Evidence map›Paper›PMID 29322185›Full record

ArticleLanguage, speech, and hearing services in schools2018

Selecting Treatments and Monitoring Outcomes: The Circle of Evidence-Based Practice and Client-Centered Care in Treating a Preschool Child Who Stutters.

Nan Bernstein Ratner

Abstract read
In one paragraph

Article in Language, speech, and hearing services in schools, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Clinical Characteristics Associated With Stuttering Persistence: A Meta-Analysis.Journal of speech, language, and hearing research : JSLHR · 2020
    Pooled it
  3. Article
  4. Caregiver Predictions of Their 3- to 6-Year-Old Child Who Stutters' Communication Attitude.Journal of speech, language, and hearing research : JSLHR · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Nan Bernstein RatnerDepartment of Hearing and Speech Sciences, University of Maryland, College Park.
University of Maryland, College Park · US

Funding

A shared database for the study of the development of language fluencyR01DC015494 · NIDCD · CARNEGIE-MELLON UNIVERSITY · PI MACWHINNEY, BRIAN · 2016 to 2020
$1.6M
NIDCD NIH HHS R01 DC015494
6 · The paper itself

Abstract

Purpose: The purpose of the present clinical forum is to compare how 2 clinicians might select among therapy options for a preschool-aged child who presents with stuttering close to onset. Method: I discuss approaches to full evaluation of the child's profile, advisement of evidence-based practice options open to the family, the need for monitoring of the child's response, and selection of other approaches, if the child appears nonresponsive to the 1st-line approach. Results: Although some researchers and clinicians appear to favor endorsement of a single recommended treatment for early stuttering, I do not find this approach helpful or consistent with newer mandates for patient-centered care. I am also most comfortable recommending RESTART demands and capacities model as the 1st treatment approach, with parent consent, because its mechanism of action appears transparent and well-documented. Conclusions: There are numerous well-supported intervention options for treating preschool children who stutter. No single therapy can possibly work for all clients. I discuss available options that I feel have sufficient evidence-based support for use with young children who stutter. I emphasize the need to consider more, not fewer, acceptable therapy options for children who do not respond positively to a selected treatment approach within a reasonable time frame.

Indexed as

ChildChild, PreschoolClinical Decision-MakingEvidence-Based MedicineFemaleHumansMaleOutcome Assessment, Health CareParent-Child RelationsPatient-Centered CareSpeech TherapyStuttering

Identifiers

PMID29322185
PMCPMC6105087
OpenAlexW2783230424

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.