{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:14:29Z","timestamp":1781849669978,"version":"3.54.5"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T00:00:00Z","timestamp":1664755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Increasing attention is paid to the effectiveness of high\u2010intensity speech intervention in children with a cleft (lip and) palate (CP\u00b1L). It is, however, unknown if high\u2010intensity intervention is acceptable to the intervention recipients. Parents have an integral role in supporting their children with intervention highlighting the importance of intervention acceptability to parents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare the retrospective acceptability of high\u2010intensity speech intervention (10 1\u2010hr speech therapy sessions divided over 2 weeks) with the retrospective acceptability of low\u2010intensity speech intervention (10 1\u2010hr speech therapy sessions divided over 10 weeks) for children with a CP\u00b1L from the parents\u2019 point of view.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>Twelve parents of 12 children, aged 6\u20130 years who received high\u2010intensity speech intervention (<jats:italic>n<\/jats:italic> = 6) or low\u2010intensity speech intervention (<jats:italic>n<\/jats:italic> = 6), were invited to participate in this study. Seven parents (<jats:italic>n<\/jats:italic> = 3 in the high\u2010intensity group and <jats:italic>n<\/jats:italic> = 4 in the low\u2010intensity group) agreed to participate (total response rate: 7\/12, 58.33%). A qualitative study design using semi\u2010structured interviews was applied. To investigate the retrospective acceptability of the two intervention intensities, deductive coding according to the Theoretical Framework of Acceptability (TFA) was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>With regard to the TFA construct \u2018affective attitude\u2019, results demonstrated that parents had positive feelings about the provided speech intervention regardless of the intensity. Parents of children who received high\u2010intensity speech intervention reported two specific benefits related to the high intervention intensity: (1) it improved their relationship with the speech\u2010language pathologist and (2) it improved their child's ability to make self\u2010corrections in his\/her speech. Even though both high\u2010intensive and low\u2010intensity speech intervention were considered burdensome (TFA construct \u2018burden\u2019), parents were less likely to drop out of high\u2010intensity intervention because the total intervention period was kept short.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>In conclusion, high\u2010intensity speech intervention seemed acceptable to parents. More positive codes were identified for some of the TFA constructs in the high\u2010intensity intervention group than in the low\u2010intensity intervention group. Considering that some parents doubted their self\u2010efficacy to participate in high\u2010intensity speech intervention, speech\u2010language pathologists need to counsel them so that they can adhere to the high intervention intensity. Future studies should investigate whether high\u2010intensity speech intervention is also acceptable to the children who receive the intervention and to the speech\u2010language pathologists who deliver the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:sec><jats:title>What is already known on this subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Increasing attention is paid to the effectiveness of high\u2010intensity speech intervention in children with a cleft (lip and) palate (CP\u00b1L). Different quantitative studies have shown positive speech outcomes after high\u2010intensity cleft speech intervention. Despite this increasing attention to high\u2010intensity speech intervention, it is unknown whether high\u2010intensity intervention is also acceptable to the intervention recipients. This study compared the retrospective acceptability of high\u2010intensity speech intervention (10 1\u2010hour speech therapy sessions divided over 2 weeks) with the retrospective acceptability of low\u2010intensity speech intervention (10 1\u2010hour speech therapy sessions divided over 10 weeks) in children with a CP\u00b1L from the parents\u2019 point of view.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>More positive codes were identified for some of the TFA constructs in the high\u2010intensity intervention group than in the low\u2010intensity intervention group. Nevertheless, some parents doubted their self\u2010efficacy to participate in high\u2010intensity speech intervention.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The findings of this study forces us to reconsider the traditional cleft speech intervention delivery models which usually consist of low\u2010intensity intervention. Speech\u2010language pathologists need to counsel parents and so that they can adhere to the high intervention intensity.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12788","type":"journal-article","created":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T11:29:32Z","timestamp":1664796572000},"page":"326-341","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The retrospective acceptability of high intensity versus low intensity speech intervention in children with a cleft palate: A qualitative study from the parents\u2019 point of view using the Theoretical Framework of Acceptability"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7593-8595","authenticated-orcid":false,"given":"Cassandra","family":"Alighieri","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences Centre of Speech and Language Sciences Ghent University  Gent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristiane","family":"Van Lierde","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences Centre of Speech and Language Sciences Ghent University  Gent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heleen","family":"Cammu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences Centre of Speech and Language Sciences Ghent University  Gent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laure","family":"Vanoost","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences Centre of Speech and Language Sciences Ghent University  Gent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Bettens","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences Centre of Speech and Language Sciences Ghent University  Gent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,3]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"QSR International Pty Ltd","author":"NVivo","year":"2018"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682828409007182"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR\u201020\u201000129"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109849"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110958"},{"key":"e_1_2_9_7_1","first-page":"1","article-title":"Speech diagnosis and intervention in children with a cleft palate: a qualitative study of Flemish private community speech\u2010language pathologists' practices","volume":"6","author":"Alighieri C.","year":"2021","journal-title":"International Journal of Speech\u2010Language Pathology"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2020.106028"},{"key":"e_1_2_9_9_1","first-page":"1","article-title":"Is high intensity speech intervention better? \u2013 a comparison of high intensity intervention versus low intensity intervention in children with a cleft palate","volume":"25","author":"Alighieri C.","year":"2021","journal-title":"Journal of Speech, Language, and Hearing Research"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1597\/15\u2010292"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100605\u20109"},{"key":"e_1_2_9_12_1","unstructured":"Baker E.&Williams A.(2011)Intervention intensity for speech sound disorders: how much and for how long?Seminar Presentation. American Speech\u2010Language\u2010Hearing Association Convention San Diego CA.https:\/\/www.asha.org\/Events\/convention\/handouts\/2011\/Baker\u2010Williams"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1597\/11\u2010202"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265659020960766"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/neu0000024"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699209508985318"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/910529"},{"key":"e_1_2_9_18_1","volume-title":"Fundamentals of telemedicine and telehealth","author":"Gogia S. B.","year":"2019"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699208808985245"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/136828298247776"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1597\/03\u2010134.1"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118785065"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100031\u20101277716"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100031\u20101277721"},{"key":"e_1_2_9_25_1","doi-asserted-by":"crossref","unstructured":"Lincoln Y.(2007)Naturalistic inquiry. The Blackwell encyclopedia of sociology.","DOI":"10.1002\/9781405165518.wbeosn006"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2016.03.006"},{"issue":"7","key":"e_1_2_9_27_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_9_28_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021807106455"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970\u20100358.57199"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110700"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.10.012"},{"issue":"6","key":"e_1_2_9_32_1","first-page":"475","article-title":"Summer school speech therapy for children with cleft palate and language disorder","volume":"145","author":"Pamplona M.","year":"2009","journal-title":"Gaceta medica de Mexico"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110318"},{"issue":"1","key":"e_1_2_9_34_1","first-page":"21","article-title":"Reading disability in children with clefts","volume":"25","author":"Richman L.","year":"1988","journal-title":"The Cleft Palate Journal"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.02.010"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010017\u20102031\u20108"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12112"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118785065.ch6"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9261.55152"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_lshss\u201021\u201000071"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12542"},{"issue":"6","key":"e_1_2_9_42_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2021-005190","article-title":"Unravelling \u2018low\u2010resource settings\u2019: a systematic scoping review with qualitative content analysis","volume":"6","author":"Zyl C.","year":"2021","journal-title":"BMJ Global Health"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.20139"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620954734"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2012.720281"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12788","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1460-6984.12788","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12788","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T06:53:09Z","timestamp":1698475989000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.12788"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,3]]},"references-count":44,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/1460-6984.12788"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.12788","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,3]]},"assertion":[{"value":"2022-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}