Clinical Question: Would preschool children with SSD demonstrate similar or greater improvement in speech sound production during interventions including phonemic awareness goals and procedures than during speech sound interventions without those elements? Method: EBP Intervention Comparison Review. Sources: Google Scholar, ASHA publications. Search Terms: phonemic awareness, speech sound disorder, phonological disorder, articulation disorder AND intervention, treatment, therapy. Number of Included Studies: 3. Primary Results: (1) All children demonstrated significantly improved PCC following both phonemic awareness and speech sound production interventions; (2) Both intervention methods were effective at improving speech outcomes, as measured by changes in PCC; and (3) Significant differences in favor of the articulation approach were found in one study as measured by outcomes on an individualized articulation probe. Conclusions: (1) Although both intervention techniques are effective at increasing preschool children's speech sound accuracy, there is insufficient evidence to suggest that an SSD intervention that includes a phonemic awareness approach will offer greater benefit than other speech sound disorder interventions with respect to improving speech; (2) SLPs should continue to assess phonemic awareness in children with speech sound disorders and incorporate some phonemic awareness goals when appropriate with these children as an adjunct rather than a replacement for interventions directly targeting speech production.