{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:32:43Z","timestamp":1777523563123,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01DE024986"],"award-info":[{"award-number":["R01DE024986"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We evaluated the measurement properties for item and domain scores of the Infant with Clefts Observation Outcomes Instrument (iCOO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional (before lip surgery) and longitudinal study (preoperative baseline and 2 days and 2 months after lip surgery).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Three academic craniofacial centers and national online advertisements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Primary caregivers with an infant with cleft lip with or without cleft palate (CL\u2009\u2009\u00b1\u2009\u2009P) scheduled to undergo primary lip repair. There were 133 primary caregivers at baseline, 115 at 2 days postsurgery, and 112 at 2 months postsurgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>\n                      Caregiver observation items (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200961) and global impression of health and function items (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) across eight health domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean age at surgery was 6.0 months (range 2.7-11.8 months). Five of eight iCOO domains have scale scores, with Cronbach\u2019s alphas ranging from 0.67 to 0.87. Except for the Facial Skin and Mouth domain, iCOO scales had acceptable intraclass correlation coefficients (ICCs) ranging from 0.76 to 0.84. The internal consistency of the Global Impression items across all domains was 0.90 and had acceptable ICCs (range 0.76-0.91). Sixteen out of 20 (nonscale) items had acceptable ICCs (range 0.66-0.96). As anticipated, iCOO scores 2 days postoperatively were generally lower than baseline and scores 2 months postsurgery were consistent with baseline or higher. The iCOO took approximately 10\u2005min to complete.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The iCOO meets measurement standards and may be used for assessing the impact of cleft-related treatments in clinical research and care. More research is needed on its use in various treatment contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211040307","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T08:17:33Z","timestamp":1631521053000},"page":"1233-1245","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Infant with Clefts Observation Outcomes Instrument (iCOO): A New Outcome for Infants and Young Children with Orofacial Clefts"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9990-9318","authenticated-orcid":false,"given":"Todd C.","family":"Edwards","sequence":"first","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2178-7730","authenticated-orcid":false,"given":"Carrie L.","family":"Heike","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"},{"name":"Seattle Children's Research Institute, Seattle, WA, USA"},{"name":"Seattle Children's Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen A.","family":"Kapp-Simon","sequence":"additional","affiliation":[{"name":"Shriners Hospital for Children, Chicago, IL, USA"},{"name":"University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salene M.","family":"Jones","sequence":"additional","affiliation":[{"name":"Fred Hutch, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian G.","family":"Leroux","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura P.","family":"Stueckle","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute, Seattle, WA, USA"},{"name":"Seattle Children's Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia Crilly","family":"Bellucci","sequence":"additional","affiliation":[{"name":"Shriners Hospital for Children, Chicago, IL, USA"},{"name":"University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janine M.","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"University of Illinois Hospital and Health Science System, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith","family":"Albert","sequence":"additional","affiliation":[{"name":"Shriners Hospital for Children, Chicago, IL, USA"},{"name":"University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra L.","family":"Aspinall","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute, Seattle, WA, USA"},{"name":"Seattle Children's Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald L.","family":"Patrick","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2010.08.008"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800383"},{"key":"e_1_3_2_4_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988","unstructured":"Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers; 1988.","edition":"2"},{"key":"e_1_3_2_5_1","first-page":"562892","article-title":"Protocols in cleft lip and palate treatment: systematic review","volume":"2012","author":"de Ladeira PR","year":"2012","unstructured":"de Ladeira PR, Alonso N. Protocols in cleft lip and palate treatment: systematic review. Plast Surg Int. 2012;2012: 562892.","journal-title":"Plast Surg Int"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2017.12.008"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619899752"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817742840"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1597\/14-267"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620922105"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.4367"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.02.8332"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181f63fa4"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-018-0034-9"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20634"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.22568"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1589"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.5037\/jomr.2017.8302"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2013.04.004"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2006.03.002"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"key":"e_1_3_2_24_1","volume-title":"Psychometric Theory","author":"Nunnally J","year":"1994","unstructured":"Nunnally J, Bernstein I. Psychometric Theory. 3rd edition New York: MacGraw-Hill; 1994.","edition":"3"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2001.3618"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618793062"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1597\/09-187.1"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2016.1263202"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1597\/02-119.5.1"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_3_2_31_1","unstructured":"United States Food and Drug Administration. (2012). Guidance for Industry: Acute Bacterial Otitis Media - Developing Drugs for Treatment. https:\/\/www.fda.gov\/regulatory-information\/search-fda-guidance-documents\/guidance-industry-acute-bacterial-otitis-media-developing-drugs-treatment (last accessed 8\/26\/21)."},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2015.08.006"},{"issue":"4","key":"e_1_3_2_33_1","first-page":"170","article-title":"Velopharyngeal dysfunction","volume":"26","author":"Woo AS","year":"2012","unstructured":"Woo AS. Velopharyngeal dysfunction. Semin Plast Surg. 2012;26(4):170-177.","journal-title":"Semin Plast Surg"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618815396"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656211040307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656211040307","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656211040307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:20Z","timestamp":1777393280000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656211040307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,13]]},"references-count":33,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1177\/10556656211040307"],"URL":"https:\/\/doi.org\/10.1177\/10556656211040307","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,13]]}}}