Pilot Trial of a Speech-Language Pathology Telehealth Service to Enhance Postdischarge Dysphagia Care in Singapore.
Purpose: Patients and caregivers in Singapore experience issues managing dysphagia care at home following hospital discharge, and they prioritized improving access to postdischarge dysphagia care and support. Hence, a postdischarge dysphagia telehealth service was developed. This study aimed to eval...
| Publicado en: | American Journal of Speech-Language Pathology Vol. 34; no. 1; pp. 231 - 246 |
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| Autores principales: | , , |
| Formato: | 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=182103693&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182103693 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: 182103693 182103693 182103693 10.1044/2024_AJSLP-24-00203 182103693 ppf: 231 ppct: 15 formats: tig: atl: Pilot Trial of a Speech-Language Pathology Telehealth Service to Enhance Postdischarge Dysphagia Care in Singapore. aug: au: Poon, Flora M. M. Ward, Elizabeth C. Burns, Clare L. affil: School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia sug: subj: Speech-Language Pathology Telehealth Utilization Swallowing Therapy Methods Deglutition Disorders Patient Discharge After Care Patient Satisfaction Transitional Care Methods Human Singapore Male Female Middle Age Aged Aged, 80 and Over Pilot Studies Implementation Science Support, Psychosocial Remote Consultation Interpersonal Relations Descriptive Statistics Data Analysis Software Scales Continuity of Patient Care Outcomes (Health Care) Fluid Intake Patient Compliance Referral and Consultation Health Care Costs Telehealth Economics Consumer Satisfaction Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: Patients and caregivers in Singapore experience issues managing dysphagia care at home following hospital discharge, and they prioritized improving access to postdischarge dysphagia care and support. Hence, a postdischarge dysphagia telehealth service was developed. This study aimed to evaluate the feasibility of this service by examining patient and service outcomes, preliminary costs, and consumer satisfaction. Method: Patients with dysphagia and their caregivers attended one or more telehealth sessions over the initial month post--hospital discharge. Reviews of dietary adherence and preparation, swallowing function, and therapy progress were conducted. If needed, clinical support and intervention were provided. Data related to patient and service outcomes, preliminary costs, and consumer satisfaction were collected and analyzed using descriptive statistics and content analysis. Results: Twenty patients attended 42 telehealth sessions. No support was provided during 10 sessions, minor support was provided during 13 sessions, and major support and intervention were provided to address patient and swallowing safety during 19 sessions. Out of 20 patients, 19 required support and intervention during the first week postdischarge, but they experienced fewer issues with each subsequent session. They were highly satisfied with the service. The average session duration was 29.6 min. No sessions were cancelled. This service can be delivered with minimal additional health service resources and at a low cost to consumers. Conclusions: This service is feasible, cost-effective, and well accepted by consumers. It facilitates early identification and management of swallowing and patient safety during the initial month post--hospital discharge. Wider implementation of this service model should be considered. Supplemental Material: https://doi.org/10.23641/asha.27327345 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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