Clinical practice with justice-involved couples and families: Evidence-based treatment programs.

Author(s):  
Corinne C. Datchi
2018 ◽  
Vol 49 (3) ◽  
pp. 463-481 ◽  
Author(s):  
Holly L. Storkel

Purpose There are a number of evidence-based treatments for preschool children with phonological disorders (Baker & McLeod, 2011). However, a recent survey by Brumbaugh and Smit (2013) suggests that speech-language pathologists are not equally familiar with all evidence-based treatment alternatives, particularly the complexity approach. The goal of this clinical tutorial is to provide coaching on the implementation of the complexity approach in clinical practice, focusing on treatment target selection. Method Evidence related to selecting targets for treatment based on characteristics of the targets (i.e., developmental norms, implicational universals) and characteristics of children's knowledge of the targets (i.e., accuracy, stimulability) is reviewed. Free resources are provided to aid clinicians in assessing accuracy and stimulability of singletons and clusters. Use of treatment target selection and generalization prediction worksheets is illustrated with 3 preschool children. Results Clinicians can integrate multiple pieces of information to select complex targets and successfully apply the complexity approach to their own clinical practice. Conclusion Incorporating the complexity approach into clinical practice will expand the range of evidence-based treatment options that clinicians can use when treating preschool children with phonological disorders. Supplemental Material S1 https://doi.org/10.23641/asha.6007562 KU ScholarWorks Supplemental Material http://hdl.handle.net/1808/24767


Blood ◽  
2011 ◽  
Vol 117 (16) ◽  
pp. 4190-4207 ◽  
Author(s):  
Cindy Neunert ◽  
Wendy Lim ◽  
Mark Crowther ◽  
Alan Cohen ◽  
Lawrence Solberg ◽  
...  

AbstractImmune thrombocytopenia (ITP) is commonly encountered in clinical practice. In 1996 the American Society of Hematology published a landmark guidance paper designed to assist clinicians in the management of this disorder. Since 1996 there have been numerous advances in the management of both adult and pediatric ITP. These changes mandated an update in the guidelines. This guideline uses a rigorous, evidence-based approach to the location, interpretation, and presentation of the available evidence. We have endeavored to identify, abstract, and present all available methodologically rigorous data informing the treatment of ITP. We provide evidence-based treatment recommendations using the GRADE system in those areas in which such evidence exists. We do not provide evidence in those areas in which evidence is lacking, or is of lower quality—interested readers are referred to a number of recent, consensus-based recommendations for expert opinion in these clinical areas. Our review identified the need for additional studies in many key areas of the therapy of ITP such as comparative studies of “front-line” therapy for ITP, the management of serious bleeding in patients with ITP, and studies that will provide guidance about which therapy should be used as salvage therapy for patients after failure of a first-line intervention.


2011 ◽  
Vol 20 (1) ◽  
pp. 29-31 ◽  
Author(s):  
C. Barbui ◽  
A. Cipriani

In recent years new methodologies for developing treatment recommendations that give consideration to evidence, values, preferences and feasibility issues have been developed. One of the most well-developed approaches is theGrading of Recommendations Assessment, Development and Evaluation(GRADE) methodology. This article briefly presents how this methodology may be employed to develop treatment recommendations that might constitute a permanent infrastructure between primary research and everyday clinical practice.


Author(s):  
Parto Karimi ◽  
Hamid Karimi ◽  
Atefeh Moazeni ◽  
Bijan Shafiei ◽  
Meysam Shafiei

Introduction: Recent studies suggest that treatment should be begun immediately in children who have recently started to stutter. The purpose of this study was to design a telehealth application for parents of young children who stutter. It is an evidence-based treatment that can be administered from an early age compared to the current “wait and see” approaches. Materials and Methods: This research involved a qualitative content analysis. At first, a comprehensive review was performed on different well-established therapeutic programs, and their main therapeutic components were extracted via several sessions held by our focused group. Subsequently, six independent stuttering experts and five parents of stutter children were asked to rate the program’s items regarding its content and face validities by a 5-point Likert questionnaire. Finally, the entire program was used to form an easy to use, family- friendly software. Results: Seven therapeutic principles and five common factors were extracted from all available well-established stuttering treatment programs. They were designed in an easy to use software program. The final telehealth program was found to have a high face and content validities. Conclusion: This program might be used in future clinical practice for stuttering children under the age Four. However, its efficacy has yet to be examined.


2021 ◽  
Vol 10 (23) ◽  
pp. 5482
Author(s):  
Santiago Presti ◽  
Sara Manti ◽  
Giuseppe Fabio Parisi ◽  
Maria Papale ◽  
Ignazio Alberto Barbagallo ◽  
...  

Multiple properties of lactoferrin have been reported in the literature so far. Decades of in vitro and in vivo studies have demonstrated the important antimicrobial, anti-inflammatory, anti-oxidant, and immunomodulating properties. It suggests the use of lactoferrin as an effective and safe option for the treatment of several common disorders. Herein, we show the applications of lactoferrin in clinical practice, highlighting its evidence-based capacities for the treatment of heterogeneous disorders, such as allergic, gastrointestinal, and respiratory diseases, and hematologic, oncologic, gynecologic, dermatologic, and dental disorders. Moreover, the widespread use of lactoferrin in neonatology is summarized here. As a result of its antiviral properties, lactoferrin has also been proposed as a valid option for the treatment for COVID-19 patients. Here, the uses of lactoferrin in clinical practice as a new, safe, and evidence-based treatment for many types of disorders are summarized.


Author(s):  
Michael Tholander ◽  
Kjerstin Andersson Bruck

AbstractDuring recent decades, evidence-based treatment programs have become a given part of the youth justice system. Typically, such programs are evaluated through quantitative effect studies, in which a variety of outcome measures play a significant role. This case study offers an alternative, interactional evaluation of a treatment program. More specifically, the analysis focuses on an Aggression Replacement Training (ART) session that was held at a youth detention home in Sweden. In this session, two trainers and three detained adolescent boys perform an exercise that serves to teach the latter various apology practices. A detailed, conversation analytic examination of the interaction in the session shows that the trainers repeatedly problematize the boys’ contributions in a kind of deviant-making enterprise. Thus, rather than recognizing competencies that do become visible through closer inspection, the trainers one-sidedly highlight lack and deficiency. It is argued that the interpretative frame of ART, with its focus on pathologization, individualization, and responsibilization, amplifies the incarcerated boys’ deviancy, hence symbolically locking them up in a second, non-material or discursive, sense.


Sign in / Sign up

Export Citation Format

Share Document