The effectiveness of psychosocial intervention for individuals with cleft lip and/or palate

Stock, Nicola; Norman, Alyson; Persson, Martin; Stock, Nicola Marie; Rumsey, Nichola; Sandy, Jonathan; Waylen, Andrea; Edwards, Zoe; Hammond, Vanessa; Partridge, Lucy; Ness, Andy

Abstract

© Copyright 2015 American Cleft Palate-Craniofacial Association. Objective: The aim of this review was to assess the effectiveness of different psychological interventions for children and adults with cleft lip and/or palate and their parents. Design: We searched six databases including MEDLINE and EMBASE to June 2013 and checked bibliographies. We included research that evaluated any psychological intervention in studies in which at least 90% of the participants had cleft lip and/or palate or were parents of those with cleft lip and/or palate. Studies containing less than 90% were excluded unless they reported results separately for those with cleft lip and/or palate, or raw data were available upon request from the authors. Inclusion assessment, data extraction, and risk of bias assessment were carried out independently by two reviewers. Results: Seven studies were identified as inclusions, with only two studies being included in the full data analysis (one of which failed to meet the full inclusion criteria). The five remaining studies were included only in a narrative synthesis because data were available for people or parents of those with cleft lip and/or palate only. This highlights a distinct dearth of research into psychological intervention within the field of cleft lip and/or palate. Conclusions: The review found no evidence to support any specific intervention. Key uncertainties need to be identified and addressed. Adequately powered, methodologically rigorous randomized controlled trials are needed to provide a secure evidence base for psychological intervention techniques in participants with cleft lip and/or palate and their parents.

• Journal Article Type: Article
• Publication Date: Jan 1, 2015
• Deposit Date: Sep 26, 2014
• Publicly Available Date: Mar 28, 2018
• Journal: Cleft Palate-Craniofacial Journal
• Print ISSN: 1055-6656
• Electronic ISSN: 1545-1569
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 52
• Issue: 3
• Pages: 301-310
• DOI: https://doi.org/10.1597/13-276
• Keywords: cleft palate, psychological intervention, systematic review, visible difference
• Public URL: https://uwe-repository.worktribe.com/output/835262
• Publisher URL: http://dx.doi.org/10.1597/13-276
• Additional Information: Additional Information : © 2015. Reprinted by permission of SAGE Publications
• Contract Date: Jul 20, 2017