{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:10:59Z","timestamp":1789042259846,"version":"build-2803163510"},"reference-count":57,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This paper aims to provide speech and language pathologists and researchers with practical, educational guidance on designing health economic evaluations (HEEs) to assess the cost\u2010effectiveness of high\u2010intensity speech intervention (HISI) for children with cleft palate with or without cleft lip (CP\u00b1L).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Key methodological considerations for designing HEEs of HISI for children with CP\u00b1L were identified by drawing on established frameworks. The foundational framework by Drummond et\u00a0al. (2015) and the CHEERS reporting standards served as guiding structures for organizing and synthesizing principles relevant to conducting rigorous and transparent HEEs. Based on this conceptual synthesis, this paper provides practical recommendations to support researchers in implementing high\u2010quality HEEs in the context of HISI for children with CP\u00b1L.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite growing interest in HISI, rigorous evidence on its cost\u2010effectiveness is still lacking. Well\u2010designed HEEs are needed to inform policymakers about the efficient allocation of healthcare resources. Clear evidence on cost\u2010effectiveness is essential to ensure that implementation and reimbursement decisions are based on interventions that are both clinically effective and economically justified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>High\u2010intensity speech intervention (HISI) is increasingly used in the management of speech sound errors in children with cleft palate with or without cleft lip (CP\u00b1L), with growing evidence supporting its clinical effectiveness. However, despite rising healthcare costs and pressure on effective service delivery, evidence on the cost\u2010effectiveness of HISI remains limited. Health economic evaluations (HEEs) are well established in health research but are underutilised in speech and language therapy, and existing studies often show considerable methodological variability and limited transparency in reporting.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this study adds to existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This paper provides structured, practical guidance for designing rigorous HEEs of HISI for children with CP\u00b1L. Drawing on established frameworks and the CHEERS reporting standards, it synthesises key methodological considerations tailored to speech and language therapy research. The study clarifies how HEEs can be systematically integrated into intervention research in this field and offers concrete recommendations to improve methodological quality, transparency, and comparability of future economic evaluations of speech interventions for children with CP\u00b1L.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the clinical implications of this study?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>By supporting the design of high\u2010quality HEEs, this paper enables speech and language pathologists and researchers to generate evidence on the economic value of HISI. Such evidence can inform service planning and reimbursement decisions, supporting efficient allocation of resources in cleft care. Ultimately, improved economic evidence may facilitate wider, equitable implementation of effective interventions while ensuring sustainability of speech and language therapy services for children with CP\u00b1L.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70291","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:57:00Z","timestamp":1784023020000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Key Considerations in Health Economic Evaluations of High\u2010Intensity Speech Intervention for Children With Cleft Palate"],"prefix":"10.1111","volume":"61","author":[{"given":"Fien","family":"Allemeersch","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences, Centre for Speech and Language Sciences (CESLAS) Ghent 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