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Adapt the Spanish translation of VPI Effects on Life Outcome (VELO) instrument into Ecuadorian Spanish; test the resulting instrument for reliability and validity. A cross-sectional, prospective design, set at a humanitarian mission within a community hospital. Linguistic validation native Ecuadorian-Spanish speakers modified the Spanish VELO to Ecuadorian Spanish. Cognitive interviews were conducted with children with cleft palate (CP) and their parents (n=5, guiding instrument modifications. An expert panel reviewed changes, resulti
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