Masarei 2007.
| Methods | Single‐centre RCT conducted across North Thames Regional Cleft Centre's two sites. 6 month intervention, 12 month follow‐up. Conducted in UK. | |
| Participants | 50 babies, 34 with unilateral cleft lip and palate (UCLP) and 16 with isolated cleft palate (ICP). Those requiring cardiac surgery or with neurological impairment and/or syndrome known to adversely affect feeding were excluded. One baby withdrawn from study due to medical complications. Gestational age: Gp1, UCLP = 39.75 weeks, ICP = 39.21 weeks. Gp2, UCLP = 39.61 weeks, ICP = 40.29 weeks. Gender (m/f): GP1 = 16 male, 9 female, Gp2 = 14 male, 10 female. UCLP: Gp1 = 17, Gp2 = 16. ICP: Gp1 = 8, Gp2 = 8. | |
| Interventions | Gp1. Presurgical Orthopedics (PSO) or maxillary plate (presurgical) (n = 25). Gp2. No PSO (presurgical) (n = 24). All Cleft palates were repaired when child was 6 months old. | |
| Outcomes | Weight (kg) recorded at birth, 3‐months and 12‐months of age. Height (cm) recorded at 3‐months and 12‐months of age. Head circumference (cm) recorded at 3‐months and 12‐months of age. | |
| Notes | Funded Action Research. | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Adequate sequence generation? | Low risk | Computer sequence generation using MINIM. |
| Allocation concealment? | Low risk | Allocation handled using automated computer generation. |
| Blinding? All outcomes | High risk | Speech and language therapists were blinded for sucking reflexes. Height and weight measures taken by study researcher. |
| Incomplete outcome data addressed? All outcomes | Unclear risk | 3‐month data ‐ adequate. 12‐month data contains drop outs not reported. |
| Free of selective reporting? | Unclear risk | 6‐month pre‐surgery data not presented. |
| Free of other bias? | Unclear risk | The maxillary plate group received more visits and checks during study than control group. Compliance with using the plate is unclear. |