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Assessing Appearance, Speech, and Hearing (dis)Satisfaction in Individuals with Cleft Lip and/or Palate: A Contribution to General Population Norms. | LitMetric

AI Article Synopsis

  • Individuals with cleft lip and/or palate (CL/P) often have facial differences and related challenges, making self-perceptions critical for psychosocial well-being, which the Cleft Hearing, Appearance and Speech Questionnaire (CHASQ) aims to measure.
  • * The study analyzed data from 761 UK school pupils aged 10-16 and found that younger and male participants generally rated their appearance more positively, with hair and eyes receiving the best ratings and teeth the worst.
  • * The results suggest that the CHASQ could be an effective tool for identifying appearance-related concerns and guiding clinical interventions for young people with and without CL/P, advocating for further validation in wider demographics.*

Article Abstract

Background: Individuals with cleft lip and/or palate (CL/P) may grow up with a visible facial difference, alongside speech and/or hearing challenges. Self-perceptions are stronger predictors of psychosocial adjustment than objective assessments, highlighting the importance of patient-reported outcome measures. Previously titled the Satisfaction with Appearance (SwA) questionnaire, the Cleft Hearing, Appearance and Speech Questionnaire (CHASQ) has been used in several countries to assess patient satisfaction, guide clinical decision-making, and conduct craniofacial research, but has lacked general population norms from which to draw comparisons. The aim of this study was to contribute to the development of norms by utilising existing data collected in the United Kingdom (UK) in 2004 using the original SwA.

Methods: SwA data collected from school pupils ( = 761) aged 10-16 years were analysed across age and gender.

Results: Hair, Eyes and Ears received the highest ratings, while Teeth received the lowest ratings. Those who were younger, and those who were male, generally rated their appearance more favourably. Thresholds are proposed to identify young people in need of clinical monitoring (10%) and intervention (5%).

Discussion: This study supports the potential of the CHASQ as a clinically useful outcome measure and research tool with the ability to identify appearance concerns in relation to specific facial features, as well as overall appearance satisfaction in young people with and without CL/P. Further validation of its use in the CL/P population and other patient groups, as well as countries outside the UK would add additional weight to the CHASQ's utility.

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Source
http://dx.doi.org/10.1177/10556656241241127DOI Listing

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