Bristol Speech and Language Therapy Research Unit, North Bristol NHS Trust, Bristol, United Kingdom.
University of Bristol, Bristol, United Kingdom.
Cleft Palate Craniofac J. 2021 Sep;58(9):1178-1189. doi: 10.1177/1055665620985747. Epub 2021 Feb 3.
To provide comparison data on the Intelligibility in Context Scale (ICS) for a sample of 3-year-old English-speaking children born with any cleft type.
Questionnaire data from the Cleft Collective Cohort Study were used. Descriptive and inferential statistics were carried out to determine difference according to children's cleft type and syndromic status.
A total of 412 children born with cleft lip and/or palate whose mothers had completed the ICS when their child was 3 years old.
MAIN OUTCOME MEASURE(S): Mothers' rating of their children's intelligibility using the ICS.
The average ICS score for the total sample was 3.75 ( intelligible; standard deviation [SD] = 0.76, 95% CIs = 3.68-3.83) of a possible score of 5 ( intelligible). Children's speech was reported to be most intelligible to their mothers (mean = 4.33, SD = 0.61, 95% CIs = 4.27-4.39) and least intelligible to strangers (mean = 3.36, SD = 1.00, 95% CIs = 3.26-3.45). There was strong evidence ( < .001) for a difference in intelligibility between children with cleft lip only (n = 104, mean = 4.13, SD = 0.62, 95% CIs = 4.01-4.25) and children with any form of cleft palate (n = 308, mean = 3.63, SD = 0.76, 95% CIs = 3.52-3.71). Children born with cleft palate with or without cleft lip and an identified syndrome were rated as less intelligible (n = 63, mean = 3.28, SD = 0.85, 95% CIs = 3.06-3.49) compared to children who did not have a syndrome (n = 245, mean = 3.72, SD = 0.71, 95% CIs = 3.63-3.81).
These results provide preliminary comparative data for clinical services using the outcome measures recommended by the International Consortium for Health Outcomes Measurement.
为一组患有各种类型腭裂的 3 岁英语母语儿童提供语境可懂度量表（ICS）的比较数据。
使用来自腭裂队列研究的问卷数据。采用描述性和推论统计方法，根据儿童的腭裂类型和综合征状况确定差异。
共有 412 名患有唇裂和/或腭裂的儿童，其母亲在孩子 3 岁时完成了 ICS。
母亲使用 ICS 对其子女清晰度的评价。
总样本的平均 ICS 得分为 3.75（可理解；标准差[SD] = 0.76，95%置信区间[CI] = 3.68-3.83），得分为 5（可理解）。母亲报告说，孩子的语言对母亲来说最容易理解（平均值= 4.33，SD = 0.61，95%CI = 4.27-4.39），对陌生人来说最难理解（平均值= 3.36，SD = 1.00，95%CI = 3.26-3.45）。有充分证据（<0.001）表明，只有唇裂的儿童（n = 104，平均值= 4.13，SD = 0.62，95%CI = 4.01-4.25）和有任何形式腭裂的儿童（n = 308，平均值= 3.63，SD = 0.76，95%CI = 3.52-3.71）之间的可懂度存在差异。患有唇腭裂伴或不伴综合征的腭裂儿童（n = 63，平均值= 3.28，SD = 0.85，95%CI = 3.06-3.49）的清晰度评分低于没有综合征的儿童（n = 245，平均值= 3.72，SD = 0.71，95%CI = 3.63-3.81）。
这些结果为使用国际健康结果测量联合会推荐的结果测量指标的临床服务提供了初步的比较数据。
