ReviewChildren (Basel, Switzerland)2025
Telehealth Delivery of Speech-Language Pathology Services for Children with Cleft Palate and Velopharyngeal Dysfunction: A Systematic Review.
Review in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesThis systematic review aimed to evaluate the effectiveness, caregiver satisfaction, and accessibility of telehealth-delivered speech-language pathology (SLP) services for children with cleft palate and/or velopharyngeal dysfunction (VPD).
methodsBased on PRISMA 2020, we searched PubMed, CINAHL, Scopus, PsycINFO, and the Cochrane Library (2000-31 May 2025) for studies enrolling participants ≤ 18 years of age with cleft/VPD who received telehealth services (assessment, therapy, counseling/follow-up), with or without in-person comparators. Screening and data extraction were performed in duplicate. Risk of bias was appraised using RoB 2 (randomized) and CASP checklists (non-randomized/service designs). To account for heterogeneity, we conducted a SWiM-aligned narrative synthesis and summarized certainty with GRADE.
resultsEleven studies met the inclusion criteria. Telehealth delivery of SLP services was feasible and generally acceptable to families. Caregiver-mediated interventions frequently showed within-group improvements in speech outcomes, while remote assessment demonstrated moderate agreement with in-person ratings. However, the overall certainty of evidence was rated as very low to low because of small sample sizes, single-center designs, and heterogeneous outcomes.
conclusionsTelehealth is a feasible and acceptable mode for delivering SLP in pediatric cleft/VPD patients, with encouraging signals for caregiver-mediated articulation therapy and maintaining multidisciplinary follow-up. Implementation is best embedded within hybrid pathways, reserving in-person visits for complex assessments. Adequately powered comparative studies with standardized outcomes, longer follow-up, and equity-focused implementation are needed.
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