Outcomes of Quality of Life-promoting Activity for Patients with Cleft Lip and Palate in Tawanchai Center, Northeastern Thailand
Keywords:
quality of life-promoting activity, patient with cleft lip - cleft palate, Tawanchai Center, northeastern ThailandAbstract
Background and Objective: Enhancing the quality of life of patients with cleft is essential. The study aims to evaluate the outcomes of the life-promoting activity. The findings will serve as a foundation for developing more suitable and effective activities for this specific group
Methods: This is a retrospective descriptive study, utilizing data from general information assessments and the World Health Organization Quality of Life Brief Questionnaire (WHOQOL-BREF), collected before and after participation in the quality of life promotion activities. The target group included cleft lip and palate patients aged 10–18 years. A total of 32 participants were selected through purposive sampling. Descriptive statistic, including percentages, means, and standard deviations, were used for data analysis. The paired t-test and Wilcoxon signed-rank test were employed to compare pre- and post-activity.
Results: Most participants were female (18 individuals, 56.25%), while 19 individuals (59.37%) had unilateral cleft lip-palate. 29 individuals (90.63%) were currently enrolled in school. Comparing pre- and post-activity quality of life scores revealed that scores remained at a moderate level both before and after the activity in term of health. For psychological domain, scores improved from a moderate level before participation to a good level afterward. Social and environmental domains scores were at a good level both before and after the activity. However, there were not statistically significant differences in any of the four domains
Conclusion: Although no statistically significant differences were found in quality of life scores before and after the activities, the program provides baseline data that can guide future adjustments to make such programs more effective for these patient.
References
Fuangtharnthip P, Chonnapasatid W, Thiradilok S, Manopatanakul S, Jaruratanasirikul S. Registry-based study of prevalence of cleft lip/palate in Thailand from 2012 to 2015. Cleft Palate Craniofac J 2021;58(11):1430-7. doi:10.1177/1055665620986161.
American Cleft Palate-Craniofacial Association Commission on Approval of Teams. Standards for approval of cleft palate and craniofacial teams. Chapel Hill, NC: American Cleft Palate-Craniofacial Association; 2010.
World Health Organization. Global strategies to reduce the health-care burden of craniofacial anomalies. International Collaborative Research on Craniofacial Anomalies; 2001 May 24-26; Utah, USA and 2000 Nov 5-8; Geneva, Switzerland. France: World Health Organization; 2002.
Ha S, Jung S, Moon H, Koh K. Speech outcomes of children with cleft palate following primary palatal surgery: A retrospective study. Commun Sci Disord 2014;19(3):391-401.
Singkhornard J, Unprai P, Chonprai C, Samretdee H, Patjanasoontorn N. Intelligence and learning disabilities measurement of children with cleft lips and palates age 6 to 12 years. J Med Assoc Thai 2017;100(Suppl 6):160-4.
Richman LC. Self-reported social, speech, and facial concerns and personality adjustment of adolescents with cleft lip and palate. Cleft Palate J 1983;20(2):108–12.
Klassen AF, Tsangaris E, Forrest CR, Wong KWY, Pusic AL, Cano SJ, et al. Quality of life of children treated for cleft lip and/or palate: a systematic review. J Plast Reconstr Aesthet Surg 2012;65(5):547–57.
Tawanchai Cleft Center. Background of Tawanchai Cleft Center [Internet]. 2021 [cited Jul 15, 2024]. Available from: https://kkucleft.kku.ac.th/?page_id=971.
Paggasung Y, Pradubwong S, Piyakulmala C, Choosuk P, Mungmanitmongkhol N, Chowchuen P, et al. Outcomes of the quality of life-promoting activities of adolescents with cleft lip and palate in Khon Kaen province. Srinagarind Med J 2023;38(5):515-22.
Samretdee H, Singkhornard J, Rod-Ong D, Maneeganondh S, Theeyoung A, Patjanasoontorn N. Self-esteem of patients with cleft-lip cleft-palate attending the self-esteem enhancement program camp activities. J Med Assoc Thai 2018;101(Suppl 5):59-63.
World Health Organization. WHOQOL: measuring quality of life [Internet]. 2012 [cited July 12, 2024]. Available from: https://www.who.int/tools/whoqol.
Chowchuen B, Thanaviratananich S, Chichareon V, Kamolnate A, Uewichitrapochana C, Godfrey K. A Multisite study of oral clefts and associated abnormalities in Thailand: the epidemiologic data. Plast Reconstr Surg Glob Open 2015;3:e583. doi: 10.1097/GOX.0000000000000552.
Lammers J, Stoker JI, Jordan J, Pollmann M, Stapel DA. Power increases infidelity among men and women. Psychol Sci 2011;22(9):1191-7. doi:10.1177/0956797611416252.
Peterson-Falzone SJ, Hardin-Jones MA, Karnell MP. Cleft Palate Speech. 4th ed. London: Mosby; 2010.
Pradubwong S, Yimneum A, Paggasang Y, Surakunprapha P, Jenwitheesuk K, Chowchuen B. Outcomes of the quality of life-promoting activities for children with cleft lip and palate in Northeastern Thailand. Journal of Nursing Division 2025;52(1):68–78.
Baumeister RF, Vohs KD. Misguided Effort with Elusive Implications. Perspect Psychol Sci 2016;11(4):574-5. doi:10.1177/1745691616652878.
Rothman AJ, Baldwin AS, Hertel AW, Fuglestad PT. Self-regulation and behavior change: Disentangling behavioral initiation and behavioral maintenance. In: Vohs KD, Baumeister RF, editors. Handbook of self-regulation: Research, theory, and applications. 2nd ed. New York: The Guilford Press; 2011:106-22.
Stock NM, Feragen KB. Psychological adjustment to cleft lip and/or palate: A narrative review of the literature. Psychol Health 2016;31(7):777-813. doi:10.1080/08870446.2016.1143944.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Srinagarind Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
