{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:40:25Z","timestamp":1777524025532,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T00:00:00Z","timestamp":1744502400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T00:00:00Z","timestamp":1744502400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000589","name":"Chief Scientist Office","doi-asserted-by":"publisher","award":["TCS\/20\/02"],"award-info":[{"award-number":["TCS\/20\/02"]}],"id":[{"id":"10.13039\/501100000589","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":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Ultrasound visual biofeedback has the potential to be a useful tool in cleft palate\u2009\u00b1\u2009lip care but there is little research on its effectiveness, nor on clinicians\u2019 views on using it in research and practice. This study reports on cleft-specialist speech and language therapists\u2019 (SLTs) views on the acceptability of the technique in clinical practice and on their readiness to contribute to future clinical trials of its effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative design comprising semi-structured focus groups\/interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Clinicians reflected on how easy it would be to use ultrasound in their regional cleft services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Clinicians were recruited via invitation to a UK-wide list of cleft-specialist SLTs. Eleven participants took part over 2 focus groups and 2 interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Focus groups\/interviews were recorded, transcribed verbatim, and an inductive thematic analysis was undertaken. Once complete, a deductive analysis using the theoretical framework of acceptability was conducted to summarise the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four themes emerged: (1) value of ultrasound as an approach; (2) intrinsic drawbacks of acquiring and utilising ultrasound; (3) competence in effective performance within a clinical trial; and (4) incentives for clinicians and patients in participation in research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants were positive about the benefits of ultrasound for visualising the articulators and improving patient outcomes. Barriers to adoption included the cost of the equipment and the time to travel to appointments. Across clinical and research uses of ultrasound the need for high-quality training and networking within a community of practice was highlighted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251322279","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T01:45:31Z","timestamp":1744595131000},"page":"1043-1054","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinicians\u2019 Perspectives on Using Ultrasound Visual Biofeedback for Research and Practice with People with Cleft Palate\u2009\u00b1\u2009Cleft Lip"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0660-1646","authenticated-orcid":false,"given":"Joanne","family":"Cleland","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences and Health"},{"name":"University of Strathclyde"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"McCluskey","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences and Health"},{"name":"University of Strathclyde"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Cairney","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences and Health"},{"name":"University of Strathclyde"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Crampin","sequence":"additional","affiliation":[{"name":"Speech and Language Therapy, Royal Hospital for Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linsay","family":"Campbell","sequence":"additional","affiliation":[{"name":"Speech and Language Therapy, Royal Hospital for Children"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1044\/2022_LSHSS-22-00071"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1597\/11-202"},{"key":"e_1_3_3_4_2","first-page":"573","volume-title":"Interventions for speech sound disorders in Children","author":"Cleland J","year":"2021","unstructured":"Cleland J, Preston J. Biofeedback interventions. In: Williams AL, McLeod S, McCauley R, eds. Interventions for speech sound disorders in Children. Baltimore: Paul H. Brookes Publishing Co; 2021:573-599 (chap. 20)."},{"issue":"3","key":"e_1_3_3_5_2","first-page":"1","article-title":"Electropalatography for articulation disorders associated with cleft palate","volume":"8","author":"Lee ASY","year":"2009","unstructured":"Lee ASY, Law J, Gibbon FE. Electropalatography for articulation disorders associated with cleft palate. Cochrane Database Syst Rev. 2009;8(3):1-20. doi:https:\/\/doi.org\/10.1002\/14651858.CD006854.pub2","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/14417040601001997"},{"issue":"4","key":"e_1_3_3_7_2","first-page":"1","article-title":"Clinical application of usage-based phonology: Treatment of cleft palate speech using usage-based electropalotography","volume":"26","author":"Patrick K","year":"2023","unstructured":"Patrick K, Fricke S, Rutter B, Cleland J. Clinical application of usage-based phonology: Treatment of cleft palate speech using usage-based electropalotography. Int J Speech Lang Pathol. 2023;26(4):1-16. doi:https:\/\/doi.org\/10.1080\/17549507.2023.2238924","journal-title":"Int J Speech Lang Pathol."},{"key":"e_1_3_3_8_2","first-page":"105566562312024","article-title":"Ultrasound tongue imaging in research and practice with people with cleft palate\u2009\u00b1\u2009cleft lip","author":"Cleland J","year":"2023","unstructured":"Cleland J. Ultrasound tongue imaging in research and practice with people with cleft palate\u2009\u00b1\u2009cleft lip. Cleft Palate Craniofac J. 2023:10556656231202448. doi:https:\/\/doi.org\/10.1177\/10556656231202448","journal-title":"Cleft Palate Craniofac J"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12478"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1044\/2023_JSLHR-22-00622"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1742271X221122562"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699206.2021.1973566"},{"key":"e_1_3_3_13_2","volume-title":"The Effectiveness of Ultrasound Biofeedback Therapy in Children with Repaired Cleft Palate","author":"Parks A","year":"2018","unstructured":"Parks A. The Effectiveness of Ultrasound Biofeedback Therapy in Children with Repaired Cleft Palate. 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