Changes in Phonological Awareness Following Combined Phonetic–Phonological Intervention in Children With Cleft Palate

Children with a greater number of nonoral compensatory errors exhibited poorer PA, highlighting the interconnectedness of speech output and phonological processing. The combined phonetic-phonological group demonstrated more improved levels of PA and maintained improvement over time. This supports the integration of phonological training in speech therapy for children with CP ± L and suggests that a holistic therapy targeting both articulatory and cognitive-linguistic domains might be appropriate for some clients.