Barriers and Facilitators in Using Surface Electromyography in Swallowing Management: An Implementation Science Study.
Purpose: This study aimed to identify clinician-perceived barriers and facilitators before the implementation of surface electromyography (sEMG) for swallowing management, implement sEMG biofeedback in swallowing rehabilitation sessions using implementation strategies, and investigate the perceived...
| Publicado en: | American Journal of Speech-Language Pathology Vol. 34; no. 1; pp. 44 - 70 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Jan2025
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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=182103683&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182103683 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: Jan2025 vid: 34 iid: 1 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 182103683 182103683 182103683 10.1044/2024_AJSLP-24-00215 182103683 ppf: 44 ppct: 26 formats: tig: atl: Barriers and Facilitators in Using Surface Electromyography in Swallowing Management: An Implementation Science Study. aug: au: Bahia, Mariana M. Carpenter, Julia Cherney, Leora R. affil: Department of Physical Medicine & Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL sug: subj: Deglutition Disorders Diagnosis Swallowing Therapy Methods Swallowing Therapy Equipment and Supplies Deglutition Disorders Rehabilitation Electromyography Attitude of Health Personnel Evaluation Health Services Accessibility Evaluation Health Resource Utilization Evaluation Treatment Outcomes Evaluation Human Deglutition Disorders Physiopathology Biofeedback Comparative Studies Descriptive Statistics Cross Sectional Studies Prospective Studies Multimethod Studies Illinois Multidisciplinary Care Team Data Analysis Software Adult Male Female Prostheses and Implants Funding Source Adult: 19-44 years Male Female ab: Purpose: This study aimed to identify clinician-perceived barriers and facilitators before the implementation of surface electromyography (sEMG) for swallowing management, implement sEMG biofeedback in swallowing rehabilitation sessions using implementation strategies, and investigate the perceived benefits and drawbacks after the implementation of the sEMG device from the perspectives of speech-language pathologists (SLPs). Method: An initial pre-implementation survey characterized the SLPs' practices in swallowing management regarding the use of biofeedback modalities as well as facilitators and barriers to the implementation of sEMG. In the implementation phase, six SLPs attended educational and training meetings, tested, and used sEMG with patients during their swallowing sessions. Finally, a postimplementation survey and focus group assessed the six SLPs' perceptions and experiences using sEMG and identified areas for improvement in the implementation process. Results: The majority of the 44 SLPs who answered the pre-implementation survey did not use sEMG in swallowing therapy. The most frequently reported barriers to implementation were reduced sEMG knowledge and lack of training (86.4%), lack of equipment access or availability (68.2%), and patient-related barriers (36.6%). The six SLPs who participated in the implementation phase used sEMG with 30 different patients, conducting a total of 105 sessions. They reported that it was easy to use sEMG during sessions and that sEMG helped them to teach swallowing maneuvers. Additionally, they stated that patients were motivated during sEMG sessions. Ongoing training and mentoring were some of the suggestions for implementation improvements. Conclusions: This study exemplifies the collaborative work between researchers and clinicians to facilitate the translation of technologies into clinical practice. Identifying determinants of sEMG implementation and strategies to address barriers was critical to its acceptability and adoption into clinical practice. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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