{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T02:56:25Z","timestamp":1792119385316,"version":"4.4.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify caregiver-reported barriers influencing appointment attendance and evaluate demographic, clinical, and logistical predictors of missed pediatric craniofacial team visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, multimethod study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Quaternary pediatric craniofacial outpatient clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Two hundred thirteen caregivers of patients scheduled for craniofacial team visits completed a 10-item questionnaire assessing factors that influence appointment attendance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>The primary outcome was appointment attendance (attended vs. missed\/canceled). Demographic and clinical variables were extracted from the medical record. Descriptive statistics were calculated. Chi-square or Fisher's exact tests assessed bivariate associations. A multivariable logistic regression model was used to identify predictors of attendance. Open-ended responses on missed visit reasons were analyzed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Families managing a higher monthly healthcare burden were significantly more likely to attend scheduled appointments. Those with 4 or more health-related appointments (OR = 0.008,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) had markedly lower odds of nonattendance. Similarly, families with other same-day appointments had significantly lower odds of nonattendance (OR = 0.154,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Children with syndromic diagnoses were also more likely to attend than their nonsyndromic peers (OR = 0.336,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.045). Attendance was lower among families who reported receiving their preferred appointment time (OR = 0.11,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.027). Demographic variables, including race, ethnicity, and insurance status, were not significant predictors of attendance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Appointment attendance appears to be more strongly influenced by logistical demands and care coordination than by demographic or clinical characteristics. Addressing these modifiable barriers through targeted supports may offer a more effective strategy for improving consistent attendance in craniofacial care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251394449","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T18:00:35Z","timestamp":1762970435000},"page":"395-403","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Caregiver-Reported Barriers and Predictors of Appointment Attendance in Pediatric Craniofacial Team Care"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0515-8413","authenticated-orcid":false,"given":"Katherine","family":"Dillon","sequence":"first","affiliation":[{"name":"Children's Healthcare of Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdaline","family":"Kotsakis","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2410-4344","authenticated-orcid":false,"given":"Colin","family":"Brady","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Soldanska","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph K.","family":"Williams","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6839-9116","authenticated-orcid":false,"given":"Kazlin N.","family":"Mason","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta"},{"name":"University of Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617739564"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0746.101342"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1597\/02-119.5.1"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.2364"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241234804"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620949119"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004987"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241310203"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002604"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241256923"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000003443"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241259883"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231189940"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10040842"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-925900"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620954063"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjquality.u201797.w936"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199912000-00004"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/1824-7288-37-31"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-24-00231"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-013-9681-1"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.07.022"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_2_25_2","unstructured":"US Census Bureau. 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