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Design: A qualitative approach used four interviews and four focus groups with cleft team clinicians, with inductive thematic analysis to extract themes. Participants: Twelve clinicians from four Health New Zealand cleft services. Results highlight autonomy at age 16, care setting changes, psychosocial unmet needs, and adult return challenges. Conclusions recommend expanding ongoing cleft care and incorporating patient voice.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cleft-team-clinicians-perspectives-on-the-process-of-patient-transition-from-childhood-to-adulthood-in-new-zealand/409027/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cleft-team-clinicians-perspectives-on-the-process-of-patient-transition-from-childhood-to-adulthood-in-new-zealand/409027.png","ImageObject",300,407,{"name":92,"@type":93},"Lucas Martin","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the purpose of the study on cleft care transition in New Zealand?","Question",{"text":113,"@type":114},"The study aimed to understand cleft team clinicians’ experiences of supporting patients transitioning from pediatric to adult cleft care services in New Zealand.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was the qualitative data collected and analyzed?",{"text":118,"@type":114},"The study conducted four interviews and four focus groups with cleft team clinicians, with inductive thematic analysis used to identify themes.",{"name":120,"@type":111,"acceptedAnswer":121},"What key changes occur at age 16 according to the clinicians’ reports?",{"text":122,"@type":114},"Clinicians noted increased treatment-decision autonomy, inpatient stays within general plastic surgery wards, and changes in life experiences outside the hospital.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},409027,1790638689,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Original article  \nCleft Team Clinicians’ Perspectiveson the Process of Patient Transition from Childhood to Adulthood in New Zealand  \nMaia Rose Entwistle, BSLP (Hons) 1  , Phoebe Macrae, BSLT (Hons), PhD 1, and Kenny Ardouin, BSLP (Hons), MSc 1   \nThe Cleft Palate Craniofacial Journal 2026, Vol. 63(2) 236‐244  \n© 2024, American Cleft Palate Craniofacial Association  \nArticle reuse guidelines: [sagepub.com/journals-permissions](sagepub.com/journals-permissions)[ ](sagepub.com/journals-permissions)[DOI: 10.1177/10556656241299910](DOI: 10.1177/10556656241299910)[ ](DOI: 10.1177/10556656241299910)[journals.sagepub.com/home/cpc](journals.sagepub.com/home/cpc)  \nAbstract  \nObjective: This study sought to understand cleft team clinician experiences of transitioning patients from pediatric to adult cleft care services in New Zealand.  \nDesign: The qualitative study conducted 4 interviews and 4 focus groups with Cleft Team clinicians either in person or over Zoom. Data were analyzed using inductive thematic analysis to identify themes.  \nParticipants: Twelve Cleft Team clinicians from 4 Health New Zealand cleft services.  \nResults: Patients are treated by the same clinicians both before and after transition, however, changes at age 16 include gaining treatment decision-making autonomy, inpatient stays within general plastic surgery wards, and evolving life experiences outside of the hospital. Clinicians reported unmet psychosocial needs of patients and their families, and difficulties experienced by patients returning to cleft services as adults. The development of peer support networks between adolescents and young adults who have experiences of cleft care is also recommended.  \nConclusions: Ongoing cleft care provision and expansion of services are recommended. Furthermore, future studies to understand patients’ perspectives of transition are paramount, and incorporating patient voice into any proposed interventions is essential. Potential supports for families of patients with a cleft should also be further investigated, and the application of international standards would promote increased consistency and collaboration between the practice of Cleft Team clinicians around the world.  \nKeywords  \ntransition of care, quality of life, team care, psychosocial adjustment, speech therapy  \nIntroduction  \nIn most services within the New Zealand healthcare system, including cleft care, patients transition from pediatric to adult services at the age of 16.1 Several processes and recommendations are documented within the literature to facilitate patients’transition from pediatric to adult cleft care at the age of 16 years old (transition) .2–9 These recommendations include assessing the concerns of patients and their families and counseling them, and supporting patients to engage in their treatment decision-making and take responsibility for their health.10 In 2023, the Cleft Lip and Palate Association provided up-to-date protocols within the United Kingdom, including providing support networks to families, and clinical psychology services for patients of all ages.11 The United States 12 and Australia13 employ similar protocols which address the holistic well-being  \nof patients and their families throughout this time. However, some countries are yet to establish formal cleft care pathways that address transition to adulthood for patients.14  \nAs is the case in many jurisdictions, under New Zealand law, when patients turn 16, they gain autonomy over their treatment decision-making.15 Within cleft care, it is around this age that people with cleft often develop increasingly negative  \n1 School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand  \nCorresponding Author:  \nKenny Ardouin, School of Psychology, Speech and Hearing, University of Canterbury, 20 Kirkwood Avenue, Upper Riccarton, Christchurch 8041, New Zealand.  \nEmail: [kenny.ardouin@pg.canterbury.ac.nz](kenny.ardouin@pg.canterbury.ac.nz)  \npercepti","cbCaigzUL192EfKJ","https://ap.wps.com/l/cbCaigzUL192EfKJ","pdf",414266,"English","# Abstract\n## Objective\n## Design\n## Participants\n## Results\n## Conclusions\n# Introduction\n# Methods","[{\"question\":\"What was the purpose of the study on cleft care transition in New Zealand?\",\"answer\":\"The study aimed to understand cleft team clinicians’ experiences of supporting patients transitioning from pediatric to adult cleft care services in New Zealand.\"},{\"question\":\"How was the qualitative data collected and analyzed?\",\"answer\":\"The study conducted four interviews and four focus groups with cleft team clinicians, with inductive thematic analysis used to identify themes.\"},{\"question\":\"What key changes occur at age 16 according to the clinicians’ reports?\",\"answer\":\"Clinicians noted increased treatment-decision autonomy, inpatient stays within general plastic surgery wards, and changes in life experiences outside the hospital.\"}]","Cleft Team Clinicians’ Perspectives on the Process of Patient Transition from Childhood to Adulthood in New Zealand | PDF",1790581156,23]