{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:34:13Z","timestamp":1787243653487,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T00:00:00Z","timestamp":1681776000000},"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":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence\u2010based speech therapy involves the integration of (1) the scientific evidence for therapy with (2) the perspectives of clinicians concerning therapy and (3) the perspectives of patients about therapy. The cleft literature has already paid attention to the first two cornerstones of evidence\u2010based speech therapy. Much less is known about how children perceive cleft speech therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The purpose of the current qualitative study was to investigate the perceptions, emotions and expectations of Flemish\u2010speaking Dutch children with a cleft (lip and) palate (CP \u00b1 L), aged 5\u201312 years, with regard to the speech therapy they receive. In this study, a focus was made on speech therapy to eliminate compensatory cleft speech errors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods &amp; Procedures<\/jats:title>\n                    <jats:p>Six children with a CP \u00b1 L, aged between 5 and 12 years, were included in this study. Child\u2010friendly semi\u2010structured interviews were conducted using a participatory, art\u2010based qualitative approach. This means that the \u2018play and puppets technique\u2019 and \u2018draw\u2013write and photo\u2010elicitation technique\u2019 were used to guide the children through the interviews. Data derived from these interviews were analysed using an inductive thematic approach. Trustworthiness of the data was achieved by applying researcher triangulation, negative case analysis and an audit trail.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes &amp; Results<\/jats:title>\n                    <jats:p>Analyses of the interviews revealed three major themes of importance to the children: (1) treatment values, (2) treatment practices and (3) treatment outcomes. Each theme was divided into different subthemes. The theme \u2018treatment values\u2019 consisted of the subthemes expectations and emotions around therapy and interference with daily living. Information flow, therapy content, confirmation and rewards, parents\u2019 attendance, therapy intensity, and homework were subthemes of the major theme \u2018treatment practices\u2019. The theme \u2018treatment outcomes\u2019 was divided into two subthemes, namely speech improvement and peers\u2019 reactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions &amp; Implications<\/jats:title>\n                    <jats:p>Most children had positive attitudes towards speech therapy: it was \u2018something they liked\u2019 and \u2018something fun\u2019. If children had negative attitudes they were related to having a fear of making mistakes during therapy. Children had clear expectations of the purpose of speech therapy. Speech therapy should \u2018help\u2019 improve their speech and make it more understandable to others. The children in this sample made some suggestions to decrease the experienced burden related to speech therapy. The results of this study will help to better tailor speech therapy programmes to the needs and experiences of children with a CP \u00b1 L.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:sec>\n                      <jats:title>What is already known on the subject<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>Evidence\u2010based speech therapy involves the integration of (1) the scientific evidence for therapy with (2) the perspectives of clinicians concerning therapy and (3) the perspectives of patients and their families about therapy. The cleft literature has already paid attention to the first two cornerstones of evidence\u2010based speech therapy. Different studies investigated the perspectives of SLPs and parents with regard to cleft palate speech therapy. However, much less is known about the children's own experiences with and perceptions around this speech therapy.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>What this study adds to existing knowledge<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>This study used a qualitative research design to investigate the perceptions, emotions and expectations of children with a cleft (lip and) palate, aged 5\u201312 years, with regard to the speech therapy they receive. Speech therapy needed to focus on the elimination of compensatory speech errors. This study provides knowledge on the speech therapy\u2010related experiences of children with a cleft palate.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>What are the potential or actual clinical implications of this work?<\/jats:title>\n                      <jats:p>\n                        <jats:list list-type=\"bullet\">\n                          <jats:list-item>\n                            <jats:p>Children in this sample made some concrete suggestions to decrease the experienced burden related to cleft speech therapy, for example, integration of school work during therapy sessions and practising on the level of spontaneous speech. The results of this study help us to better tailor speech therapy programmes to the needs and experiences of children with a CP \u00b1 L.<\/jats:p>\n                          <\/jats:list-item>\n                        <\/jats:list>\n                      <\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.12879","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:21:09Z","timestamp":1681863669000},"page":"1526-1538","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["\u2018Sometimes I feel sad\u2019: A qualitative study on children's perceptions with cleft palate speech and language therapy"],"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5546-5997","authenticated-orcid":false,"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"}]},{"given":"Jolien","family":"Verbeke","sequence":"additional","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"}]}],"member":"311","published-online":{"date-parts":[[2023,4,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682828409007182"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR\u201020\u201000129"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.05.007"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110958"},{"key":"e_1_2_8_6_1","first-page":"00","article-title":"Parents\u2019 perceptions on speech therapy delivery models in children with a cleft palate: a mixed methods study","author":"Alighieri C.","year":"2023","journal-title":"International Journal of Pediatric Otorhinolaryngology"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12624"},{"key":"e_1_2_8_8_1","first-page":"1","article-title":"Speech diagnosis and intervention in children with a cleft palate: a qualitative study of Flemish private community speech\u2013language pathologists' practices","volume":"6","author":"Alighieri C.","year":"2021","journal-title":"International Journal of Speech\u2013Language Pathology"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2020.106028"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12788"},{"key":"e_1_2_8_11_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_8_12_1","volume-title":"Standards for cleft palate and craniofacial teams","author":"American Cleft Palate\u2013Craniofacial Association, A","year":"2016"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0193\u20103973(03)00046\u20107"},{"key":"e_1_2_8_14_1","unstructured":"Baker E.&Williams A.(2011)Intervention intensity for Speech Sound Disorders: how much and for how long?"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21517"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/910529"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211051222"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.03.019"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781446288481"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1044\/ssod14.2.16"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.02.023"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2020.106059"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u2010263X.2011.01214.x"},{"key":"e_1_2_8_25_1","first-page":"1","article-title":"Negative case analysis. The International Encyclopedia of","author":"Hanson A.","year":"2017","journal-title":"Communication Research Methods"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619857000"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/136828298247776"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12416"},{"key":"e_1_2_8_29_1","volume-title":"Qualitative research in nursing and healthcare","author":"Holloway I.","year":"2016"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12538"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781405165518.wbeosn006"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110026"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2008.0080"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4810738"},{"key":"e_1_2_8_35_1","unstructured":"Mossey P.A.&Catilla E.E.(2003)Global registry and database on craniofacial anomalies: Report of a WHO Registry Meeting on Craniofacial Anomalies."},{"key":"e_1_2_8_36_1","unstructured":"NVivo. (2018)NVivo qualitative data analysis software; Version 12 2018.: QSR International Pty Ltd."},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1191\/0265659004ct263oa"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-085.1"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620959995"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-08-097086-8.10540-9"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12542"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2010.03.678"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2011.10.030"},{"key":"e_1_2_8_45_1","volume-title":"Speech correction","author":"Van Riper C.","year":"1972"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X34192"}],"updated-by":[{"DOI":"10.1111\/1460-6984.12997","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000}}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T04:49:53Z","timestamp":1705985393000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.12879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,18]]},"references-count":45,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/1460-6984.12879"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.12879","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,18]]},"assertion":[{"value":"2023-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}