{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T17:27:36Z","timestamp":1781630856168,"version":"3.54.5"},"reference-count":84,"publisher":"American Speech Language Hearing Association","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Speech Lang Hear Res"],"published-print":{"date-parts":[[2020,12,14]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to compare the effect of two different speech therapy approaches, a traditional motor-phonetic approach and a linguistic-phonological approach, on the speech and health-related quality of life in Dutch-speaking children with a cleft palate with or without a cleft lip (CP \u00b1 L) between 4 and 12 years old.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A block-randomized, sham-controlled design was used. Fourteen children with a CP \u00b1 L (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>= 7.71 years) were divided into two groups using block randomization stratified by age and gender: one receiving motor-phonetic intervention (<jats:italic>n<\/jats:italic>= 7) and one receiving linguistic-phonological intervention (<jats:italic>n<\/jats:italic>= 7). Each group received 10 hr of speech therapy divided over 2 weeks. Perceptual speech assessments were performed on several baseline and posttreatment data points. The psychosocial effects of the intervention were assessed using the patient-reported Velopharyngeal Insufficiency Effects on Life Outcomes questionnaire. Both groups were compared over time using (generalized) linear mixed models. Within-group effects of time were determined using pairwise comparisons with post hoc Bonferroni correction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant Time \u00d7 Group interactions with large effect sizes were revealed in terms of consonant proficiency, indicating significant differences in evolution over time among the two groups. Only in the group receiving linguistic-phonological intervention, percentage of correctly produced consonants and places significantly improved after the treatment. Total Velopharyngeal Insufficiency Effects on Life Outcomes scores of the parents significantly improved in both groups after the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both motor-phonetic and linguistic-phonological speech interventions can have a positive impact on the occurrence of cleft speech characteristics and consonant proficiency in children with a CP \u00b1 L. A linguistic-phonological approach, however, was observed to be more effective in terms of improving these speech outcomes compared with a motor-phonetic approach. Speech intervention, irrespective of the used approach, significantly improved the participant's health-related quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1044\/2020_jslhr-20-00129","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T23:24:35Z","timestamp":1606778675000},"page":"3909-3933","source":"Crossref","is-referenced-by-count":44,"title":["Effectiveness of Speech Intervention in Patients With a Cleft Palate: Comparison of Motor-Phonetic Versus Linguistic-Phonological Speech Approaches"],"prefix":"10.1044","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7593-8595","authenticated-orcid":false,"given":"Cassandra","family":"Alighieri","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Bettens","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bruneel","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelien","family":"D'haeseleer","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Van Gaever","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristiane","family":"Van Lierde","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Ghent University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.69.2.334"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109849"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1597\/15-292"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1201\/9780429258589"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1348\/000712608X377117"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/11-202"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1990.tb00844.x"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1998_035_0127_ldsaag_2.3.co_2"},{"key":"e_1_3_2_10_1","volume-title":"Perceptual speech and health-related quality of life assessment in patients with cleft palate: Development and validation of Belgian Dutch outcome tools","author":"Bruneel L.","year":"2019"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.01.026"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619862726"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.04.049"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1993_030_0064_ppicwc_2.3.co_2"},{"issue":"4","key":"e_1_3_2_15_1","first-page":"220","article-title":"A new speech training method for patients following cleft palate repair","volume":"31","author":"Chen R.","year":"1996","journal-title":"Chinese Journal of Stomatology"},{"key":"e_1_3_2_16_1","unstructured":"De Bodt M. Mertens F. & Heylen L. (2008). Werken aan stem."},{"key":"e_1_3_2_17_1","volume-title":"Treating phonological disorders in children: Metaphon: Theory to practice","author":"Dean E.","year":"1991"},{"key":"e_1_3_2_18_1","volume-title":"Pathologies of speech language: Contributions of clinical phonetics linguistics","author":"Dean E.","year":"1996"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699209508985318"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.04.025"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030048"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3181bc0bbd"},{"key":"e_1_3_2_23_1","first-page":"55","volume-title":"Lexicon in focus","author":"Grijzenhout J.","year":"2000"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.1.3.184"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699208808985245"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461.3001.50"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2008\/009)"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1597\/03-134.1"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/136828298247776"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-590140-6.50010-0"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-086.1"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X19851417"},{"issue":"3","key":"e_1_3_2_33_1","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1080\/136828200410618","article-title":"Phonological awareness therapy and articulatory training approaches for children with phonological disorders: A comparative outcome study","volume":"35","author":"Hesketh A.","year":"2009","journal-title":"International Journal of Language & Communication Disorders"},{"key":"e_1_3_2_34_1","unstructured":"Hollingshead A. B. (1975). Four factor index of social status."},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699200410001720827"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118785065"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-349-22608-5_11"},{"key":"e_1_3_2_38_1","doi-asserted-by":"crossref","DOI":"10.1017\/9780511807954","volume-title":"Handbook of the International Phonetic Association: A guide to the use of the International Phonetic Alphabet","author":"International Phonetic Alphabet","year":"1999"},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/026565908900500102"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1597\/04-141.1"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12508"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5404.482"},{"issue":"3","key":"e_1_3_2_43_1","doi-asserted-by":"crossref","first-page":"348","DOI":"10.3109\/13682822.2010.507615","article-title":"The impact of speech material on speech judgement in children with and without cleft palate","volume":"46","author":"Klint\u00f6 K.","year":"2015","journal-title":"International Journal of Language & Communication Disorders"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1277716"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1277721"},{"key":"e_1_3_2_46_1","doi-asserted-by":"publisher","DOI":"10.4103\/jclpca.jclpca_10_19"},{"key":"e_1_3_2_47_1","volume-title":"De Metaphonbox. Behandeling van kinderen volgens de Metaphon-therapie [The Metaphonbox: Treatment of children according to the Metaphon therapy]","author":"Leijdekker-Brinkman W.","year":"2002"},{"key":"e_1_3_2_48_1","doi-asserted-by":"publisher","DOI":"10.1597\/08-039.1"},{"key":"e_1_3_2_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-6984.2012.00191.x"},{"key":"e_1_3_2_50_1","first-page":"86","article-title":"A preliminary report of speech training following the cleft palate surgery and its effect","volume":"25","author":"Ma L.","year":"1990","journal-title":"Chinese Journal of Stomatology"},{"key":"e_1_3_2_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12358"},{"key":"e_1_3_2_52_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-120"},{"key":"e_1_3_2_53_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(2003)040<0460:PPALSO>2.0.CO;2"},{"key":"e_1_3_2_54_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2009\/08-0051)"},{"key":"e_1_3_2_55_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.57199"},{"key":"e_1_3_2_56_1","doi-asserted-by":"publisher","DOI":"10.1597\/10-145"},{"key":"e_1_3_2_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00040-3"},{"key":"e_1_3_2_58_1","volume-title":"The clinician's guide to treating cleft palate speech","author":"Peterson-Falzone S. J.","year":"2006"},{"issue":"1","key":"e_1_3_2_59_1","first-page":"28","article-title":"The effects of muscle exercises on velopharyngeal gap and nasality","volume":"11","author":"Powers G. L.","year":"1974","journal-title":"The Cleft Palate Journal"},{"key":"e_1_3_2_60_1","doi-asserted-by":"publisher","DOI":"10.19080\/GJO.2017.09.555752"},{"issue":"1","key":"e_1_3_2_61_1","first-page":"1","article-title":"Type of reading disability related to cleft type and neuropsychological patterns","volume":"21","author":"Richman L. C.","year":"1984","journal-title":"The Cleft Palate Journal"},{"issue":"1","key":"e_1_3_2_62_1","first-page":"21","article-title":"Reading disability in children with clefts","volume":"25","author":"Richman L. C.","year":"1988","journal-title":"The Cleft Palate Journal"},{"key":"e_1_3_2_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-0965(83)90059-0"},{"key":"e_1_3_2_64_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7127.285"},{"issue":"3","key":"e_1_3_2_65_1","first-page":"181","article-title":"A selected review of palatal training procedures","volume":"19","author":"Ruscello D. M.","year":"1982","journal-title":"The Cleft Palate Journal"},{"key":"e_1_3_2_66_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1103393"},{"key":"e_1_3_2_67_1","doi-asserted-by":"publisher","DOI":"10.1044\/ssod24.2.39"},{"key":"e_1_3_2_69_1","first-page":"19","volume-title":"Analysing cleft palate speech","author":"Russell V. J.","year":"1993"},{"key":"e_1_3_2_70_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820802196815"},{"key":"e_1_3_2_71_1","doi-asserted-by":"publisher","DOI":"10.1159\/000501095"},{"key":"e_1_3_2_72_1","doi-asserted-by":"publisher","DOI":"10.1044\/jslhr.4004.708"},{"key":"e_1_3_2_73_1","doi-asserted-by":"publisher","DOI":"10.1001\/2013.jamaoto.122"},{"key":"e_1_3_2_74_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813486081"},{"key":"e_1_3_2_75_1","first-page":"53","volume-title":"The language of children reared in poverty: Implications for evaluations interventions","author":"Snow C. E.","year":"1982"},{"key":"e_1_3_2_76_1","doi-asserted-by":"publisher","DOI":"10.1080\/14417040600861029"},{"key":"e_1_3_2_77_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682829309041469"},{"key":"e_1_3_2_78_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.3.215"},{"issue":"1","key":"e_1_3_2_79_1","first-page":"41","article-title":"Some results of speech therapy for children with cleft palate","volume":"11","author":"Van Demark D. R.","year":"1974","journal-title":"The Cleft Palate Journal"},{"issue":"3","key":"e_1_3_2_80_1","first-page":"215","article-title":"Effectiveness of intensive articulation therapy for children with cleft palate","volume":"23","author":"Van Demark D. R.","year":"1986","journal-title":"The Cleft Palate Journal"},{"key":"e_1_3_2_81_1","volume-title":"Speech correction","author":"Van Riper C.","year":"1972"},{"key":"e_1_3_2_82_1","unstructured":"World Health Organization. (2001). World Health Organization: International classification of functioning disability and health: ICF."},{"key":"e_1_3_2_83_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.54.8.594"},{"key":"e_1_3_2_84_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617732854"},{"key":"e_1_3_2_85_1","doi-asserted-by":"publisher","DOI":"10.1179\/136132804805576065"},{"issue":"6","key":"e_1_3_2_86_1","first-page":"451","article-title":"The analysis of formant characteristics of vowels in the speech of patient with cleft palate","volume":"21","author":"Yang X.","year":"2003","journal-title":"West China Journal of Stomatology"}],"container-title":["Journal of Speech, Language, and Hearing Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/pubs.asha.org\/doi\/pdf\/10.1044\/2020_JSLHR-20-00129","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,18]],"date-time":"2024-08-18T08:53:23Z","timestamp":1723971203000},"score":1,"resource":{"primary":{"URL":"http:\/\/pubs.asha.org\/doi\/10.1044\/2020_JSLHR-20-00129"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,14]]},"references-count":84,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12,14]]}},"alternative-id":["10.1044\/2020_JSLHR-20-00129"],"URL":"https:\/\/doi.org\/10.1044\/2020_jslhr-20-00129","relation":{},"ISSN":["1092-4388","1558-9102"],"issn-type":[{"value":"1092-4388","type":"print"},{"value":"1558-9102","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,14]]}}}