Consensus‐building on developing dysphagia competence: a North West of England perspective

Guthrie, Susan; Lancaster, John; Stansfield, Jois

doi:10.1111/1460-6984.12321

Cited by 4 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SLT experience can influence dysphagia treatment taken and less experienced SLTs may lack the confidence to try novel dysphagia therapies 28,29 . A variety of patients and availability of clinical supervision has been recognised as essential for the development of dysphagia skills 30 . Results may reflect how supervision is used in the hospital studied to support dysphagia management in more complex cases.…”

Section: Slt Experiencementioning

confidence: 99%

Evaluating the use of oral trials for inpatient dysphagia management: a cross-sectional database study

Julier

Benfield

2020

Preprint

View full text Add to dashboard Cite

Rationale, aims and objectives: Oral trials, otherwise known as swallow trials or tasters, are widely used in dysphagia management. However, to date, no studies have investigated the effectiveness of oral trials or outlined how the approach is utilised in everyday practice. This paper aims to (1) Identify the patient demographics and environments in which oral trials are used in hospital. (2) Explore clinical decision-making around the approach. Method: A cross-sectional examination of 118 patients on the dysphagia caseload of a UK-based inpatient Speech and Language Therapy team was conducted. Statistical analysis explored demographic differences between oral trials groups and the rest of the dysphagia caseload. Results: 19.5% (23/118) of individuals on the caseload were or had been on oral trials during admission. Individuals in the oral trials group were significantly more likely to have a neurological diagnosis than the full oral intake group (78.3% vs 30.5%, p<0.001). There was a lack of uniformity in oral trials recommendations and the rationale behind quantity and types of diet or fluids offered was unclear. Conclusions: This study begins to evidence the use of a dysphagia therapy not previously explored within existing literature. It highlights the wide use of oral trials within the hospital observed. Neurological diagnosis was a key predictor of belonging to the oral trials group. Further research into the effectiveness and implementation of oral trials is warranted.

show abstract

Section: Slt Experiencementioning

confidence: 99%

Evaluating the use of oral trials for inpatient dysphagia management: a cross-sectional database study

Julier

Benfield

2020

Preprint

View full text Add to dashboard Cite

show abstract

Evaluating the Use of Oral Trials for Inpatient Dysphagia Management: An Initial Cross-Sectional Database Study

Julier

Benfield

2021

Am J Speech Lang Pathol

View full text Add to dashboard Cite

Purpose Oral trials, otherwise known as swallow trials or tasters, are widely used in dysphagia management. However, to date, no studies have investigated the effectiveness of oral trials or outlined how the approach is utilized in everyday practice. This article aims to start a dialogue regarding this much-used but little-evidenced dysphagia intervention by exploring three main aspects to (a) identify the patient demographics and environments in which oral trials are used in hospital, (b) explore clinical decision making around the approach, and (c) consider clinical implications around current findings and future areas for research. Method A cross-sectional examination of 118 patients on the dysphagia caseload of a United Kingdom–based inpatient speech and language therapy team was conducted. Statistical analysis explored demographic differences between oral trials groups and the rest of the dysphagia caseload. Results Twenty-three of 118 (19.5%) individuals on the caseload were or had been on oral trials during admission. Individuals in the oral trials group were significantly more likely to have a neurological diagnosis than the full oral intake group (78.3% vs. 30.5%, p < .001). There was a lack of uniformity in oral trials recommendations, and the rationale behind quantity and types of diet or fluids offered was unclear. Conclusions This study begins to evidence the use of a dysphagia therapy not previously explored within existing literature. It highlights the wide use of oral trials within the hospital trust observed. Based on current evidence, it would be difficult for clinicians to know how to implement oral trials as an intervention. Further research is required both to explore the effectiveness of this approach and also to develop a consensus within practice around how, why, and when oral trials are offered. This would ensure an equitable and effective service is offered and would ensure a high standard of evidence-based practice within dysphagia management.

show abstract

Being practically, professionally and personally prepared: Supporting people with intellectual disability and dysphagia to eat and drink outside the home

Cox

Breen

Cocks

2022

International Journal of Speech-Language Pathology

View full text Add to dashboard Cite

Consensus‐building on developing dysphagia competence: a North West of England perspective

Abstract: There are many practical ways of developing dysphagia competency. The themes and model generated provide constructive support to services in adopting the most appropriate methods for their own settings.

Cited by 4 publications

References 12 publications

Evaluating the use of oral trials for inpatient dysphagia management: a cross-sectional database study

Evaluating the use of oral trials for inpatient dysphagia management: a cross-sectional database study

Evaluating the Use of Oral Trials for Inpatient Dysphagia Management: An Initial Cross-Sectional Database Study

Being practically, professionally and personally prepared: Supporting people with intellectual disability and dysphagia to eat and drink outside the home

Contact Info

Product

Resources

About