Training for videofluoroscopic swallowing analysis: A systematic review

Edwards, Ann L.; Froude, Elspeth; Sharpe, Gabriella; Carding, Paul

doi:10.1080/17549507.2020.1861327

Cited by 8 publications

(3 citation statements)

References 32 publications

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“…Our present results have revealed that success in VFSS training for novice analysts was predicted by two key variables: clinical exposure to dysphagia cases (i.e., the number of clients with dysphagia seen on student placements) and the ability to identify anatomical landmarks on still radiographic films. These results concur with emerging trends in the existing literature as well as VFSS trainers’ opinions (Edwards et al., 2019; Edwards et al., 2021). The findings are also consistent with Riojas’ (2007) finding that academic experience predicted stronger performance.…”

Section: Discussionsupporting

confidence: 90%

Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies

Edwards

Holm

Carding

et al. 2023

Intl J Lang & Comm Disor

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BackgroundPerceptual, cognitive and previous clinical experience may influence a novice Videofluoroscopic Swallowing Study (VFSS) analyst's trajectory towards competency. Understanding these factors may allow trainees to be better prepared for VFSS training and may allow training to be developed to accommodate differences between trainees.AimsThis study explored a range of factors previously suggested in the literature as influencing the development of novice analysts’ VFSS skills. We hypothesised that knowledge of swallow anatomy and physiology, visual perceptual skills, self‐efficacy and interest, and prior clinical exposure would all influence VFSS novice analysts’ skill development.Methods & ProceduresParticipants were undergraduate speech pathology students recruited from an Australian university, who had completed the required theoretical units in dysphagia. Data assessing the factors of interest were collected—the participants identified anatomical structures on a still radiographic image, completed a physiology questionnaire, completed subsections of the Developmental Test of Visual Processing—Adults, self‐reported the number of dysphagia cases they managed on placement, and self‐rated their confidence and interest. Data for 64 participants relating to the factors of interest were compared with their ability to accurately identify swallowing impairments following 15 h of VFSS analytical training, using correlation and regression analysis.Outcomes & ResultsSuccess in VFSS analytical training was best predicted by clinical exposure to dysphagia cases and the ability to identify anatomical landmarks on still radiographic images.Conclusions & ImplicationsNovice analysts vary in the acquisition of beginner‐level VFSS analytical skill. Our findings suggest that speech pathologists who are new to VFSS may benefit from clinical exposure to dysphagia cases, sound foundational knowledge of anatomy relevant to swallowing and the ability to see the anatomical landmarks on still radiographic images. Further research is required to equip VFSS trainers and trainees for training, to understand differences between learners during skill development.WHAT THIS PAPER ADDSWhat is already known on the subject The existing literature suggests that no vice Video fluoroscopic Swallowing Study (VFSS) analysts training may be influenced by their personal characteristics and experience.What this study adds This study found that student clinicians, clinical exposure to dysphagia cases and their ability to identify anatomical landmarks relevant to swallowing on still radiographic images prior to training best predicted their ability to identify swallowing impairments after training.What are the clinical implications of this work? Given the expense of training health professionals, further research is required into the factors that successfully prepare clinicians for VFSS training, including clinical exposure, foundational knowledge of anatomy relevant to swallowing and the ability to identify the anatomical landmarks on still radiographic images.

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Section: Discussionsupporting

confidence: 90%

Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies

Edwards

Holm

Carding

et al. 2023

Intl J Lang & Comm Disor

Self Cite

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“…The VFSS assesses movement patterns and coordination of swallowing-related structures of the upper aerodigestive tract and timing of swallowrespiratory events across the oral preparatory, oral, pharyngeal and upper oesophageal phases of swallowing [2]. Interpretation of VFSS involves making subjective visuo-perceptual assessment of images [3] and synthesizing results with knowledge of swallowing physiology and dysphagia to inform diagnosis, management recommendations and rehabilitation [4]. VFSS has been identified as a gold standard instrumental assessment of swallowing [5][6][7][8][9][10][11] and the most efficient and efficacious instrument for determining the management and rehabilitation of oropharyngeal dysphagia [12].…”

Section: Introductionmentioning

confidence: 99%

“…SLPs undertake targeted competency training-tocriterion for interpreting and reporting VFSS images in assuring inter-rater reliability [18][19][20][21][22][23], and there is international variability around SLP VFSS training and heterogeneity across the methods, dosage and training environment [4]. Current VFSS training for SLPs include internet-based programs using case studies and quizzes to address the VFSS procedure, anatomy and physiology, swallow strategies and rehabilitation, interpretation, and reporting [18,24].…”

Section: Introductionmentioning

confidence: 99%

Videofluoroscopic swallow study training for radiologists-in-training: a survey of practice and training needs

et al. 2022

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Background There is a lack of formal, published videofluoroscopic swallow study (VFSS) training targeting radiologists, yet radiology senior medical officers and resident medical officers (i.e., radiologists-in-training, known in Australia as “registrars”) are expected to be involved in VFSS interpretation of anatomical anomalies and reporting. This study investigated whether VFSS training is delivered to registrars during their specialist radiology training, whether it is a perceived need and, if so, to determine the desired content for inclusion in a targeted training package. Methods A cross-sectional, mixed methods study design was used. An internet-based survey was circulated via convenience and snowball sampling to radiologists (both senior medical officers and registrars) and speech-language pathologists across Australia in October-November 2017. Surveys also were distributed to practitioners based in New Zealand and the United Kingdom, as they practised within similar health systems, and it was anticipated they may have similar VFSS training practices. The radiology survey contained 36 questions and the speech-language pathology survey contained 44 questions. Participants were asked the following: (1) Report their current VFSS radiology registrar training environment; (2) Advise whether radiology registrars need VFSS training; (3) Recommend the content, format, training intensity, and evaluation methods for an effective radiology registrar training package. Demographic data were analysed descriptively, and open-ended responses were analysed using qualitative content analysis. Results 21 radiology senior medical officers and registrars and 150 speech-language pathologists predominantly based at Australian tertiary hospital settings completed the survey. Most respondents (90.6%) identified that VFSS training is needed for radiology registrars. Only one speech-language pathologist respondent reported that they deliver VFSS training for radiology registrars. Specific content and teaching modalities for a VFSS training package, including diagnosing anatomical anomalies associated with dysphagia were recommended. Conclusion While most of the radiologists and speech-language pathologists surveyed did not deliver VFSS training to radiology registrars, they identified that targeted training is needed to improve radiology registrars’ effectiveness and engagement in VFSS clinics. The training package content, format and evaluation methods recommended by participants will inform the development of a VFSS training package targeting radiology registrars to be piloted at an Australian tertiary hospital.

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A case study of the development of a videofluoroscopy service: Integration and collaboration between the speech & language therapy and radiographer teams

North

Holmes

2023

Radiography

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Training for videofluoroscopic swallowing analysis: A systematic review

Cited by 8 publications

References 32 publications

Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies

Factors that influence development of speech pathology skills required for videofluoroscopic swallowing studies

Videofluoroscopic swallow study training for radiologists-in-training: a survey of practice and training needs

A case study of the development of a videofluoroscopy service: Integration and collaboration between the speech & language therapy and radiographer teams

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