Early communication behaviors in infants with cleft palate with and without Robin Sequence (RS): a preliminary study

Stephanie Van Eeden, Yvonne E Wren, Christina McKean, Helen Stringer

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Objective: To investigate early communication behaviors in infants with non-syndromic isolated cleft palate (iCP) and Robin Sequence (RS).

Design: Group comparison using parent report.

Participants: There were 106 participants included in this study. Two groups were selected from the UK Cleft Collective resource. Parents had completed the LENA Developmental Snapshot questionnaire when their child turned 13-months. There were 78 in the iCP group and 28 in the RS group.

Main Outcome Measure(s): Total number of communication behaviors reported on the questionnaire. Subdomains for expressive and receptive language and social communication behaviors were also analysed.

Results: There were no statistically significant group differences. Parents of infants with RS reported fewer later communication behaviors compared to the iCP group. Infants in both groups had fewer communication behaviors compared to the normative sample. Across the whole sample, post-hoc analysis revealed a significant correlation between severity of the cleft and social communication behaviors and expressive but not receptive language. Infants with a cleft of the hard and soft palate were more likely to be in the RS group (OR 7.04 (95%CI 1.55-32.04); p=.01)

Conclusions: Both groups reported similar levels of early communication. Some divergence of more complex language skills was seen, although no significant group differences. A relationship with the diagnosis of a cleft of the hard or soft palate was found with expressive language behaviors. Further study into the impact of cleft severity on early speech development and the relationship with later language skills is needed along with longitudinal follow-up of this population.
Original languageEnglish
JournalCleft Palate-Craniofacial Journal
Publication statusAccepted/In press - 21 Jun 2021

Keywords

  • Robin Sequence
  • Cleft palate
  • Communication
  • Language
  • Speech
  • Infant
  • Cleft Collective

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