Evidence map›Paper›PMID 38859760›Full record

ArticleInternational journal of speech-language pathology2025

The impact of enhanced Milieu teaching with phonological emphasis (EMT + PE) on the speech and language outcomes for toddlers with cleft palate in Brazil and the United States of America.

Natalie R Wombacher, Hope S Lancaster, Nancy J Scherer, Ding-Geng Chen, Ann Kaiser, Renata Yamashita

Abstract readComparative Study
In one paragraph

Article in International journal of speech-language pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Natalie R WombacherArizona State University, Tempe, USA.ORCID 0000-0003-0287-2905
Hope S LancasterBoys Town National Research Hospital, Boys Town, USA.ORCID 0000-0001-9924-9508
Nancy J SchererArizona State University, Tempe, USA.
Ding-Geng ChenArizona State University, Tempe, USA.ORCID 0000-0002-3199-8665
Ann KaiserVanderbilt University, Nashville, USA, and.
Renata YamashitaUniversity of Sao Paulo, Brazil.

Funding

An Exploratory Model of Early Speech Intervention for Children with Cleft PalateR21DC009654 · NIDCD · EAST TENNESSEE STATE UNIVERSITY · PI SCHERER, NANCY J. · 2009 to 2010
$378k
Assessing delivery of an early speech intervention for children with clefts in BrR03DC013527 · NIDCD · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI SCHERER, NANCY J. · 2013 to 2015
$200k
NIDCD NIH HHS R03 DC013527NIDCD NIH HHS R21 DC009654
6 · The paper itself

Abstract

purposeThe purpose of this study was to compare the speech and language outcomes of children with cleft palate with or without cleft lip (CP+/-L) in the USA to children with CP+/-L in Brazil who underwent intervention with enhanced Milieu teaching with phonological emphasis (EMT + PE), as there are few cross-country intervention comparisons for children with CP+/-L.

methodThis is a retrospective analysis of 29 participants from the USA and 24 participants from Brazil who were matched on age. The US participants were between the ages of 13-35 months (

resultThe treatment groups demonstrated greater gains than comparison groups in percent consonants correct, number of different words, and expressive/receptive vocabulary. There was no main effect nor interaction by country.

conclusionThe application of EMT + PE in a second culture and language is a viable early intervention option for participants with CP+/-L.

Indexed as

Child LanguageCleft LipCleft PalatePhoneticsSpeech TherapyBrazilChild, PreschoolCross-Cultural ComparisonFemaleHumansInfantMaleRetrospective StudiesSpeech-Language PathologyTreatment OutcomeUnited Statescleft lip and palatecrosslinguisticearly interventionspeech and languagevocabulary

Identifiers

PMID38859760
PMCPMC11632144

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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.