In another US survey, 85% of 537 SLPsreported that they used NSOMEs during intervention for children with SSD
Yikes! Even though it had been proven ineffective?
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- Jun 2025
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Dosagewill vary substantially based on the specific approachimplemented.
True– would it have been better to narrow this study to a motor based drill approach, as is typically used with SSD? Was this an assumption on the authors' part?
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It is also plausible that these clinicians inter-preted dosage in different ways.
This could definitely be a threat to internal validity. And a big one to be sure.
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There is a dearth ofsupport for group therapy sessions
This is the whole reason why I asked this as a research question... why such scarcity of evidence for something that is integral to our practice?
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Finally, the par-ticipating graduate student was not blinded to the aims ofthe study, which contributes to potential bias
Threat to internal validity
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As such, understanding theimpact on generalization to nontargeted sounds and connectedspeech or maintenance is lacking.
Not only did they stay within word level constraints, they also limited it to the motor treatment approach
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Furthermore, this study did not include children with severeSSD.
IMPORTANT EXCLUSION CRITERIA
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First, children with SSDare an extremely heterogeneous group, and this study didnot consider the relationship between severity, total inter-vention prior to this study, and pre–post probe differences
Although this could be a threat to internal validity, this is a positive for external validity because this is reflective of real-world conditions
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respectively, suggesting excellentinterrater reliability
Yes!
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Two graduate students were trained by the firstauthor to code the sessions. See the Appendix for codingtaxonomy
Coding is thorough and completed by multiple individuals. Do they use interrater reliability?
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One child in the BAU condition and onechild in the EXP condition missed three sessions, and due totime constraints and scheduling, only two of the three sessionswere rescheduled.
Slight deviation from procedure, could impact internal validity but improves external validity because it is realistic to real-world conditions
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These procedures arerepresentative of customary group therapy in a school settingin which the clinician divides her time among the students inthe group.
This is a strength for external validity as the results will be more applicable to current school-SLP practices
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