ReviewPloS one2025
What works, how and in which contexts when using digital health to support parents/carers to implement intensive speech and language therapy at home for children with speech sound disorder? A realist review.
Review in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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.
Who cites it
6 citing papers in PubMed.
- Enhancing the Prospective Acceptability of a Paediatric Speech and Language Therapy Intervention With Parents From Under-Represented Communities.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Striving for Triadic Collaboration in Pediatric Speech Sound Disorder Intervention: Grounded Theory Study.JMIR pediatrics and parenting · 2026Article
- Review
- 'To Know That You Are a Link in the Chain': A Realist Evaluation to Explore How Digital, Intensive, Parent-Implemented Interventions Work for Children With Speech Sound Disorder, Why, and for Whom.International journal of language & communication disordersArticle
- Self-Supervised App-Based Speech Training for Children With Speech Sound Disorder-A Single-Case Experimental Design Study.International journal of language & communication disordersArticle
- Protocol for a Systematic Review of Interventions Not Delivered by Speech and Language Therapists for Children With Speech Sound Disorders.International journal of language & communication disordersArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDigital health solutions to support parent-implemented interventions alongside direct speech and language therapist (SLT) input could help increase intervention intensity for children with speech sound disorder (SSD) to meet evidence-based recommendations. This realist review explores the factors which could make intensive parent-implemented digital interventions for children with SSD effective, and how this complex intervention might work in different contexts.
methodsRealist review methodology was adopted to explore what works, why, how, for which parents/carers, and in what circumstances. Realist methods aimed to understand the active ingredients, contexts, and associated outcomes of this complex intervention. Preliminary theories were developed to describe how and why digital parent-implemented interventions work for children with SSD. Data was extracted from 43 papers to test and refine preliminary theories. Behaviour change theories were used to explain how the intervention works in practice.
resultsA set of 20 explanatory theories were developed to depict how and why digital parent-implemented interventions work in different contexts. Theories covered five areas: child-participation; the child-parent-SLT dynamic; parent-training; partnership and collaboration; intervention intensity. The theories describe mechanisms of the intervention and how these are responded to in different situations. Findings highlight the importance of intensive intervention for children with SSD.
conclusionsThis realist review adds new in-depth insight into how digital parent-implemented interventions work, for whom, and why. This new understanding has potential to support future successful digital parent-implemented interventions and increase intervention intensity for children with SSD globally. Implications for services and the potential of emerging digital health approaches to promote parent-implemented interventions are discussed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.