MMBGR Protocol - infants and preschoolers: Instructive and Orofacial Myofunctional Clinical History.
Andréa Monteiro Correia Medeiros, Irene Queiroz Marchesan, Katia Flores Genaro and 2 others
PMID 35019077WHAT IT FOUND
Ten orofacial myofunctional specialists agreed an adapted infant and preschooler clinical history was appropriate.
In the final review, all ten completely agreed. It is a speech-language history tool for clinicians, not proof that using it improves children's care.
Key findings
01The adapted clinical history kept 23 items, removed 7 items, and added 8 items.
02In the first expert review, 70% of instructions obtained agreement from at least 70% of experts, and 64% of clinical history items obtained agreement from at least 90% of experts.
03After changes were incorporated, 100% of experts completely agreed with the final instrument.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Only ten specialists reviewed the instrument, so the agreement result is from a small expert panel. The reported validation is based on expert content review, not on testing the protocol with infants or preschoolers. Only content and appearance were tested; further validation stages are still needed. The article presents only the instructive and clinical history, not the full clinical examination data.
Declared interests
The authors reported funding from CNPq (113984/2018-9 bolsa PDS). The article does not state any competing interests.
The easy way to misread this
Do not treat this as evidence that the MMBGR clinical history improves diagnosis or patient outcomes. The paper only reports content and appearance agreement from ten experts, and further validation stages are still needed.