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Lian Arzbecker
Postdoctoral Researcher

Curriculum vitae


lian (at) arzbecker (dot) com


Department of Speech, Language, and Hearing Sciences | University of Arizona



Online information available to caregivers on introducing solid foods to infants with cleft palate: A DISCERN-based cross-sectional analysis


Journal article


Evy I. Loomis-Goltl, Lian Arzbecker, Jessica L. Chee-Williams, Katelyn J. Kotlarek
The Cleft Palate Craniofacial Journal, 2026

DOI
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APA   Click to copy
Loomis-Goltl, E. I., Arzbecker, L., Chee-Williams, J. L., & Kotlarek, K. J. (2026). Online information available to caregivers on introducing solid foods to infants with cleft palate: A DISCERN-based cross-sectional analysis. The Cleft Palate Craniofacial Journal.


Chicago/Turabian   Click to copy
Loomis-Goltl, Evy I., Lian Arzbecker, Jessica L. Chee-Williams, and Katelyn J. Kotlarek. “Online Information Available to Caregivers on Introducing Solid Foods to Infants with Cleft Palate: A DISCERN-Based Cross-Sectional Analysis.” The Cleft Palate Craniofacial Journal (2026).


MLA   Click to copy
Loomis-Goltl, Evy I., et al. “Online Information Available to Caregivers on Introducing Solid Foods to Infants with Cleft Palate: A DISCERN-Based Cross-Sectional Analysis.” The Cleft Palate Craniofacial Journal, 2026.


BibTeX   Click to copy

@article{evy2026a,
  title = {Online information available to caregivers on introducing solid foods to infants with cleft palate: A DISCERN-based cross-sectional analysis},
  year = {2026},
  journal = {The Cleft Palate Craniofacial Journal},
  author = {Loomis-Goltl, Evy I. and Arzbecker, Lian and Chee-Williams, Jessica L. and Kotlarek, Katelyn J.}
}

Abstract

Objective: To evaluate the availability, content, and quality of written online information regarding the introduction of solid food to infants with cleft palate.

Design: Cross-sectional analysis of publicly accessible internet sources.

Setting: Google search engine using standardized search terms.

Main Outcome Measures: Content characteristics including recommended age of solid food introduction, feeding strategies, and clinical guidance. Quality was assessed using the DISCERN instrument.

Results: Of 56 unique sources identified, 30 met inclusion criteria. Hospital/health system resources were the most common source type (40.0%), and four sources (13.3%) cited peer-reviewed literature. Recommendations for timing of solid food introduction varied, although most sources recommended introduction at approximately 6 months (60.0%). Most sources guided nasal regurgitation (83.3%), food textures and progression (83.3%), and feeding strategies or adaptations (56.7%). The mean DISCERN score was 58.5 (SD = 23.7; median = 71; range = 16–80), with substantial variability in quality across sources.

Conclusions: Online information regarding solid food introduction for infants with cleft palate is variable and often lacks evidence-based guidance. Improved dissemination of standardized recommendations is needed to support caregivers and optimize feeding outcomes in this population.



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