PDF(Pubmed)
Abstract：
OBJECTIVE: Speech sound disorder (SSD) describes a \'persistent difficulty with speech sound production that interferes with speech intelligibility or prevents verbal communication\'. There is a need to establish which care pathways are most effective and efficient for children with SSD. Comparison of care pathways requires clearly defined, evidence-based, interventions and agreement on how to measure the outcomes. At present, no definitive list of assessments, interventions or outcomes exists. The objective of this umbrella review paper is to provide a rigorous and detailed list of assessments, interventions and outcomes which target SSD in children.
METHODS: In December 2022, a systematic search of Ovid Medline, OVID Embase, CINAHL, PsycInfo and Cochrane and a number of grey literature platforms were undertaken. 18 reviews were included, and subsequently 415 primary research articles were assessed for data related to assessments, interventions or outcomes. The AMSTAR (Assessing the Methodological Quality of Systematic Reviews) framework was used to assess the quality of the retained reviews.
METHODS: Reviews were retained which took place in any setting.
METHODS: The population is children of any age with a diagnosis of SSD of unknown origin.
METHODS: Reviews reporting outcomes, assessment and interventions for children with SSD.
RESULTS: Extraction and analysis identified 37 assessments, 46 interventions and 30 outcome measures used in research reporting of SSD. Not all of the listed outcomes were linked to specific outcome measurement tools, but these were measurable through the use of one or more of the assessments extracted from the retained reviews.
CONCLUSIONS: The findings of this review will be used to develop a Core Outcome Set for children with SSD. The findings are part of a rigorous process essential for advancing healthcare research and practice in the specific area of speech and language therapy for children with SSD.
UNASSIGNED: CRD42022316284.
METHODS: In December 2022, a systematic search of Ovid Medline, OVID Embase, CINAHL, PsycInfo and Cochrane and a number of grey literature platforms were undertaken. 18 reviews were included, and subsequently 415 primary research articles were assessed for data related to assessments, interventions or outcomes. The AMSTAR (Assessing the Methodological Quality of Systematic Reviews) framework was used to assess the quality of the retained reviews.
METHODS: Reviews were retained which took place in any setting.
METHODS: The population is children of any age with a diagnosis of SSD of unknown origin.
METHODS: Reviews reporting outcomes, assessment and interventions for children with SSD.
RESULTS: Extraction and analysis identified 37 assessments, 46 interventions and 30 outcome measures used in research reporting of SSD. Not all of the listed outcomes were linked to specific outcome measurement tools, but these were measurable through the use of one or more of the assessments extracted from the retained reviews.
CONCLUSIONS: The findings of this review will be used to develop a Core Outcome Set for children with SSD. The findings are part of a rigorous process essential for advancing healthcare research and practice in the specific area of speech and language therapy for children with SSD.
UNASSIGNED: CRD42022316284.
摘要：
目的：语音障碍（SSD）描述了“语音产生的持续困难，干扰语音清晰度或阻止言语交流”。需要确定哪些护理途径对患有SSD的儿童最有效和高效。护理路径的比较需要明确定义，以证据为基础,关于如何衡量结果的干预和协议。目前,没有明确的评估清单，干预或结果存在。这份总括性检讨文件的目的是提供一份严谨而详细的评估清单,针对儿童SSD的干预措施和结果。
方法：2022年12月，对OvidMedline的系统搜索，OVIDEmbase,CINAHL,进行了PsycInfo和Cochrane以及许多灰色文献平台。包括18条评论，随后，对415篇主要研究文章进行了与评估相关的数据评估，干预或结果。使用AMSTAR（评估系统评论的方法论质量）框架来评估保留的评论的质量。
方法：保留在任何环境下进行的评论。
方法：人群是任何年龄的儿童，诊断为未知来源的SSD。
方法：评论报告结果，对SSD儿童的评估和干预。
结果：提取和分析确定了37项评估，SSD研究报告中使用的46项干预措施和30项结果指标。并非所有列出的结果都与特定的结果测量工具相关联，但是这些评估是通过使用从保留的审查中提取的一个或多个评估来衡量的。
结论：本综述的结果将用于开发SSD儿童的核心结果集。这些发现是严格过程的一部分，对于在SSD儿童的言语和语言治疗的特定领域推进医疗保健研究和实践至关重要。
■CRD4202236284。
方法：2022年12月，对OvidMedline的系统搜索，OVIDEmbase,CINAHL,进行了PsycInfo和Cochrane以及许多灰色文献平台。包括18条评论，随后，对415篇主要研究文章进行了与评估相关的数据评估，干预或结果。使用AMSTAR（评估系统评论的方法论质量）框架来评估保留的评论的质量。
方法：保留在任何环境下进行的评论。
方法：人群是任何年龄的儿童，诊断为未知来源的SSD。
方法：评论报告结果，对SSD儿童的评估和干预。
结果：提取和分析确定了37项评估，SSD研究报告中使用的46项干预措施和30项结果指标。并非所有列出的结果都与特定的结果测量工具相关联，但是这些评估是通过使用从保留的审查中提取的一个或多个评估来衡量的。
结论：本综述的结果将用于开发SSD儿童的核心结果集。这些发现是严格过程的一部分，对于在SSD儿童的言语和语言治疗的特定领域推进医疗保健研究和实践至关重要。
■CRD4202236284。
