Evidence map›Paper›PMID 41367650›Full record

ArticleERJ open research2025

Non-pharmacological interventions for inducible laryngeal obstruction: a thematic analysis towards a standardised approach.

Jemma Haines, Jennifer Butler, Jaclyn Ann Smith, Stephen J Fowler, Janelle Yorke

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Jemma HainesFaculty of Biology, Medicine and Health, School of Biological Sciences, Division of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0003-3813-041X
Jennifer ButlerSpeech and Language Therapy Department, Northumbria Healthcare Foundation Trust, Newcastle-upon-Tyne, UK.ORCID https://orcid.org/0000-0002-1397-3587
Jaclyn Ann SmithFaculty of Biology, Medicine and Health, School of Biological Sciences, Division of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0001-8837-4928
Stephen J FowlerFaculty of Biology, Medicine and Health, School of Biological Sciences, Division of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-4524-1663
Janelle YorkeFaculty of Biology, Medicine and Health, School of Biological Sciences, Division of Infection, Immunity and Respiratory Medicine, The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-1344-5944

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-pharmacological treatment is recommended for inducible laryngeal obstruction (ILO) but evidence for effectiveness is limited. A standardised approach does not exist and there are many key uncertainties for intervention delivery. The aims of the present study were to identify, from patients and speech and language therapists (SLTs), what the key considerations and components are for a standardised non-pharmacological intervention for ILO. Methods: Qualitative data were collected during a SLT focus group and one-to-one patient semistructured interviews (SLTs (n=7); intervention-naïve patients (n=6); patients who had received a non-pharmacological intervention aimed to control ILO (n=16)). A Framework Method analysis was conducted to explore and identify themes in the data. Results: SLTs were very experienced (median (interquartile range; range) 19 (13; 6-34) years post-qualification and 7 (3; 4-25) years of holding a weekly ILO caseload). Patients were predominantly female (73%) with mean±sd age 53±13 years. Patient participants expressed a fear of ILO and unanimous support for an intervention. Five main themes were identified: 1) "Living with ILO" highlighted rationale and motivation; 2) "Pathway to intervention" offered understanding on the wider context related to access; 3) "Care delivery" answered important key uncertainties relating to intervention implementation; 4) "Intervention components" detailed specific components; and 5) "Views of interventions" identified mediators of change. All interviewees deemed a standardised non-pharmacological approach would be highly desirable to help improve patient outcomes. Conclusion: This work provides evidence, from key stakeholders, on the fundamentals for a non-pharmacological ILO intervention. It will inform future work to establish a standardised approach worthy of a formal evaluation of effectiveness.

Identifiers

PMID41367650
PMCPMC12683580

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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.