{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:06:49Z","timestamp":1773047209855,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"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":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Mobile applications are becoming essential for speech therapy, especially in areas with limited access to professional speech therapists. This technological intervention is especially pertinent during pandemics, which further restrict access to traditional therapeutic modalities. The objective of this study was to develop and evaluate a mobile application for articulation therapy, specifically designed for pediatric patients with articulation disorders associated with cleft palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>The articulation exercises incorporated in the application encompassed 27 Thai initial and final consonant sounds, presented through video demonstrations and tabular reading materials. These materials included nonsense syllables, words, phrases, and sentences. The content validity was assessed using the Item\u2010Objective Congruence (IOC) index. Face validity and functional satisfaction were evaluated by a panel comprising four speech\u2010language pathologists (SLPs), five children with cleft palate with or without cleft lip (CP\u2009\u00b1\u2009L) and their respective caregivers, and an expert in application design. The clinical efficacy of the application for speech correction was subsequently assessed in a cohort of 19 children diagnosed with CP\u2009\u00b1\u2009L.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Application for Articulation Therapy\u2010Thai (AAT\u2010T) was finalized after four iterative revisions. The IOC index for the application ranged from 0.80 to 1.00, indicating strong content validity. Functional satisfaction scores ranged from 76% to 100%, suggesting high user acceptability. Nineteen children participated in the clinical efficacy assessment; however, one child was withdrawn due to the inability to complete 6\u2010month follow\u2010up. The results demonstrated that AAT\u2010T significantly reduced articulation errors in connected speech (mean difference\u2009=\u20092.33, SD\u2009=\u20092.40, 95% CI\u2009=\u20091.14\u20133.53,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The AAT\u2010T application emerged as an accessible, engaging, and motivational tool for articulation practice. Its efficacy in speech correction was demonstrated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70194","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T11:00:08Z","timestamp":1753959608000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development and Clinical Efficacy of the Application for Articulation Therapy\u2010Thai (AAT\u2010T) for Thai Children With Cleft Lip and Palate"],"prefix":"10.1002","volume":"11","author":[{"given":"Benjamas","family":"Prathanee","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Khon Kaen University  Thailand"},{"name":"Mekong Health Science Research Institute Khon Kaen University  Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumita","family":"Duangprasert","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Khon Kaen University  Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasalaksamon","family":"Chanachai","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Khon Kaen University  Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2195-4837","authenticated-orcid":false,"given":"Patorn","family":"Piromchai","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Khon Kaen University  Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2021.0021"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211017791"},{"issue":"5","key":"e_1_2_11_4_1","first-page":"S15","article-title":"Oral Reading Problems in Students With Cleft Palate, Grades 6\u20108","volume":"99","author":"Chokbundit N.","year":"2016","journal-title":"Journal of the Medical Association of Thailand"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.03.029"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/03-134.1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-080"},{"issue":"5","key":"e_1_2_11_8_1","first-page":"S9","article-title":"Prevalence and Oral Reading Problems in Students With Cleft Palate, Grade 3\u20135","volume":"99","author":"Ingkapa P.","year":"2016","journal-title":"Journal of the Medical Association of Thailand"},{"issue":"7","key":"e_1_2_11_9_1","first-page":"S140","article-title":"Speech Therapy for Children With Cleft Lip and Palate Using a Community\u2010Based Speech Therapy Model With Speech Assistants","volume":"98","author":"Makarabhirom K.","year":"2015","journal-title":"Journal of the Medical Association of Thailand"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110700"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.10.012"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110318"},{"issue":"5","key":"e_1_2_11_13_1","first-page":"1182","article-title":"Khon Kaen: A Community\u2010Based Speech Therapy Model for an Area Lacking in Speech Services for Clefts","volume":"45","author":"Prathanee B.","year":"2014","journal-title":"Southeast Asian Journal of Tropical Medicine and Public Health"},{"key":"e_1_2_11_14_1","first-page":"367","volume-title":"Cleft Lip and Palate: Speech Problems and Multidisciplinary Approaches. Volume I","author":"Prathanee B.","year":"2014"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110366"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15583215"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.12.011"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/4814945"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2021.05.008"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03367-5"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2021.0174"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0531-5131(03)01010-0"}],"container-title":["Clinical and Experimental Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70194","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cre2.70194","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:11:32Z","timestamp":1773043892000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cre2.70194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,31]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/cre2.70194"],"URL":"https:\/\/doi.org\/10.1002\/cre2.70194","archive":["Portico"],"relation":{},"ISSN":["2057-4347","2057-4347"],"issn-type":[{"value":"2057-4347","type":"print"},{"value":"2057-4347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,31]]},"assertion":[{"value":"2024-11-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70194"}}