Implementing Dysphagia Outcome Assessments into Clinical Settings: Leveraging Principles of Implementation, Dissemination, and Psychometrics.
Purpose: Myriad dysphagia assessment tools have been designed, but their application is variable. This is partly due to a lack of implementation and dissemination strategy as well as to limited guidance regarding which instruments are optimally designed and best used for clinical and research applic...
| Publicado en: | American Journal of Speech-Language Pathology Vol. 33; no. 2; pp. 707 - 716 |
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| Autores principales: | , , |
| Formato: | review tables/charts Journal Article |
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American Speech-Language-Hearing Association
Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175973989&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175973989 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10580360 5E7 jtl: American Journal of Speech-Language Pathology issn: 10580360 maglogo: N pubinfo: dt: Mar2024 vid: 33 iid: 2 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 175973989 175973989 175973989 10.1044/2023_AJSLP-23-00227 175973989 ppf: 707 ppct: 9 formats: tig: atl: Implementing Dysphagia Outcome Assessments into Clinical Settings: Leveraging Principles of Implementation, Dissemination, and Psychometrics. aug: au: Krisciunas, Gintas P. Scheel, Rebecca Slavinc, Mary affil: Department of Otolaryngology, Boston University Chobanian & Avedisian School of Medicine, MA sug: subj: Deglutition Disorders Outcome Assessment Implementation Science Diffusion of Innovation Psychometrics Clinical Assessment Tools Utilization Head and Neck Neoplasms Risk Factors Neurodegenerative Diseases Risk Factors Stroke Risk Factors Brain Injuries Risk Factors Weight Loss Complications Dehydration Complications Malnutrition Complications Pneumonia, Aspiration Complications Length of Stay Health Care Costs Quality of Life Health Screening Clinical Assessment Tools Professional Practice, Evidence-Based Reliability and Validity Content Validity Research Support ab: Purpose: Myriad dysphagia assessment tools have been designed, but their application is variable. This is partly due to a lack of implementation and dissemination strategy as well as to limited guidance regarding which instruments are optimally designed and best used for clinical and research applications. Method: This tutorial provides a high-level overview of implementation and dissemination, their interaction with psychometrics and knowledge coproduction, and how these concepts relate to proper development and widespread application of contextually relevant, psychometrically optimized, evidence-based dysphagia assessment instruments. Results: A review of the literature identified two dysphagia assessment instruments that purposefully integrated implementation and dissemination processes after measurement development. Application of knowledge coproduction was not identified in any papers reporting development and testing of dysphagia assessment instruments. A better understanding of coproduction and psychometrics when developing measures, while simultaneously applying implementation science and dissemination strategies, can result in the development of optimal dysphagia assessment tools that are more consistently adopted into clinical practice. Conclusions: Clinicians and researchers should promote the development of psychometrically sound measures, and employ principles of implementation science and effective dissemination strategies to advocate for, and promote the use of, well-designed instruments within their appropriate clinical contexts. Support from governing bodies and funding agencies could enhance future efforts to develop, and encourage widespread uptake of, optimally developed dysphagia assessment tools. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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