The Influence of a Dementia Diagnosis on Clinical Decision-Making in Dysphagia Management

IF 2.8 3区医学 Q2 GERIATRICS & GERONTOLOGY International Journal of Geriatric Psychiatry Pub Date : 2025-01-31 DOI:10.1002/gps.70048

Angela J. Van Sickle, Ed M. Bice

{"title":"The Influence of a Dementia Diagnosis on Clinical Decision-Making in Dysphagia Management","authors":"Angela J. Van Sickle, Ed M. Bice","doi":"10.1002/gps.70048","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>The main objective of this survey was to determine the effects of a dementia diagnosis on dysphagia management by speech-language pathologists (SLP).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A survey of SLPs interested and/or working with individuals with dysphagia was conducted via a website. The SLPs viewed two written cases of patients with dysphagia, one with dementia and one without dementia. Both cases included a video capture of the patients' swallows. SLPs answered specific questions related to each case and video.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Frequency counts, McNemar's Test, and descriptive analysis of responses showed that participants were less likely to initiate dysphagia therapy (<i>p</i> < 0.001) or use rehabilitative swallowing strategies (<i>p</i> = 0.008) for individuals with dysphagia and a dementia diagnosis than for an individual with dysphagia without a dementia diagnosis. In addition, SLPs overidentified impairments and chose treatment targets not present.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Based on the current survey, SLPs displayed a bias when the diagnosis of dementia was present. The bias appears to exist regardless of experience or education. Not initiating treatment or not providing rehabilitative strategies may have detrimental effects on the health and quality-of-life of individuals with dementia.</p>\n </section>\n </div>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 2","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785825/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Geriatric Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/gps.70048","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

The main objective of this survey was to determine the effects of a dementia diagnosis on dysphagia management by speech-language pathologists (SLP).

Methods

A survey of SLPs interested and/or working with individuals with dysphagia was conducted via a website. The SLPs viewed two written cases of patients with dysphagia, one with dementia and one without dementia. Both cases included a video capture of the patients' swallows. SLPs answered specific questions related to each case and video.

Results

Frequency counts, McNemar's Test, and descriptive analysis of responses showed that participants were less likely to initiate dysphagia therapy (p < 0.001) or use rehabilitative swallowing strategies (p = 0.008) for individuals with dysphagia and a dementia diagnosis than for an individual with dysphagia without a dementia diagnosis. In addition, SLPs overidentified impairments and chose treatment targets not present.

Conclusions

Based on the current survey, SLPs displayed a bias when the diagnosis of dementia was present. The bias appears to exist regardless of experience or education. Not initiating treatment or not providing rehabilitative strategies may have detrimental effects on the health and quality-of-life of individuals with dementia.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

痴呆诊断对吞咽困难治疗临床决策的影响。

目的：本调查的主要目的是确定言语语言病理学家（SLP）对痴呆诊断对吞咽困难管理的影响。方法：通过网站对感兴趣和/或与吞咽困难患者一起工作的slp进行调查。slp查看了两个吞咽困难患者的书面病例，一个患有痴呆症，一个没有痴呆症。这两个病例都包括了对患者燕子的视频捕捉。slp回答了与每个案例和视频相关的特定问题。结果：频率计数、McNemar检验和对反应的描述性分析显示，参与者不太可能开始吞咽困难治疗(p)。结论：根据目前的调查，当诊断为痴呆时，slp显示出偏差。这种偏见似乎与经验或教育无关。不开始治疗或不提供康复策略可能对痴呆症患者的健康和生活质量产生不利影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.