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Grant proposal: education outcomes in children with nonsyndromic orofacial clefts undergoing various therapies for speech problems in western Pennslyvania

Shah, Gaurav (2015) Grant proposal: education outcomes in children with nonsyndromic orofacial clefts undergoing various therapies for speech problems in western Pennslyvania. Master Essay, University of Pittsburgh.

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Abstract

The purpose of this grant proposal is to evaluate education outcomes in children with nonsyndromic orofacial clefts who have undergone medical therapies to assist in problems with speech. The public health implications for orofacial clefts include its prevalence as well as the exorbitant costs of medical interventions without a consensus of treatment outcomes. The Centers for Disease Control and Prevention estimate that each year approximately 7000 children are born in the United Stated with orofacial clefts. With respect to healthcare expenditures, multiple reports have shown intervention costs in children with orofacial clefts are five to six times higher than those who are unaffected by orofacial clefts. Early goals of care for this population include improving speech function. Speech problems have been categorized as trouble with speech sound development, velopharyngeal dysfunction, and hearing loss. Therapies include speech therapy and medical interventions such insertion of ventilation grommets in the middle ear and the use of continuous positive airway pressure. Studies have shown speech delay in children with orofacial clefts. However, outcomes have focused on results such as test scores and grade point average (academic performance). This proposal looks to evaluate education outcomes that include not only academic performance but also classroom participation and peer to peer interaction. Other studies that consider all speech disorders have used the child’s education plan under the IEP at their school to evaluate education outcomes. This study will evaluate education performance through a similar method. An abstraction form will be used to collect information from social work notes on education plans and medical chart review to see if there is a correlation between various treatments and improved education outcomes. If improvements are seen as it relates to speech function and education outcomes, then a protocol can be developed from which children with orofacial clefts can enroll in to better help meet their needs and achieve success in education.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Shah, Gauravgas31@pitt.eduGAS31
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFinegold, David N.dnf@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberTerry, Martha Annmaterry@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: 25 March 2015
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 05 Nov 2015 14:31
Last Modified: 06 Sep 2017 06:55
URI: http://d-scholarship.pitt.edu/id/eprint/24183

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