Anterior--Posterior View Acquisition During Videofluoroscopy: A Survey Study Exploring Influential Factors on Speech-Language Pathologists' Practice Patterns.
Purpose: This study explored factors influencing speech-language pathologists' (SLPs') decision making surrounding anterior--posterior (AP) view inclusion practices during videofluoroscopic swallowing studies (VFSSs) in the United States. Method: SLPs completing VFSSs were recruited to complete an o...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 67; no. 12; pp. 4628 - 4651 |
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| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
American Speech-Language-Hearing Association
Dec2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=181519704&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 181519704 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Dec2024 vid: 67 iid: 12 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 181519704 10.1044/2024_JSLHR-24-00424 ppf: 4628 ppct: 23 formats: fmt: @attributes: type: P size: 923KB tig: atl: Anterior--Posterior View Acquisition During Videofluoroscopy: A Survey Study Exploring Influential Factors on Speech-Language Pathologists' Practice Patterns. aug: au: Jones-Rastelli, R. Brynn Xi Tang Harel, Daphna Molfenter, Sonja M. affil: Department of Communicative Sciences and Disorders, NYU School of Culture Education and Human Development, New York University, NY Department of Applied Statistics, Social Science, and Humanities, NYU School of Culture Education and Human Development, New York University, NY Department of Otolaryngology Head and Neck Surgery, NYU Grossman School of Medicine, New York, NY su: United States Corporate culture Labor productivity Work environment Population geography Allied health personnel Ability Social support Psychosocial factors Training Educational attainment Speech therapists Radiologic technologists Diagnostic imaging Questionnaires Logistic regression analysis Decision making in clinical medicine Work experience (Employment) Descriptive statistics Surveys Odds ratio Computers in medicine Physician practice patterns Medical radiology Evidence-based medicine Data analysis software Deglutition disorders Fluoroscopy Video recording sug: subj: Corporate culture Labor productivity Work environment Population geography Allied health personnel Ability Social support Psychosocial factors Training Educational attainment United States Other Electronic and Precision Equipment Repair and Maintenance Diagnostic Imaging Centers Offices of Physical, Occupational and Speech Therapists, and Audiologists Other Individual and Family Services Speech therapists Radiologic technologists Diagnostic imaging Questionnaires Logistic regression analysis Decision making in clinical medicine Work experience (Employment) Descriptive statistics Surveys Odds ratio Computers in medicine Physician practice patterns Medical radiology Evidence-based medicine Data analysis software Deglutition disorders Fluoroscopy Video recording ab: Purpose: This study explored factors influencing speech-language pathologists' (SLPs') decision making surrounding anterior--posterior (AP) view inclusion practices during videofluoroscopic swallowing studies (VFSSs) in the United States. Method: SLPs completing VFSSs were recruited to complete an online anonymous survey. Questions represented six constructs of interest including: (a) clinician demographics, (b) practice patterns, (c) diagnostic perceptions, (d) professional influences, (e) training and education, and (f) logistical facilitators and barriers. Binary logistic regression was used to explore the relationship between construct items and likelihood of AP view inclusion. Results: A total of 136/213 (64%) of respondents reported obtaining an AP view routinely. Facilitators of AP view inclusion were post-acute work setting (OR = 3.40, p = .001); perception that department practices "probably" (OR = 5.65, p = .006) or "definitely" align (OR = 5.30, p = .006) with evidence-based practice; perception the AP view has "a lot" (OR = 4.17, p = .025) or "a great deal" (OR = 4.77, p = .028) of diagnostic value; perception that their department is "definitely" supportive (OR = 4.69, p = .040); "moderate" (OR = 4.75, p = .001) or "no" (OR = 7.51, p < .001) equipment limitations; and radiologist support greater than "extremely unsupportive or resistant" ("somewhat unsupportive" [OR = 5.74, p = .041], "neutral" [OR = 11.23, p = .002], "somewhat supportive" [OR = 13.92, p = .001], or "extremely supportive" [OR = 13.92, p = .001]). Barriers to AP view inclusion were geographic location in the southern U.S. census region (OR = 0.31, p = .007), being "significantly" influenced by coworker opinions (OR = 0.13, p = .018), and productivity tracking (OR = 0.21, p = .008). Conclusion: Environmental factors and organizational culture heavily influence AP view inclusion practices. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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