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A Cross-Sectional Cohort Study of Speech in Five-Year-Olds with Cleft Palate ± Lip to Support Development of National Audit Standards: Benchmarking Speech Standards in the United Kingdom

The Cleft palate-craniofacial journal, 2014-07, Vol.51 (4), p.431-451 [Peer Reviewed Journal]

2014 American Cleft Palate-Craniofacial Association ;Copyright Allen Press Publishing Services Jul 2014 ;ISSN: 1055-6656 ;EISSN: 1545-1569 ;DOI: 10.1597/13-121 ;PMID: 24635034 ;CODEN: CPJOEG

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  • Title:
    A Cross-Sectional Cohort Study of Speech in Five-Year-Olds with Cleft Palate ± Lip to Support Development of National Audit Standards: Benchmarking Speech Standards in the United Kingdom
  • Author: Britton, Lorraine ; Albery, Liz ; Bowden, Melanie ; Harding-Bell, Anne ; Phippen, Ginette ; Sell, Debbie
  • Subjects: Audits ; Benchmarking ; Birth defects ; Child, Preschool ; Children & youth ; Cleft Lip - physiopathology ; Cleft Palate - physiopathology ; Cross-Sectional Studies ; Deformities ; Dentistry ; Female ; Humans ; Male ; Prospective Studies ; Speech ; Speech Disorders - physiopathology ; Speech Disorders - therapy ; Studies ; United Kingdom
  • Is Part Of: The Cleft palate-craniofacial journal, 2014-07, Vol.51 (4), p.431-451
  • Description: Objective To develop national standards for speech outcomes and processes of care for children with cleft palate ± lip and to test the standards using national data. Design, Setting, and Participants In this large, multicenter, prospective cohort study, speech recordings of 1110 five-year-olds with cleft palate involvement (born 2001 to 2003) were collected by 12 cleft centers in Great Britain and Ireland. Recordings were analyzed by consensus by specialist speech and language therapists using the Cleft Audit Protocol for Speech-Augmented. Results were benchmarked against evidence-based process and speech outcome standards and statistical analysis undertaken. Results From the 1110 children audited, 48% (530) had speech within the normal range. This was not significantly different from the agreed standard of 50% (P = .20, CI = 45–50%). Sixty-six percent (734) had speech with no evidence of structurally related speech problems or history of speech-related secondary surgery. This was significantly below the standard of 70% (P =.007, CI = 62–69%). Sixty percent (666) had no serious cleft-related articulation errors. This was significantly better than the agreed standard of 50% (P < .001, CI = 67–73%). More than 80% of 2-year-olds received a specialist speech and language assessment against a benchmark of 100%. Conclusions Developing standards has facilitated more meaningful reporting of speech outcomes and treatment processes. Evidence-based standards were defined and extensively tested, enabling centers to compare their performance with national trends. One 5-year outcome standard was achievable; the other two standards will require modification through the mandatory annual national audit program.
  • Publisher: Los Angeles, CA: SAGE Publications
  • Language: English
  • Identifier: ISSN: 1055-6656
    EISSN: 1545-1569
    DOI: 10.1597/13-121
    PMID: 24635034
    CODEN: CPJOEG
  • Source: ProQuest One Psychology
    MEDLINE
    ProQuest Central
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