J Med Assoc Thai 2018; 101 (5):89

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Evaluation of the Comprehensive Care Program for Patients with Cleft Lip-Palate and Craniofacial Deformities
Pradubwong S Mail, Suritv P , Chowchuen B

Objective: To evaluate the program: the comprehensive care for patients with cleft lip-palate [CLP] and craniofacial deformities [CFD] treatment program at Tawanchai Center, Srinagarind Hospital.
Materials and Methods: This is the descriptive study by used CIPP model as the essential principle. The evaluation was based on the program’s context, input, process, and product. The subjects of evaluation were documents, participants, and the program committee. The tools were a questionnaire and an evaluation form. Means and standard deviations were utilized in the data analysis.
Results: There were 144 patients participated in the program with the majority being male (99, 68.75%). The most presented condition was RCLP (56, 38.88%). The evaluation results of the program’s context, factors of input, process, and product showed that overall, all four aspects had a high level of suitability (x + SD = 4.22+0.64; x + SD = 4.14+0.36; x + SD = 3.93+0.71 and x + SD = 4.45+0.66 respectively). Satisfaction was expressed in their outcome of the following aspects: quality of life, image, speech and communications, teeth alignments and occlusion, obtaining the pre-surgery information, and the treatment protocol (x + SD = 4.22 + 0.78; x + SD = 4.00+0.66; x + SD = 4.11+0.73; x + SD = 3.55+0.83; x + SD = 4.22 + 0.62; x + SD = 4.44+0.49,
respectively). The clinical outcomes revealed that there were cheiloplasty in 3 to 6 months old, palatoplasty in 10 to 18 months old; in obtaining the pre-surgery information and follow-up with multidisciplinary team they showed 94.95, 96.96, 84, and 92.31%, respectively.
Conclusion: The evaluation of this program responded to the objective of the program in the comprehensive care covering five aspects. It concretely benefited for the patients and families, therefore it should be continued to cover all age ranges and extended to the other specific care centers.

Keywords: Project evaluation, CIPP model, The comprehensive care for patients with cleft lip-palate and craniofacial deformities
program, Tawanchai center, Srinagarind Hospital


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