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Semin Speech Lang 2008; 29(4): 320-330
DOI: 10.1055/s-0028-1103396
© Thieme Medical Publishers

What Works: Evidence-Based Intervention for Children with Speech Sound Disorders

Ann A. Tyler1
  • 1Professor and Chair, Department of Speech Pathology & Audiology, Western Michigan University, Kalamazoo, Michigan
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Publication History

Publication Date:
04 December 2008 (online)

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ABSTRACT

To provide alternatives to the widespread use of nonspeech oral motor exercises for childhood speech sound disorders, speech intervention approaches that have received the highest level of experimental scrutiny are reviewed. Efficacy research over the past decade is critically evaluated according to hierarchical systems for quality and credibility. High standards for adherence to experimental methods are applied and reveal strong evidence for a variety of interventions that are effective. These approaches are organized according to whether their focus is directly on speech or indirectly on speech through language. Answers to the question, “What works?” with respect to features such as target selection strategies and teaching procedures are provided. Recommendations for selecting an evidence-based intervention are developed with consideration of developmental level and differential diagnostic evidence of speech sound disorder subtypes.

KEYWORDS

Evidence-based practice - intervention - phonological disorders

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Ann A TylerPh.D. 

Department of Speech Pathology & Audiology, Western Michigan University

1903 W. Michigan Ave., Kalamazoo, MI 49008-5355

Email: ann.tyler@wmich.edu

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