{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:29Z","timestamp":1792787729029,"version":"4.5.0"},"reference-count":85,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"University of Staffordshire Participatory Action Research Programme","award":["Internal funding"],"award-info":[{"award-number":["Internal funding"]}],"id":[{"id":"https:\/\/ror.org\/00d6k8y35","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Young people (YP) with a cleft lip with or without cleft palate have expressed concerns about their appearance and image-sharing on social media. This study aimed to explore and understand YP's concerns, views, and experiences regarding photographs of themselves.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was an exploratory qualitative study using photo-elicitation during semi-structured interviews conducted virtually. YP provided 3 photographs of themselves they liked and 3 they did not, which were used to facilitate discussion of their appearance, thoughts, and feelings about their photographs, and social media. Interviews were transcribed and analyzed using Reflexive Thematic Analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/Participants<\/jats:title>\n                    <jats:p>Thirteen YP aged 16 to 20 years (mean = 17.8), 10 females and 3 males, were recruited via a UK cleft charity. Two had a cleft lip only, 9 had a unilateral cleft lip and palate, and 2 had a bilateral cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four themes were developed: (1) symmetry equals beauty, (2) controlling and curating the image presented to others, (3) acceptance with maturity, and (4) connections can promote empowerment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The themes highlight the concerns that YP have with their appearance, how they present their self-image to others, and how they can become empowered to embrace their cleft condition and support others. Results suggest cleft services should integrate psychosocial screening, peer support, and appearance-focused interventions to promote confidence and resilience in young people.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261418375","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:14:31Z","timestamp":1770228871000},"page":"3608-3619","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding Appearance Concerns in Young People With Cleft Lip \u00b1 Palate: A Photo Elicitation Study"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5814-9008","authenticated-orcid":false,"given":"Julie","family":"Davies","sequence":"first","affiliation":[{"name":"School of Health, Education, Policing and Sciences, University of Staffordshire"},{"name":"Cleft Lip &amp; Palate Unit, North West North Wales and Isle of Man Cleft Network, Manchester, UK"},{"name":"Department of Health Professions, Manchester Metropolitan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Owen","sequence":"additional","affiliation":[{"name":"School of Health, Education, Policing and Sciences, University of Staffordshire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Burton","sequence":"additional","affiliation":[{"name":"School of Health, Education, Policing and Sciences, University of Staffordshire"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Royal College of Surgeons Clinical Effectiveness Unit. 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