{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T07:57:07Z","timestamp":1784447827159,"version":"3.55.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2019,7,10]],"date-time":"2019-07-10T00:00:00Z","timestamp":1562716800000},"content-version":"vor","delay-in-days":677,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Background and Aim: A community-based rehabilitation programme, Sri Ramachandra University-Transforming Faces project, was initiated to provide comprehensive management of communication disorders in individuals with CLP in two districts in Tamil Nadu, India. This community-based programme aims to integrate hospital-based services with the community-based initiatives and to enable long-term care. The programme was initiated in Thiruvannamalai (2005) district and extended to Cuddalore (2011). The aim of this study was to identify needs related to speech among children with CLP, enroled in the above community-based programme in two districts in Tamil Nadu, India. Design: This was a cross\u2013sectional study. Participants and Setting: Ten camps were conducted specifically for speech assessments in two districts over a 12-month period. Two hundred and seventeen individuals (116 males and 101 females) &gt;3 years of age reported to the camps. Methods: Investigator (SLP) collected data using the speech protocol of the cleft and craniofacial centre. Descriptive analysis and profiling of speech samples were carried out and reported using universal protocol for reporting speech outcomes. Fleiss\u2019 Kappa test was used to estimate inter-rater reliability. Results: In this study, inter-rater reliability between three evaluators revealed good agreement for the parameters: resonance, articulatory errors and voice disorder. About 83.8% (n = 151\/180) of the participants demonstrated errors in articulation and 69% (n = 124\/180) exhibited abnormal resonance. Velopharyngeal port functioning assessment was completed for 55\/124 participants. Conclusion: This study allows us to capture a \u201csnapshot\u201d of children with CLP, living in a specific geographical location, and assist in planning intervention programmes.<\/jats:p>","DOI":"10.4103\/ijps.ijps_174_17","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T03:52:48Z","timestamp":1520481168000},"page":"295-301","source":"Crossref","is-referenced-by-count":7,"title":["Planning community-based intervention for speech for children with cleft lip and palate from rural South India: A needs assessment"],"prefix":"10.1055","volume":"50","author":[{"given":"Subramaniyan","family":"Balasubramaniyan","sequence":"additional","affiliation":[{"name":"Department of Speech, Language and Hearing Sciences and Sri Ramachandra Medical College and Research Institute (Deemed University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaidyanathan","family":"Raghunathan","sequence":"additional","affiliation":[{"name":"Department of Speech, Language and Hearing Sciences and Sri Ramachandra Medical College and Research Institute (Deemed University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Rajashekhar","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. W. C.","family":"Sathiyasekaran","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Sri Ramachandra Medical College and Research Institute (Deemed University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roopa","family":"Nagarajan","sequence":"additional","affiliation":[{"name":"Department of Speech, Language and Hearing Sciences and Sri Ramachandra Medical College and Research Institute (Deemed University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,7,10]]},"reference":[{"key":"key-10.4103\/0970-0358.226916-1","unstructured":"Raju SR. In Search of a Smile: Study of Children Born With Cleft Lips and Palates in India. An Unpublished Study by, Unit for Urban Studies, Tata Institute of Social Sciences, Mumbai, India. 2000."},{"key":"key-10.4103\/0970-0358.226916-2","first-page":"306","volume-title":"Use of a consensus building approach to plan speech services for children with cleft palate in India","author":"D'Antonio","year":"2003","journal-title":"Folia Phoniatr Logop"},{"key":"key-10.4103\/0970-0358.226916-3","first-page":"1182","volume-title":"Khon Kaen: A community-based speech therapy model for an area lacking in speech services for clefts","author":"Prathaneel","year":"2014","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"key-10.4103\/0970-0358.226916-4","unstructured":"WHO-SEARO. Compilation of Community-Based Rehabilitation Practices in the WHO South-East Asia Region. Who-Searo; 2013."},{"key":"key-10.4103\/0970-0358.226916-5","first-page":"45","volume-title":"Mobilizing rural workers in rehabilitation of the speech and hearing handicapped","author":"Rao","year":"1990","journal-title":"Indian J Disabil Rehabil"},{"key":"key-10.4103\/0970-0358.226916-6","first-page":"219","volume-title":"A methodology for the evaluation of severely disordered cleft palate speech","author":"Sell","year":"1994","journal-title":"Clin Linguist Phonetics"},{"key":"key-10.4103\/0970-0358.226916-7","unstructured":"George SA, Nagarajan R. Speech services for individuals with cleft lip and palate in a rural community: An assessment of neeeds. Unpublished Manuscript. Sri Ramachandra University; 2007."},{"key":"key-10.4103\/0970-0358.226916-8","unstructured":"Sampath P, Nagarajan R. Communication Profile of Individuals with Cleft Lip and Palate From Four Taluks of Thiruvannamalai. Unpublished Manuscript. Sri Ramachandra University; 2013."},{"key":"key-10.4103\/0970-0358.226916-9","unstructured":"Nagarajan R, Savitha VH, Navitha U. Development of Controlled Speech Stimuli Across Indian Languages, Sri Ramachandra University- Smile Train Speech Training Initiative (SRUSTI). Chennai; 2012."},{"key":"key-10.4103\/0970-0358.226916-10","first-page":"1","volume-title":"Universal parameters for reporting speech outcomes in individuals with cleft palate","author":"Henningsson","year":"2008","journal-title":"Cleft Palate Craniofac J"},{"key":"key-10.4103\/0970-0358.226916-11","first-page":"S120","volume-title":"A networking of community-based speech therapy: Borabue district, Maha Sarakham","author":"Pumnum","year":"2015","journal-title":"J Med Assoc Thai"},{"key":"key-10.4103\/0970-0358.226916-12","first-page":"78","volume-title":"Providing intervention services for communication deficits associated with cleft lip and\/or palate \u2013 A retrospective analysis","author":"Raman","year":"2004","journal-title":"Asia Pacific Disabil Rehabil J"},{"key":"key-10.4103\/0970-0358.226916-13","first-page":"S1","volume-title":"Community-based model for speech therapy in Thailand: Implementation","author":"Prathanee","year":"2010","journal-title":"J Med Assoc Thai"},{"key":"key-10.4103\/0970-0358.226916-14","first-page":"500","volume-title":"Development of community-based speech therapy model: For children with cleft lip\/palate in Northeast Thailand","author":"Prathanee","year":"2006","journal-title":"J Med Assoc Thai"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ijps.IJPS_174_17.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T03:51:44Z","timestamp":1567655504000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ijps.IJPS_174_17"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":14,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2019,7,10]]},"published-print":{"date-parts":[[2017,9]]}},"URL":"https:\/\/doi.org\/10.4103\/ijps.ijps_174_17","relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9]]}}}