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Related Experiment Video

Updated: Dec 30, 2025

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Re-Evaluating Evidence for Best Practice in Paediatric Speech-Language Pathology.

¹Speech and Language, Murdoch Children's Research Institute, Parkville, Victoria, Australia, b.dodd@uq.edu.au.

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)

|January 16, 2020

Summary

Understanding treatment effectiveness for speech and language disorders requires examining child-specific factors alongside intervention variables. This approach is crucial for improving evidence-based practices in pediatric speech-language pathology.

Keywords:

Case studies Evidence-based practice Pragmatic trials Precision medicine

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Area of Science:

Speech-language pathology
Evidence-based medicine
Pediatric healthcare

Background:

Systematic reviews of treatment trials for children with speech and language difficulties often reveal limited clinical utility.
Clinicians frequently do not seek best practice information, impacting healthcare delivery.
Alternative methodologies are being explored to determine best practices in speech-language pathology.

Purpose of the Study:

To review alternative methodologies for determining best practice in speech and language pathology.
To highlight the importance of individual child factors in treatment response.
To advocate for a more personalized approach to evidence-based practice.

Main Methods:

Review of existing literature on treatment trial methodologies.
Discussion of pragmatic trials and case-based studies (including N-of-1 trials).
Exploration of precision medicine (personalized medicine) as an emerging approach.

Main Results:

Traditional systematic reviews may not fully capture clinical usefulness.
Case studies and N-of-1 trials offer valuable data on individual communication development.
Precision medicine acknowledges genetic and environmental variations influencing treatment outcomes.

Conclusions:

Understanding treatment response necessitates examining child-related factors and intervention variables.
Acknowledging individual differences (aetiological heterogeneity) is key for effective pediatric speech and language interventions.
Integrating personalized medicine principles can enhance the evidence base for treating communication disorders.