{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:28:57Z","timestamp":1787243337643,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T00:00:00Z","timestamp":1523577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cleft lip and\/or palate (CL\/P) poses many challenges for those affected throughout the school years, with recent studies pointing to a trend in poor educational outcomes. Previous research has highlighted the important role that teachers play in supporting young people with chronic health conditions yet studies in the field of CL\/P suggest that teachers may lack knowledge of the condition, and underestimate pupils\u2019 academic ability. Qualitative investigation of the impact of CL\/P from the teacher\u2019s perspective may provide additional insight as well as potential suggestions for improving the school experience for affected pupils.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty UK preschool, primary, and secondary school teachers with experience of teaching pupils with CL\/P completed an open-ended survey, eliciting qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Qualitative content analysis was performed. Data were presented under 5 key headings: Knowledge of CL\/P and its effects, perceived impact of CL\/P on education, teachers\u2019 training needs, delivery of training, and impact of CL\/P on teachers. Teachers were able to identify a number of potential social, emotional, and treatment-related challenges within the school setting, yet did not believe that CL\/P would have a long-term impact on pupils\u2019 educational achievement. Participating teachers reported that cleft-specific training and access to relevant resources would be highly beneficial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Acting as a platform for future research, this exploratory study provides insight into the challenges faced by teachers and offers suggestions for how to improve teachers\u2019 understanding of CL\/P, and their confidence in dealing with cleft-related issues.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618770191","type":"journal-article","created":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T12:41:51Z","timestamp":1523623311000},"page":"204-209","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Teachers\u2019 Perspectives on the Impact of Cleft Lip and\/or Palate During the School Years"],"prefix":"10.1177","volume":"56","author":[{"given":"Nicola Marie","family":"Stock","sequence":"first","affiliation":[{"name":"Centre for Appearance Research, University of the West of England, Bristol, United Kingdom"},{"name":"The Cleft Collective Bristol, University of Bristol, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Ridley","sequence":"additional","affiliation":[{"name":"Centre for Appearance Research, University of the West of England, Bristol, United Kingdom"},{"name":"The Cleft Collective Bristol, University of Bristol, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella","family":"Guest","sequence":"additional","affiliation":[{"name":"Centre for Appearance Research, University of the West of England, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,4,13]]},"reference":[{"key":"bibr1-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1597\/12-255"},{"key":"bibr3-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1017\/9781107295094"},{"key":"bibr4-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsu049"},{"key":"bibr5-1055665618770191","unstructured":"Department for Education. Supporting pupils at school with medical conditions: statutory guidance for governing bodies of maintained schools and proprietors of academies in England. 2015. Accessed August 2, 2016. https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/484418\/supporting-pupils-at-school-with-medical-conditions.pdf."},{"key":"bibr6-1055665618770191","first-page":"531","volume-title":"The Oxford Handbook of the Psychology of Appearance","author":"Diedrichs PC","year":"2013"},{"key":"bibr7-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1597\/12-328"},{"key":"bibr8-1055665618770191","doi-asserted-by":"publisher","DOI":"10.4324\/9780203464724"},{"key":"bibr9-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1177\/1359105310367529"},{"key":"bibr10-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"bibr11-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1177\/1049732307308761"},{"key":"bibr12-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1087\/095315103320995078"},{"key":"bibr13-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1597\/13-293"},{"key":"bibr14-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1080\/001318800363917"},{"key":"bibr15-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1525\/sp.2004.51.4.569"},{"key":"bibr16-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.158.1.53"},{"key":"bibr17-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1007\/s10006-015-0518-1"},{"key":"bibr18-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1597\/09-047"},{"issue":"4","key":"bibr19-1055665618770191","first-page":"360","volume":"15","author":"Richman LC","year":"1978","journal-title":"Cleft Palate J"},{"key":"bibr20-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1016\/S1740-1445(03)00005-6"},{"key":"bibr21-1055665618770191","unstructured":"Stanilad L. Public Perceptions of Disabled People: Evidence from The British Social Attitudes Survey. United Kingdom: Office for Disability Issues; 2009. https:\/\/www.gov.uk\/government\/publications\/public-perceptions-of-disabled-people-evidence-from-the-british-social-attitudes-survey-2009"},{"key":"bibr22-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2016.1143944"},{"key":"bibr23-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1597\/14-178"},{"key":"bibr28-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617734991"},{"key":"bibr24-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2005.00034.x"},{"key":"bibr25-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1597\/13-139"},{"key":"bibr26-1055665618770191","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3072"},{"key":"bibr27-1055665618770191","unstructured":"World Health Organization. World Report on Disability. 2011. http:\/\/www.who.int\/disabilities\/world_report\/2011\/report\/en. Accessed March 20, 2017."}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665618770191","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665618770191","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665618770191","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:19:27Z","timestamp":1777393167000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665618770191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,13]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1177\/1055665618770191"],"URL":"https:\/\/doi.org\/10.1177\/1055665618770191","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,13]]}}}