{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:48:15Z","timestamp":1792810095954,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Phoenix Children's Hospital Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Evaluate the effectiveness of a digital home monitoring program for infants with cleft palate with or without cleft lip (CP\u2009\u00b1\u2009L), compared to monitoring through in-person clinic visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>One metropolitan pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Eight-eight infants with CP\u2009\u00b1\u2009L: 41 infants received digital home monitoring and 47 infants were monitored solely through in-person visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Beginning in September 2022, all infants with CP\u2009\u00b1\u2009L were enrolled in a digital home monitoring program, in which caregivers weighed their child weekly at home and submitted those weights, along with subjective evaluations of their child's feeding, using a secure website. Submissions were monitored by the cleft team nurse coordinator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>The primary outcome was the incidence of malnutrition at 4 months of age. The secondary outcome was the average number of in-person clinic visits during the first 4 months of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was not a significant difference (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.764) in the incidence of malnutrition between infants monitored in-person compared to infants in the home monitoring program (13% vs 17%). Infants in the home monitoring program had fewer in-person visits with speech\u2013language pathology (5.4 vs 3.9;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Across groups, malnutrition was associated with Child Protective Services involvement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001) and presence of a syndrome (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.014).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The digital home monitoring program did not decrease the incidence of malnutrition, but it did reduce the number of speech\u2013language pathology in-person visits. The program appears to distinguish infants who are gaining weight appropriately from those with feeding challenges, but it does not fully address the multifactorial contributors to malnutrition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656241307424","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T02:50:16Z","timestamp":1734058216000},"page":"608-616","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of a Digital Home Weight Monitoring Program for Infants With Cleft Palate"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2173-923X","authenticated-orcid":false,"given":"Thomas J.","family":"Sitzman","sequence":"first","affiliation":[{"name":"Phoenix Children's Hospital"},{"name":"University of Arizona College of Medicine \u2013 Phoenix"},{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Tymous","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Halvorson","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2882-7275","authenticated-orcid":false,"given":"Jessica L.","family":"Chee-Williams","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"},{"name":"Department of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette L.","family":"Mazon","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly Nett","family":"Cordero","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"},{"name":"Department of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay U.","family":"Vaidya","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davinder J.","family":"Singh","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital"},{"name":"University of Arizona College of Medicine \u2013 Phoenix"},{"name":"Mayo Clinic Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1589"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619878972"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2002.tb00133.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1597\/05-173"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618766058"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2004.00253.x"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215931"},{"issue":"2","key":"e_1_3_2_9_2","article-title":"Feeding interventions for growth and development in infants with cleft lip, cleft palate or cleft lip and palate","volume":"2011","author":"Bessell A","year":"2011","unstructured":"Bessell A, Hooper L, Shaw WC, Reilly S, Reid J, Glenny AM. 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