{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:36:22Z","timestamp":1782189382067,"version":"3.54.5"},"reference-count":46,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T00:00:00Z","timestamp":1612310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Underwood Trust"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To provide comparison data on the Intelligibility in Context Scale (ICS) for a sample of 3-year-old English-speaking children born with any cleft type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Questionnaire data from the Cleft Collective Cohort Study were used. Descriptive and inferential statistics were carried out to determine difference according to children\u2019s cleft type and syndromic status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>A total of 412 children born with cleft lip and\/or palate whose mothers had completed the ICS when their child was 3 years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s):<\/jats:title>\n                    <jats:p>Mothers\u2019 rating of their children\u2019s intelligibility using the ICS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average ICS score for the total sample was 3.75 ( sometimes-usually intelligible; standard deviation [SD] = 0.76, 95% CIs = 3.68-3.83) of a possible score of 5 ( always intelligible). Children\u2019s speech was reported to be most intelligible to their mothers (mean = 4.33, SD = 0.61, 95% CIs = 4.27-4.39) and least intelligible to strangers (mean = 3.36, SD = 1.00, 95% CIs = 3.26-3.45). There was strong evidence ( P &lt; .001) for a difference in intelligibility between children with cleft lip only (n = 104, mean = 4.13, SD = 0.62, 95% CIs = 4.01-4.25) and children with any form of cleft palate (n = 308, mean = 3.63, SD = 0.76, 95% CIs = 3.52-3.71). Children born with cleft palate with or without cleft lip and an identified syndrome were rated as less intelligible (n = 63, mean = 3.28, SD = 0.85, 95% CIs = 3.06-3.49) compared to children who did not have a syndrome (n = 245, mean = 3.72, SD = 0.71, 95% CIs = 3.63-3.81).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These results provide preliminary comparative data for clinical services using the outcome measures recommended by the International Consortium for Health Outcomes Measurement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620985747","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T10:51:59Z","timestamp":1612954319000},"page":"1178-1189","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Intelligibility in 3-Year-Olds With Cleft Lip and\/or Palate Using the Intelligibility in Context Scale: Findings from the Cleft Collective Cohort Study"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6430-3487","authenticated-orcid":false,"given":"Miriam","family":"Seifert","sequence":"first","affiliation":[{"name":"Bristol Speech and Language Therapy Research Unit, North Bristol NHS Trust, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7234-0539","authenticated-orcid":false,"given":"Amy","family":"Davies","sequence":"additional","affiliation":[{"name":"University of Bristol, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Harding","sequence":"additional","affiliation":[{"name":"Bristol Speech and Language Therapy Research Unit, North Bristol NHS Trust, Bristol, United Kingdom"},{"name":"University of Bristol, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7279-7851","authenticated-orcid":false,"given":"Sharynne","family":"McLeod","sequence":"additional","affiliation":[{"name":"Charles Sturt University, Bathurst, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1575-453X","authenticated-orcid":false,"given":"Yvonne","family":"Wren","sequence":"additional","affiliation":[{"name":"Bristol Speech and Language Therapy Research Unit, North Bristol NHS Trust, Bristol, United Kingdom"},{"name":"University of Bristol, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,3]]},"reference":[{"key":"bibr1-1055665620985747","first-page":"97","volume-title":"Cleft Palate: The Nature of Remediation of Communication Problems","author":"Albery L","year":"1989"},{"key":"bibr2-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1597\/15-292"},{"key":"bibr3-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12613"},{"key":"bibr4-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2018.01.004"},{"key":"bibr6-1055665620985747","volume-title":"(CRANE) Database 2018 Annual Report","author":"Cleft Registry and Audit Network","year":"2018"},{"key":"bibr7-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2017.03.001"},{"key":"bibr8-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1080\/02699200400024863"},{"key":"bibr10-1055665620985747","first-page":"33","volume":"31","author":"Gnanavel K","year":"2012","journal-title":"JAIISH"},{"key":"bibr11-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1597\/03-134.1"},{"key":"bibr12-1055665620985747","volume-title":"Test of Child Speech + Intelligibility Measures","author":"Hodge M","year":"2007"},{"key":"bibr13-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR-20-00008"},{"key":"bibr14-1055665620985747","doi-asserted-by":"publisher","DOI":"10.3109\/14015439.2013.820487"},{"key":"bibr15-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1597\/04-141.1"},{"key":"bibr16-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0302.81"},{"key":"bibr17-1055665620985747","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9924(00)00035-6"},{"issue":"4","key":"bibr18-1055665620985747","first-page":"1","volume":"21","author":"Lee Y","year":"2018","journal-title":"Int J Speech Lang Pathol"},{"key":"bibr19-1055665620985747","first-page":"373","volume-title":"Surgical Intervention and Speech Outcomes in Cleft Lip and Palate","author":"Lohmander A","year":"2011"},{"key":"bibr20-1055665620985747","volume-title":"SVANTE; 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