{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:11:05Z","timestamp":1788667865057,"version":"build-2803163510"},"reference-count":24,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"JSPS KAKENHI","award":["21K10343"],"award-info":[{"award-number":["21K10343"]}]},{"name":"Child Health and Development Research funding","award":["30-34"],"award-info":[{"award-number":["30-34"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>CLEFT-Q is a questionnaire to assess patient-reported outcomes specific to individuals with cleft. The purpose of the present study is to evaluate the construct validity of Japanese version of CLEFT-Q by evaluating how the scores of CLEFT-Q relate to participants\u2019 subjective and clinicians\u2019 objective evaluations. Participants were asked to fill in CLEFT-Q and report whether they desired improvement or additional surgery for their cleft-related conditions and whether they attended\/enjoyed going to schools. Objective evaluations were collected from clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Five institutions in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>One hundred and eleven individuals with cleft lip, palate, and alveolus between 8 and 17 years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>none.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>CLEFT-Q scores were compared to respondents\u2019 subjective and clinicians\u2019 objective evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The CLEFT-Q face, nose, nostrils, speech, distress with speech, teeth, and eating and drinking scales were significantly lower for the individuals who desired improvement or additional surgery. CLEFT-Q school and social scales were significantly lower for individuals who did not enjoy going to school. All CLEFT-Q appearance-related scales were significantly lower for individuals who were rated as having less-favorable outcomes by clinicians. The CLEFT-Q psychological scale was associated neither with respondents\u2019 subjective nor clinicians\u2019 objective evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study confirmed the construct validity of the Japanese version of CLEFT-Q through hypothesis testing and known group comparisons for 12 out of 13 scales, except for the psychological scale. These findings provide a scientific basis for the use of CLEFT-Q in Japan to collect and evaluate outcomes based on patients\u2019 perspectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251414650","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T18:02:41Z","timestamp":1771005761000},"page":"3334-3345","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Construct Validity of Japanese Version of CLEFT-Q: Cleft-Specific Patient-Reported Outcomes Questionnaire"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6672-9449","authenticated-orcid":false,"given":"Makoto","family":"Hikosaka","sequence":"first","affiliation":[{"name":"National Center for Child Health and Development"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2058-5678","authenticated-orcid":false,"given":"Shinji","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Kanagawa Children's Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2626-1415","authenticated-orcid":false,"given":"Ikkei","family":"Tamada","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan Children's Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5622-5354","authenticated-orcid":false,"given":"Masahiko","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Nagano Children\u2019s Hospital, Azumino, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9993-8784","authenticated-orcid":false,"given":"Kiichiro","family":"Yaguchi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Nagano Children\u2019s Hospital, Azumino, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Yuzuriha","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruoyan","family":"Gai","sequence":"additional","affiliation":[{"name":"Nagasaki University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madoka","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Kanagawa Children's Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,13]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. WHO Oral Health. 2025. Accessed on 15 August 2025. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/oralhealth."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0841-z"},{"key":"e_1_3_3_4_2","volume-title":"ISOQOL Dictionary of Quality of Life and Health Outcomes Measurement","author":"Mayo N","year":"2015","unstructured":"Mayo N, ed. ISOQOL Dictionary of Quality of Life and Health Outcomes Measurement. 1st ed. 2015.","edition":"1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2012.11.005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170289"},{"key":"e_1_3_3_7_2","first-page":"11","article-title":"Translation and Linguistic Validation of the Japanese version of CELFT-Q: Cleft-specific patient-reported outcome questionnaire","volume":"46","author":"Hikosaka M","year":"2021","unstructured":"Hikosaka M, Kaneko T, Baba Y, Sato Y. Translation and Linguistic Validation of the Japanese version of CELFT-Q: Cleft-specific patient-reported outcome questionnaire. J Jpn Cleft Plate Assoc. 2021;46:11-17.","journal-title":"J Jpn Cleft Plate Assoc"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2005.04054.x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Hikosaka M. The internal consistency of the Japanese version of the CLEFT-Q: Cleft-specific patient-reported outcome measure. [Unpublished manuscript]. 2025.","DOI":"10.1177\/10556656251414650"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-014-0176-2"},{"key":"e_1_3_3_11_2","unstructured":"Consensus-based Standards for the Selection of Health Measurement Instruments. 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