{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T20:31:04Z","timestamp":1791664264208,"version":"4.3.4"},"reference-count":48,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2015,11,16]],"date-time":"2015-11-16T00:00:00Z","timestamp":1447632000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Structured Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the perceptual speech outcomes from the Cleft Care <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">CCUK<\/jats:styled-content>) study and compare them to the 1998 Clinical Standards Advisory Group (<jats:styled-content style=\"fixed-case\">CSAG<\/jats:styled-content>) audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and sample population<\/jats:title><jats:p>A cross\u2010sectional study of 248 children born with complete unilateral cleft lip and palate, between 1 April 2005 and 31 March 2007 who underwent speech assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Centre\u2010based specialist speech and language therapists (<jats:styled-content style=\"fixed-case\">SLT<\/jats:styled-content>) took speech audio\u2013video recordings according to nationally agreed guidelines. Two independent listeners undertook the perceptual analysis using the <jats:styled-content style=\"fixed-case\">CAPS<\/jats:styled-content>\u2010A Audit tool. Intra\u2010 and inter\u2010rater reliability were tested.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For each speech parameter of intelligibility\/distinctiveness, hypernasality, palatal\/palatalization, backed to velar\/uvular, glottal, weak and nasalized consonants, and nasal realizations, there was strong evidence that speech outcomes were better in the <jats:styled-content style=\"fixed-case\">CCUK<\/jats:styled-content> children compared to <jats:styled-content style=\"fixed-case\">CSAG<\/jats:styled-content> children. The parameters which did not show improvement were nasal emission, nasal turbulence, hyponasality and lateral\/lateralization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results suggest that centralization of cleft care into high volume centres has resulted in improvements in <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> speech outcomes in five\u2010year\u2010olds with unilateral cleft lip and palate. This may be associated with the development of a specialized workforce. Nevertheless, there still remains a group of children with significant difficulties at school entry.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12112","type":"journal-article","created":{"date-parts":[[2015,11,16]],"date-time":"2015-11-16T05:57:04Z","timestamp":1447653424000},"page":"36-46","source":"Crossref","is-referenced-by-count":128,"title":["The Cleft Care <scp>UK<\/scp> study. 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