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Does Speech Improve after Delayed Palatal Closure in Filipino Adults? Effects of Combined Palatal Repair, Buccinator Flaps and Suspension Pharyngeal Flap
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Cassandra Alighieri; Andrew Hodges; Jolien Verbeke; Katrien Kestens; Kim Bettens; Rica Albite; Raphaelle May Tan; Kristiane Van Lierde – International Journal of Language & Communication Disorders, 2025
Background: Adults presenting with unrepaired cleft palate are not a rare occurrence in middle-income countries. However, many surgeons are hesitant to operate on these individuals because of the challenges in repairing the wide adult cleft palate, as well as concerns regarding any improvement in speech in older patients. Unfortunately, the…
Descriptors: Foreign Countries, Speech Impairments, Congenital Impairments, Surgery
Personalized, Performance-Specific Speech Intervention in Children with a Cleft Palate: A Systematic Review Protocol
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Cassandra Alighieri; Kim Bettens; Febe Vandewiele; Kristiane Van Lierde – International Journal of Language & Communication Disorders, 2025
Background: The provision of speech intervention in children requires personalized, child-tailored approaches. Different speech-intervention approaches exist to eliminate cleft-related speech errors in children with a cleft palate. However, it is unclear what approach works best for the subtypes of cleft-related speech errors. Aims: To describe a…
Descriptors: Individual Instruction, Performance Based Assessment, Speech Language Pathology, Allied Health Personnel
Do Adult Naïve Listeners Perceive Differences in Speech before and after Therapy for Cleft Palate Speech Disorders? A Reliability Study of Perceptual Speech Ratings
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Cassandra Alighieri; Silke Meerschaert; Kristiane Van Lierde – Journal of Speech, Language, and Hearing Research, 2024
Purpose: This study compared the interrater reliability of adult naïve listeners' perceptual assessments of different speech variables in children with a cleft palate with or without a cleft lip (CP ± L). In addition, the study investigated whether the listeners were able to perceive differences in these speech variables before and after speech…
Descriptors: Adults, Listening Skills, Speech Therapy, Congenital Impairments
Does Generalization Occur Following Speech Therapy? A Study in Children with a Cleft Palate
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Cassandra Alighieri; Camille De Coster; Kim Bettens; Valerie Pereira – Journal of Speech, Language, and Hearing Research, 2025
Purpose: This study compared the occurrence of different types of generalization (within-class, across-class, and total generalization) following motor-phonetic speech therapy and linguistic-phonological speech therapy in children with a cleft palate ± cleft lip (CP ± L). Method: Thirteen children with a CP ± L (M[subscript age] = 7.50 years) who…
Descriptors: Foreign Countries, Indo European Languages, Speech Impairments, Speech Therapy
Effectiveness and Cost-Effectiveness of High-Intensity versus Low-Intensity Speech Intervention in Children with a Cleft Palate: Protocol for a Randomized Controlled Trial
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Fien Allemeersch; Kristiane Van Lierde; Nick Verhaeghe; Kim Bettens; Tara Mouton; Greet Hens; Cassandra Alighieri – International Journal of Language & Communication Disorders, 2025
Background: In children with a cleft palate with or without a cleft lip (CP±L), some evidence exists for superior results of high-intensity speech intervention (HISI) compared with low-intensity speech intervention (LISI) on speech and health-related quality of life (HRQoL). However, the existing research often involves small sample sizes.…
Descriptors: Congenital Impairments, Speech Impairments, Speech Language Pathology, Allied Health Personnel
Protocol for a Qualitative Study on the Acceptability of High- and Low-Intensity Speech Intervention in Children with Cleft Palate: Perceptions of Children, Their Caregivers and Speech-Language Pathologists
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Tara Mouton; Kristiane Van Lierde; Nick Verhaeghe; Cassandra Alighieri; Fien Allemeersch; Ann Goeleven; Greet Hens; Kim Bettens – International Journal of Language & Communication Disorders, 2025
Background: Traditional low-intensity speech therapy in children with cleft palate with or without cleft lip (CP ± L), provided twice weekly for 30 min over months or even years, lacks solid scientific evidence and may lead to poor outcomes, treatment fatigue, and high costs. Different authors have proposed the implementation of high-intensity…
Descriptors: Speech Therapy, Intervention, Children, Congenital Impairments