
  • 21 Davidson MM, Mahendra N, Nicholson N. Creating clinical research impact through social media: five easy steps to get started. Perspect ASHA Spec Interest Groups 2022; 7: 669-678
  • 22 Douglas N, Oshita J, Schliep M, Feuerstein J. Knowledge brokering in communication sciences and disorders. Perspect ASHA Spec Interest Groups 2022; 7: 663-668
  • 23 Ferguson C. It's time for the nursing profession to leverage social media. J Adv Nurs 2013; 69 (04) 745-747
  • 24 Henderson M, Dahnke MD. The ethical use of social media in nursing practice. Medsurg Nurs 2015; 24 (01) 62-64
  • 25 Lachman VD. Social media: managing the ethical issues. Medsurg Nurs 2013; 22 (05) 326-329
  • 26 Ventola CL. Social media and health care professionals: benefits, risks, and best practices. P&T 2014; 39 (07) 491-520
  • 27 Wang AT, Sandhu NP, Wittich CM, Mandrekar JN, Beckman TJ. Using social media to improve continuing medical education: a survey of course participants. Mayo Clin Proc 2012; 87 (12) 1162-1170
  • 28 2017 Technology mini-survey summary report: number and type of responses. American Speech-Language-Hearing Association. Updated March 1, 2018. Accessed August 29, 2022 at:
  • 29 Merkel-Walsh R, Moore JD. Social media: it's different for professionals. ASHA Lead 2018; 23: 30-33
  • 30 Ethical use of social media. American Speech-Language-Hearing Association. Publication date not available. Updated 2020. Accessed August 29, 2022 at:
  • 31 Weidner K, Lowman J, Fleischer A. et al. Twitter, telepractice, and the COVID-19 pandemic: a social media content analysis. Am J Speech Lang Pathol 2021; 30 (06) 2561-2571
  • 32 Lee A, Moore N. A survey of the usage of nonspeech oral motor exercises by speech and language therapists in the Republic of Ireland. J Clin Speech Lang Stud 2015; 21: 1-40
  • 33 Crowley CJ, Guest K, Sudler K. Cultural competence needed to distinguish disorder from difference: beyond Kumbaya. Perspect ASHA Spec Interest Groups 2015; 22 (02) 64-76
  • 34 Scanfeld D, Scanfeld V, Larson EL. Dissemination of health information through social networks: twitter and antibiotics. Am J Infect Control 2010; 38 (03) 182-188
  • 35 Hemsley B, Dann S. Social media and social marketing in relation to facilitated communication: harnessing the affordances of social media for knowledge transition. Evid Based Commun Assess Interv 2014; 8 (04) 187-206
  • 36 Artino Jr AR, Durning SJ, Sklar DP. Guidelines for reporting survey-based research submitted to Academic Medicine. Acad Med 2018; 93 (03) 337-340
  • 37 Bennett C, Khangura S, Brehaut JC. et al. Reporting guidelines for survey research: an analysis of published guidance and reporting practices. PLoS Med 2010; 8 (08) e1001069
  • 38 SLP Caseload Characteristics. 2018 Schools Survey. American Speech-Language-Hearing Association. Accessed August 29, 2022 at:
  • 39 Pizzuti AG, Patel KH, McCreary EK. et al. Healthcare practitioners' views of social media as an educational resource. PLoS One 2020; 15 (02) e0228372
  • 40 Finn P. The impact of social media on communication science and disorders: a need for examination and research. Perspect ASHA Spec Interest Groups 2019; 4 (02) 224-227
  • 41 Clarke KA, Williams DL. Instruction using augmentative and alternative communication supports: description of current practices by speech-language pathologists who work with children with autism spectrum disorder. Am J Speech Lang Pathol 2020; 29 (02) 586-596
  • 42 Plumb AM. Use of social networking sites in the communication disorders classroom. Perspect ASHA Spec Interest Groups 2013; 16 (01) 17-26
  • 43 Roblyer MD, McDaniel M, Webb M, Herman J, Witty JV. Findings on Facebook in higher education: a comparison of college faculty and student uses and perceptions of social networking sites. Internet High Educ 2010; 13: 134-140
  • 44 Junco R, Heiberger G, Loken E. The effect of Twitter on college student engagement and grades. J Comput Assist Learn 2011; 27 (02) 119-132
  • 45 Social Media Fact Sheet. PEW Research Center. Accessed August 29, 2022 at: