{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:38:23Z","timestamp":1778891903829,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"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":[[2015,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cleft care provision in the United Kingdom has been centralized over the past 15 years to improve outcomes for children born with cleft lip and palate. However, to date, there have been no investigations to examine how well these multidisciplinary teams are performing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this pilot study, a cross-sectional questionnaire surveyed members of all health care specialties working to provide cleft care in 11 services across the United Kingdom. Team members were asked to complete the Team Work Assessment (TWA) to investigate perceptions of team working in cleft services. The TWA comprises 55 items measuring seven constructs: team foundation, function, performance and skills, team climate and atmosphere, team leadership, and team identity; individual constructs were also aggregated to provide an overall TWA score. Items were measured using five-point Likert-type scales and were converted into percentage agreement for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Responses were received from members of every cleft team. Ninety-nine of 138 cleft team questionnaires (71.7%) were returned and analyzed. The median (interquartile range) percentage of maximum possible score across teams was 75.5% (70.8, 88.2) for the sum of all items. Team performance and team identity were viewed most positively, with 82.0% (75.0, 88.2) and 88.4% (82.2, 91.4), respectively. Team foundation and leadership were viewed least positively with 79.0% (72.6, 84.6) and 76.6% (70.6, 85.4), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cleft team members perceive that their teams work well, but there are variations in response according to construct.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/13.111","type":"journal-article","created":{"date-parts":[[2014,7,24]],"date-time":"2014-07-24T14:43:20Z","timestamp":1406213000000},"page":"1-7","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Perceptions of Team Members Working in Cleft Services in the United Kingdom: A Pilot Study"],"prefix":"10.1177","volume":"52","author":[{"given":"Julia K.","family":"Scott","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Derriford Hospital, Plymouth, United Kingdom, and Senior Specialty Registrar in Orthodontics, Department of Orthodontics, Royal Cornwall Hospital, Truro, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam D.","family":"Leary","sequence":"additional","affiliation":[{"name":"School of Oral and Dental Sciences, University of Bristol, Bristol, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy R.","family":"Ness","sequence":"additional","affiliation":[{"name":"School of Oral and Dental Sciences, University of Bristol, Bristol, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan R.","family":"Sandy","sequence":"additional","affiliation":[{"name":"School of Oral and Dental Sciences, University of Bristol, Bristol, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Persson","sequence":"additional","affiliation":[{"name":"School of Oral and Dental Sciences, University of Bristol, Lower Maudlin Street, Bristol, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicky","family":"Kilpatrick","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute, Melbourne, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea E.","family":"Waylen","sequence":"additional","affiliation":[{"name":"School of Oral and Dental Sciences, University of Bristol, Bristol, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,1,1]]},"reference":[{"key":"bibr1-13.111","volume-title":"Teamstepps Strategies & Tools to Enhance Performance and Patient Safety.","author":"Agency for Healthcare Research and Quality and Department of Defense.","year":"2008"},{"key":"bibr2-13.111","doi-asserted-by":"publisher","DOI":"10.1080\/13561820601076867"},{"key":"bibr3-13.111","first-page":"1576","volume":"41","author":"Baker D.P.","year":"2006","journal-title":"Health Res Educ Trust."},{"key":"bibr4-13.111","first-page":"351","volume":"29","author":"Choi B.C.","year":"2006","journal-title":"Clin Invest Med."},{"key":"bibr5-13.111","doi-asserted-by":"publisher","DOI":"10.25011\/cim.v30i6.2950"},{"key":"bibr6-13.111","volume-title":"Cleft Lip and\/or Palate: Report of a CSAG Committee.","author":"Clinical Standards Advisory Group.","year":"1998"},{"key":"bibr7-13.111","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-9-160"},{"key":"bibr8-13.111","doi-asserted-by":"publisher","DOI":"10.1108\/14777260810876303"},{"key":"bibr9-13.111","volume-title":"Statistical Methods for Rates and Proportions.","author":"Fleiss 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