{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:43:22Z","timestamp":1793069002488,"version":"4.5.0"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["DE031253"],"award-info":[{"award-number":["DE031253"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study was to examine the association between quality of life (QOL) as measured by the Velopharyngeal Insufficiency Effects on Life Outcomes-Parent Version (VELO-P), the intelligibility in context scale (ICS), percent consonants correct (PCC), nasalance scores, and ratings from the Cleft Audit Protocol for Speech-Augmented- Americleft Modification (CAPS-A-AM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Outpatient pediatric cleft-craniofacial clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>30 children, &lt;8 years of age, diagnosed with cleft palate with or without cleft lip (CP\u2009\u00b1\u2009L) and their parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>The VELO-P was administered to 30 parents of children with CP\u2009\u00b1\u2009L as part of their child's annual cleft team evaluation. The VELO-P was then correlated with the ICS, CAPS-A-AM ratings, PCC, and nasalance scores. Ratings were completed by 3 speech-language pathologists (SLPs). Reliability was completed by 2 SLPs. Linear regression identified predictors of the Emotional Impact domain of the VELO-P.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The ICS had a strong correlation with the VELO-P total score (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u20090.72,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). As SLP ratings of speech acceptability decreased, there was an increase in the perceived QOL. The speech acceptability rating had a significant moderate correlation with the VELO-P total score (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u2009-0.48,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.01), Speech Limitations domain (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u2009-0.46,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.01), emotional impact (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u2009-0.41,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.03), and the Caregiver Impact domain (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u2009-0.40,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The correlations between VELO-P and ICS offer insight into how speech intelligibility impacts QOL, while the CAPS-A-AM ratings offer insight into the relationship between parent and SLP perceptions of speech. Future studies should expand samples and age ranges to further examine these correlations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261460517","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T17:27:27Z","timestamp":1782149247000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of the Velopharyngeal Insufficiency Effects on Life Outcomes-Parent Version with Perceptual and Instrumental Assessments"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0287-2905","authenticated-orcid":false,"given":"Natalie R.","family":"Wombacher","sequence":"first","affiliation":[{"name":"University of Illinois Chicago, The Craniofacial Center"},{"name":"Department of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5552-6312","authenticated-orcid":false,"given":"Chelsea L.","family":"Sommer","sequence":"additional","affiliation":[{"name":"Florida International University, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan R.","family":"Skirko","sequence":"additional","affiliation":[{"name":"University of Arizona College of Medicine Tucson, Tucson, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy J.","family":"Scherer","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0004.2002.610402.x"},{"key":"e_1_3_3_3_2","volume-title":"Cleft Lip and Palate; Surgical Dental, and Speech Aspects, by 71 authors","author":"Grabb WC","year":"1971","unstructured":"Grabb WC, Bzoch KR, Rosenstein SW. 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