{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T02:32:19Z","timestamp":1792549939228,"version":"4.5.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T00:00:00Z","timestamp":1648684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/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":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Object<\/jats:title>\n                    <jats:p>To identify the perception of barriers to the comprehensive management of cleft lip and palate (CLP) by parents\/caregivers of Colombian children with this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Sample Population<\/jats:title>\n                    <jats:p>Fifty parents\/caregivers of children with CLP under 12 years attending a center specialized in the management of craniofacial congenital conditions in Bogota, Colombia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This study consisted of 2 phases: a quantitative phase (descriptive cross-sectional) and a qualitative phase (focus group [FG]). Chi-square and Fisher exact tests were used to analyze the association variables. The barriers and alternative ways to overcome barriers were analyzed in the FG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Comprehensive management was mostly defined as access to multiple treatments (54%), and this concept was expanded in the FG toward understanding CLP at all levels. Monoparental families spend their income on treatments (29%) than nuclear families (0%) ( P\u2009=\u2009.001). All parents with high education levels were familiar with healthcare centers specialized in CLP as opposed to 66.7% of parents with basic primary education ( P\u2009&lt;\u2009.05). Regarding the timeliness of appointments, 12.2% of parents earning between 1 and 2 minimum wages reported some kind of difficulty, whereas those earning less than one minimum wage reported difficulties in 66.7% of cases ( P\u2009=\u2009.046).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>All participants reported barriers, which increased or decreased depending on their socioeconomic status. The FG allowed the discussion of alternatives to overcome barriers, such as structural, solidarity, and self-management actions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221082759","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T10:39:42Z","timestamp":1689331182000},"page":"810-822","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Parents\u2019 Perception of Barriers to the Comprehensive Management of Children With Cleft Lip and Palate in Bogota, Colombia"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4572-1453","authenticated-orcid":false,"given":"Mar\u00eda Clara","family":"Gonz\u00e1lez-Carrera","sequence":"first","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, UMIMC Group (Comprehensive Management of Craniofacial Abnormalities Unit), Bogota, Colombia"},{"name":"Fundaci\u00f3n FISULAB, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime Alberto","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, INVBOCA Group (Public and Community Oral Health Research), Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid Isabel","family":"Mora-D\u00edaz","sequence":"additional","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, UMIMC Group (Comprehensive Management of Craniofacial Abnormalities Unit), Bogota, Colombia"},{"name":"Universidad El Bosque, School of Dentistry, INVBOCA Group (Public and Community Oral Health Research), Bogota, Colombia"},{"name":"Universidad El Bosque, School of Dentistry, Research, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Pereira de Souza","sequence":"additional","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, Pediatric Dentistry Postgraduate Studies, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Fernando","family":"Restrepo-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, INVBOCA Group (Public and Community Oral Health Research), Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0661-0251","authenticated-orcid":false,"given":"Zita","family":"Bendahan","sequence":"additional","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, UMIMC Group (Comprehensive Management of Craniofacial Abnormalities Unit), Bogota, Colombia"},{"name":"Fundaci\u00f3n FISULAB, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria Roc\u00edo","family":"Bautista","sequence":"additional","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, Research, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"D\u00edaz-B\u00e1ez","sequence":"additional","affiliation":[{"name":"Universidad El Bosque, School of Dentistry, Research, Bogota, Colombia"},{"name":"Universidad El Bosque, Unit of Basic Oral Investigation - UIBO, School of Dentistry, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"issue":"3","key":"bibr1-10556656221082759","first-page":"145","volume":"33","author":"Candotto V","year":"2019","journal-title":"J Biol Regul Homeost Agents"},{"key":"bibr2-10556656221082759","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619886455"},{"key":"bibr3-10556656221082759","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002487"},{"issue":"64","key":"bibr4-10556656221082759","volume":"30","author":"Gonz\u00e1lez M","year":"2010","journal-title":"Univ Odontol"},{"key":"bibr5-10556656221082759","doi-asserted-by":"publisher","DOI":"10.15446\/rsap.v18n1.41884"},{"key":"bibr6-10556656221082759","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619868052"},{"key":"bibr7-10556656221082759","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-014-0612-6"},{"key":"bibr8-10556656221082759","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-58"},{"key":"bibr9-10556656221082759","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2011.01244.x"},{"key":"bibr10-10556656221082759","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.23303"},{"key":"bibr11-10556656221082759","doi-asserted-by":"publisher","DOI":"10.18270\/rce.v11i12.1682"},{"key":"bibr12-10556656221082759","unstructured":"MinSalud. 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