{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:43:45Z","timestamp":1787237025368,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["Short term Studentship(STS) 2022-06940"],"award-info":[{"award-number":["Short term Studentship(STS) 2022-06940"]}],"id":[{"id":"10.13039\/501100001411","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":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand parent's responses, coping mechanisms, and psychosocial adjustment to presurgical nasoalveolar molding (PNAM) therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This qualitative study was conducted with parents of infants with cleft lip and palate (CLP) who had undergone PNAM. Semi-structured interviews were carried out with parents attending PNAM treatment sessions from March 2021 to March 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted at the tertiary CLP center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>The study included 12 parents of CLP infants (n\u2009=\u200912) who attended PNAM therapy. Exclusion criteria included parents of CLP infants who had incomplete PNAM treatment or who were unwilling to participate in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>The interviews were video recorded and transcripts were prepared. Data were analyzed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome<\/jats:title>\n                    <jats:p>Three primary themes, each with multiple sub-themes, were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Theme 1: \u201cChallenges for Parents\u201d discussed various social (stigma)barriers, discomfort experienced by the baby and the difficulties in daily routines during PNAM therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Theme2<\/jats:title>\n                    <jats:p>\u201cParents\u2019 Responses\u201d addressed psychological responses such as anxiety, self-doubt, and how parents overcame these challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Theme3<\/jats:title>\n                    <jats:p>\u201cPsychological Adjustment (Coping)\u201d explored social support, focus on problem and problem-solving, and the sense of mastery and satisfaction that parents developed during the process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Within the limitations of the study, a range of psychosocial impacts on parents were identified. Various coping strategies, such as social support from family, other parents with similar conditions, and the healthcare team, had a positive impact on parents. Successful completion led to positive outcomes, including increased empowerment and enhanced bonding with their infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251352939","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T04:20:02Z","timestamp":1751343602000},"page":"1895-1902","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Parent's Perception to Early Presurgical Nasoalveolar Molding Treatment in Infants with Cleft lip and Palate: A Qualitative Analysis"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8029-7737","authenticated-orcid":false,"given":"Shrirang","family":"Sevekar","sequence":"first","affiliation":[{"name":"MGM Dental College & Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kriti","family":"Sherigar","sequence":"additional","affiliation":[{"name":"MGM Dental College & Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211055006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jst049"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/22.4.439"},{"issue":"4","key":"e_1_3_2_5_2","first-page":"379","article-title":"Weight gain and feeding in the neonate with cleft: A three-center study","volume":"25","author":"Jones WB","year":"1988","unstructured":"Jones WB. 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