{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:00:36Z","timestamp":1791489636764,"version":"4.3.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"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":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to develop and validate a cleft-specific proxy clinical screening instrument for children up to 8 years old with orofacial clefts: the CleftChild-8. Our objective was to implement this questionnaire as a preparatory tool for cleft team consultations, enabling early identification of patient needs, facilitating communication with caregivers, and improving the quality and efficiency of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a multicenter prospective cohort study to develop an instrument to be interpreted at the item level in an iterative process with relevant domains selection, item pool generation, caregivers and expert feedback, and psychometric testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study took place in 5 orofacial clefts referral centers in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Participants were parents or caregivers of children born with syndromic and nonsyndromic cleft lip and\/or palate and younger than 8 years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between 2023 and 2025, the CleftChild-8 working version was completed by 414 parents\/caregivers. Psychometric analyses supported a four-factor structure with good to excellent internal consistency (\n                      <jats:italic toggle=\"yes\">\u03b1<\/jats:italic>\n                      \u2009=\u20090.75-0.92) and demonstrated known-groups validity across cleft types. The final 42-item questionnaire covers feeding and dentition, otology and sleep, speech, and psychosocial functioning.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Cleftchild-8 is a valid instrument to support cleft consultations by prioritizing the needs of patients and their families through reviewing responses to individual items and open-ended questions. The Cleftchild-8 can assist cleft teams to efficiently identify key concerns and tailor consultations accordingly.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261440583","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T14:05:26Z","timestamp":1776261926000},"page":"3891-3899","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Validation of a Parent-Reported Clinical Screening Instrument for Team Care of Young Children with a Cleft: The CleftChild-8"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9529-0147","authenticated-orcid":false,"given":"Sofia","family":"Bachini","sequence":"first","affiliation":[{"name":"Frisius Medical Center Leeuwarden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariska Jorine","family":"Hartendorp","sequence":"additional","affiliation":[{"name":"Department of Medical Social Work, Frisius Medical Center, Cleft Team North Netherlands, Leeuwarden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0885-7722","authenticated-orcid":false,"given":"Edith","family":"Visser","sequence":"additional","affiliation":[{"name":"Frisius Medical Center Leeuwarden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantal","family":"Mou\u00ebs-Vink","sequence":"additional","affiliation":[{"name":"Frisius Medical Center Leeuwarden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221149144"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.10.011"},{"key":"e_1_3_4_4_2","unstructured":"Schisis Nederland. 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