Comparison of Clinician Judgments and Measurements of Swallow Response Time: A Preliminary Report.
Practicing clinicians frequently offer judgments about aspects of swallowing physiology rather than performing actual measurements. Little is known about the accuracy of those judgments. The purpose of this preliminary study was to explore agreement of clinicians' judgments of pharyngeal swallow res...
| Published in: | Journal of Speech, Language & Hearing Research Vol. 48; no. 6; pp. 1269 - 1280 |
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| Main Authors: | , |
| Format: | Article |
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American Speech-Language-Hearing Association
December 2005
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=507846973&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 507846973 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: December 2005 vid: 48 iid: 6 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 507846973 10.1044/1092-4388(2005/088) ppf: 1269 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P size: 298KB tig: atl: Comparison of Clinician Judgments and Measurements of Swallow Response Time: A Preliminary Report. aug: au: Karnell, Michael P. Rogus, Nicole M. su: Speech therapists Deglutition Inter-observer reliability Attitude (Psychology) sug: subj: Speech therapists Deglutition Inter-observer reliability Attitude (Psychology) ab: Practicing clinicians frequently offer judgments about aspects of swallowing physiology rather than performing actual measurements. Little is known about the accuracy of those judgments. The purpose of this preliminary study was to explore agreement of clinicians' judgments of pharyngeal swallow response time (PSRT) with temporal measurements of PSRT. In preparation for a larger study, PSRT was measured from the first 3 ml liquid bolus swallow that appeared in each of 20 videofluorographic swallowing evaluations. The same 20 swallows were then shown to 3 clinicians who were instructed to subjectively rate PSRT. The reliability of the PSRT measurements was strong (r>.95). Intrajudge and interjudge agreement was better than chance in all but 1 interjudge comparison. Percentage agreement between clinicians' judgments and the measurements, when the measurements were categorized as either not delayed or delayed, ranged from 60% to 95%. Chi-square and Phi statistics comparing the outcomes of clinicians' ratings with the measurement outcomes were significant, supporting the agreement of the judgments with the measurements. Although the results of tests of agreement were found to be acceptable, clinician experience and training remain important issues whenever clinical judgments are involved. Larger studies are needed to establish the accuracy and importance of clinicians' judgments of PSRT and observations of swallowing physiology. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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