Critical Review of Online Resources Frequently Used by Certified Speech-Language Pathologists for Dysphagia Management

Hazelwood, R. Jordan; Pollack, Leanna M.

doi:10.1044/2021_persp-21-00106

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…A 20-item survey containing a combination of quantitative and qualitative questions was established to gather interdisciplinary clinician feedback on the website's usability and accessibility and to solicit suggestions for improvement. Survey questions and design were informed by a review of literature on evaluation of health care resources and education websites and content [15][16][17][18][19][20]. The survey was implemented on the Survey Monkey (Momentive Global Inc) platform and disseminated in the same email as the website launch announcement as well as during the national webinar.…”

Section: Step 5: Finalize Resource Selectionmentioning

confidence: 99%

Development and Evaluation of a Clinician-Vetted Dementia Caregiver Resources Website: Mixed Methods Approach

McLaren,

Hoang-Gia,

Dorisca

et al. 2024

JMIR Form Res

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Background About 11 million Americans are caregivers for the 6.7 million Americans currently living with dementia. They provide over 18 billion hours of unpaid care per year, yet most have no formal dementia education or support. It is extremely difficult for clinicians to keep up with the demand for caregiver education, especially as dementia is neurodegenerative in nature, requiring different information at different stages of the disease process. In this digital age, caregivers often seek dementia information on the internet, but clinicians lack a single, reliable compendium of expert-approved digital resources to provide to dementia caregivers. Objective Our aim was to create a dementia caregiver resources website to serve as a hub for user-friendly, high-quality, and expert-reviewed dementia educational resources that clinicians can easily supply to family caregivers of people with dementia. Methods An interdisciplinary website development team (representing dementia experts from occupational therapy, nursing, social work, geriatrics, and neurology) went through 6 iterative steps of website development to ensure resource selection quality and eligibility rigor. Steps included (1) resource collection, (2) creation of eligibility criteria, (3) resource organization by topic, (4) additional content identification, (5) finalize resource selection, and (6) website testing and launch. Website visits were tracked, and a 20-item survey about website usability and utility was sent to Veterans Affairs tele-geriatrics interdisciplinary specialty care groups. Results Following website development, the dementia caregiver resource website was launched in February 2022. Over the first 9 months, the site averaged 1100 visits per month. The 3 subcategories with the highest number of visits were “general dementia information,” “activities of daily living,” and “self-care and support.” Most (44/45, 98%) respondents agreed or strongly agreed that the website was easy to navigate, and all respondents agreed or strongly agreed that the resources were useful. Conclusions The iterative process of creating the dementia caregiver resources website included continuous identification, categorization, and prioritization of resources, followed by clinician feedback on website usability, accessibility, and suggestions for improvement. The website received thousands of visits and positive clinician reviews in its first 9 months. Results demonstrate that an expert-vetted, nationally, and remotely available resource website allows for easy access to dementia education for clinicians to provide for their patients and caregivers. This process of website development can serve as a model for other clinical subspecialty groups seeking to create a comprehensive educational resource for populations who lack easy access to specialty care.

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Section: Step 5: Finalize Resource Selectionmentioning

confidence: 99%

Development and Evaluation of a Clinician-Vetted Dementia Caregiver Resources Website: Mixed Methods Approach

McLaren,

Hoang-Gia,

Dorisca

et al. 2024

JMIR Form Res

View full text Add to dashboard Cite

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“…This may indicate discrepancies in the quality of information and bias within the information they are adopting in their clinical approaches. Hazelwood and Pollack (2021) found that in review of online resources clinicians use in dysphagia management, there is a questionable level of reliability in the information available. They subsequently suggest that professional training for critically reviewing online information is needed.…”

Section: Continuing Education and Evidence Base Consumption Influence...mentioning

confidence: 99%

Clinical practice patterns of speech‐language pathologists for screening and identifying dysphagia

Dumican

Thijs

Harper

2023

Intl J Lang & Comm Disor

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PurposeTo identify how speech‐language pathologists (SLPs) in the United States are screening for and identifying dysphagia. To do this, we examined the approaches most often used to screen for dysphagia and the influence of contextual factors such as setting, continuing education and means of staying up to date with the most current literature on screening approaches.MethodA web‐based survey composed of 32 questions was developed and field tested for content, relevance and workflow. The survey was distributed online, via social media, online SLP forums and through the American Speech‐Language‐Hearing Association's Special Interest Group 13 (swallowing disorders). One hundred and thirty‐seven clinicians from the United States completed the survey and were included for analysis using descriptive statistics and linear regression modelling to assess associations of continuing education and years practicing with screening protocols and consumption of evidence.ResultsRespondents worked in a variety of settings, including acute care, skilled nursing facilities, and inpatient rehabilitation. Most respondents worked with adult populations (88%). The most common screening protocols reported were a volume‐dependent water swallow test (74%), subjective patient report (66%), and trials of solids/liquids (49%). Twenty‐four percent (24%) reported using a questionnaire, the Eating Assessment Tool (80%) being most common. How clinicians consume their evidence was significantly associated with the types of screening approaches used. Continuing education hours were significantly associated with dysphagia screening protocol choice (p < 0.001) and how clinicians stayed up to date with evidence (p < 0.001).ConclusionsResults from this study provide an in‐depth look at the choices clinicians are making in the field regarding how to effectively screen patients for the presence of dysphagia. Contextual factors such as evidence base consumption patterns should serve researchers to continue seeking alternative ways to share evidence with clinicians, accessibly. Associations between continuing education and protocol choice show the need for continued evidence‐based and high‐quality continuing education opportunities.WHAT THIS PAPER ADDS This study provides an in‐depth look at the choices clinicians are making in the field regarding effective dysphagia screening practices. Clinician screening choices are examined with contextual factors such as evidence base consumption patterns and continuing education. This paper increases knowledge of the most used dysphagia screening practices and context for clinicians and researchers to improve use, evidence and dissemination of best practices.

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Critical Review of Online Resources Frequently Used by Certified Speech-Language Pathologists for Dysphagia Management

Cited by 2 publications

References 19 publications

Development and Evaluation of a Clinician-Vetted Dementia Caregiver Resources Website: Mixed Methods Approach

Development and Evaluation of a Clinician-Vetted Dementia Caregiver Resources Website: Mixed Methods Approach

Clinical practice patterns of speech‐language pathologists for screening and identifying dysphagia

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