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引用次数: 0
摘要
目的:以口咽吞咽运动为基础的干预措施经常被用来针对生理机制,以达到改善吞咽功能的目的。然而,由于对已知影响治疗效果的因素的报告不一致,有关干预效果的研究可复制性和证据综合受到了限制。为了促进与可复制性相关的因素报告的一致性,作者构建了一套以吞咽困难为重点的首选参数,作为大型工具(Framework for RigOr aNd Transparency In REseaRch on Swallowing 或 FRONTIERS)初始版本的一部分:方法:作者收集了 38 个初始问题,作为治疗分节的一部分。然后由 FRONTIERS 合作组织中在研究、临床实践或两者方面都有专长的人员对问题进行审查:结果:审查后删除了 24 个问题,最终将以治疗为重点的问题减少到 14 个:修订后的问题集为 FRONTIERS 检查表中以运动为基础的治疗部分的用户提供了一个初始检查表,以提高透明度和严谨性,从而改善研究的可复制性和证据综合。我们打算根据评论和反馈意见进一步完善 FRONTIERS 的治疗部分。
Exercise-Based Dysphagia Treatment: A Proposed Checklist.
Purpose: Oropharyngeal swallowing exercise-based interventions are frequently utilized to target physiologic mechanisms with the goal of improving swallowing function. However, study replicability and evidence synthesis regarding effects of interventions are limited due to inconsistent reporting on factors known to influence treatment delivery. In order to promote consistency of reporting factors associated with replicability, the authors constructed a set of preferred parameters focused on dysphagia as part of the initial version of the larger tool (Framework for RigOr aNd Transparency In REseaRch on Swallowing or FRONTIERS).
Method: Thirty-eight initial questions were assembled by the authors as part of the treatment subsection. Questions were then reviewed by individuals in the FRONTIERS collaborative who have expertise in research, clinical practice, or both.
Result: Twenty-four questions were removed following review, reducing the final set of treatment-focused questions to 14 questions.
Conclusions: The revised set of questions provides users of the exercise-based treatment section of the FRONTIERS checklist with an initial checklist to promote transparency and rigor to improve study replicability and evidence synthesis. We intend for this treatment section of FRONTIERS to undergo further refinement following commentary and feedback.
期刊介绍:
Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.