R Brynn Jones-Rastelli, Xi Tang, Daphna Harel, Sonja M Molfenter
{"title":"视频荧光透视检查中的前后视图采集：一项调查研究，探索影响言语病理学家实践模式的因素。","authors":"R Brynn Jones-Rastelli, Xi Tang, Daphna Harel, Sonja M Molfenter","doi":"10.1044/2024_JSLHR-24-00424","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study explored factors influencing speech-language pathologists' (SLPs') decision making surrounding anterior-posterior (AP) view inclusion practices during videofluoroscopic swallowing studies (VFSSs) in the United States.</p><p><strong>Method: </strong>SLPs completing VFSSs were recruited to complete an online anonymous survey. Questions represented six constructs of interest including: (a) clinician demographics, (b) practice patterns, (c) diagnostic perceptions, (d) professional influences, (e) training and education, and (f) logistical facilitators and barriers. Binary logistic regression was used to explore the relationship between construct items and likelihood of AP view inclusion.</p><p><strong>Results: </strong>A total of 136/213 (64%) of respondents reported obtaining an AP view routinely. Facilitators of AP view inclusion were post-acute work setting (<i>OR</i> = 3.40, <i>p</i> = .001); perception that department practices \"probably\" (<i>OR</i> = 5.65, <i>p</i> = .006) or \"definitely\" align (<i>OR</i> = 5.30, <i>p</i> = .006) with evidence-based practice; perception the AP view has \"a lot\" (<i>OR</i> = 4.17, <i>p</i> = .025) or \"a great deal\" (<i>OR</i> = 4.77, <i>p</i> = .028) of diagnostic value; perception that their department is \"definitely\" supportive (<i>OR</i> = 4.69, <i>p</i> = .040); \"moderate\" (<i>OR</i> = 4.75, <i>p</i> = .001) or \"no\" (<i>OR</i> = 7.51, <i>p</i> < .001) equipment limitations; and radiologist support greater than \"extremely unsupportive or resistant\" (\"somewhat unsupportive\" [<i>OR</i> = 5.74, <i>p</i> = .041], \"neutral\" [<i>OR</i> = 11.23, <i>p</i> = .002], \"somewhat supportive\" [<i>OR</i> = 13.92, <i>p</i> = .001], or \"extremely supportive\" [<i>OR</i> = 13.92, <i>p</i> = .001]). Barriers to AP view inclusion were geographic location in the southern U.S. census region (<i>OR</i> = 0.31, <i>p</i> = .007), being \"significantly\" influenced by coworker opinions (<i>OR</i> = 0.13, <i>p</i> = .018), and productivity tracking (<i>OR</i> = 0.21, <i>p</i> = .008).</p><p><strong>Conclusion: </strong>Environmental factors and organizational culture heavily influence AP view inclusion practices.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"1-23"},"PeriodicalIF":2.2000,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Anterior-Posterior View Acquisition During Videofluoroscopy: A Survey Study Exploring Influential Factors on Speech-Language Pathologists' Practice Patterns.\",\"authors\":\"R Brynn Jones-Rastelli, Xi Tang, Daphna Harel, Sonja M Molfenter\",\"doi\":\"10.1044/2024_JSLHR-24-00424\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study explored factors influencing speech-language pathologists' (SLPs') decision making surrounding anterior-posterior (AP) view inclusion practices during videofluoroscopic swallowing studies (VFSSs) in the United States.</p><p><strong>Method: </strong>SLPs completing VFSSs were recruited to complete an online anonymous survey. Questions represented six constructs of interest including: (a) clinician demographics, (b) practice patterns, (c) diagnostic perceptions, (d) professional influences, (e) training and education, and (f) logistical facilitators and barriers. Binary logistic regression was used to explore the relationship between construct items and likelihood of AP view inclusion.</p><p><strong>Results: </strong>A total of 136/213 (64%) of respondents reported obtaining an AP view routinely. Facilitators of AP view inclusion were post-acute work setting (<i>OR</i> = 3.40, <i>p</i> = .001); perception that department practices \\\"probably\\\" (<i>OR</i> = 5.65, <i>p</i> = .006) or \\\"definitely\\\" align (<i>OR</i> = 5.30, <i>p</i> = .006) with evidence-based practice; perception the AP view has \\\"a lot\\\" (<i>OR</i> = 4.17, <i>p</i> = .025) or \\\"a great deal\\\" (<i>OR</i> = 4.77, <i>p</i> = .028) of diagnostic value; perception that their department is \\\"definitely\\\" supportive (<i>OR</i> = 4.69, <i>p</i> = .040); \\\"moderate\\\" (<i>OR</i> = 4.75, <i>p</i> = .001) or \\\"no\\\" (<i>OR</i> = 7.51, <i>p</i> < .001) equipment limitations; and radiologist support greater than \\\"extremely unsupportive or resistant\\\" (\\\"somewhat unsupportive\\\" [<i>OR</i> = 5.74, <i>p</i> = .041], \\\"neutral\\\" [<i>OR</i> = 11.23, <i>p</i> = .002], \\\"somewhat supportive\\\" [<i>OR</i> = 13.92, <i>p</i> = .001], or \\\"extremely supportive\\\" [<i>OR</i> = 13.92, <i>p</i> = .001]). Barriers to AP view inclusion were geographic location in the southern U.S. census region (<i>OR</i> = 0.31, <i>p</i> = .007), being \\\"significantly\\\" influenced by coworker opinions (<i>OR</i> = 0.13, <i>p</i> = .018), and productivity tracking (<i>OR</i> = 0.21, <i>p</i> = .008).</p><p><strong>Conclusion: </strong>Environmental factors and organizational culture heavily influence AP view inclusion practices.</p>\",\"PeriodicalId\":51254,\"journal\":{\"name\":\"Journal of Speech Language and Hearing Research\",\"volume\":\" \",\"pages\":\"1-23\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-10-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Speech Language and Hearing Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1044/2024_JSLHR-24-00424\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Speech Language and Hearing Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2024_JSLHR-24-00424","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Anterior-Posterior View Acquisition During Videofluoroscopy: A Survey Study Exploring Influential Factors on Speech-Language Pathologists' Practice Patterns.
Purpose: This study explored factors influencing speech-language pathologists' (SLPs') decision making surrounding anterior-posterior (AP) view inclusion practices during videofluoroscopic swallowing studies (VFSSs) in the United States.
Method: SLPs completing VFSSs were recruited to complete an online anonymous survey. Questions represented six constructs of interest including: (a) clinician demographics, (b) practice patterns, (c) diagnostic perceptions, (d) professional influences, (e) training and education, and (f) logistical facilitators and barriers. Binary logistic regression was used to explore the relationship between construct items and likelihood of AP view inclusion.
Results: A total of 136/213 (64%) of respondents reported obtaining an AP view routinely. Facilitators of AP view inclusion were post-acute work setting (OR = 3.40, p = .001); perception that department practices "probably" (OR = 5.65, p = .006) or "definitely" align (OR = 5.30, p = .006) with evidence-based practice; perception the AP view has "a lot" (OR = 4.17, p = .025) or "a great deal" (OR = 4.77, p = .028) of diagnostic value; perception that their department is "definitely" supportive (OR = 4.69, p = .040); "moderate" (OR = 4.75, p = .001) or "no" (OR = 7.51, p < .001) equipment limitations; and radiologist support greater than "extremely unsupportive or resistant" ("somewhat unsupportive" [OR = 5.74, p = .041], "neutral" [OR = 11.23, p = .002], "somewhat supportive" [OR = 13.92, p = .001], or "extremely supportive" [OR = 13.92, p = .001]). Barriers to AP view inclusion were geographic location in the southern U.S. census region (OR = 0.31, p = .007), being "significantly" influenced by coworker opinions (OR = 0.13, p = .018), and productivity tracking (OR = 0.21, p = .008).
Conclusion: Environmental factors and organizational culture heavily influence AP view inclusion practices.
期刊介绍：
Mission: JSLHR publishes peer-reviewed research and other scholarly articles on the normal and disordered processes in speech, language, hearing, and related areas such as cognition, oral-motor function, and swallowing. The journal is an international outlet for both basic research on communication processes and clinical research pertaining to screening, diagnosis, and management of communication disorders as well as the etiologies and characteristics of these disorders. JSLHR 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 communication sciences and disorders, including speech production and perception; anatomy and physiology of speech and voice; genetics, biomechanics, and other basic sciences pertaining to human communication; mastication and swallowing; speech disorders; voice disorders; development of speech, language, or hearing in children; normal language processes; language disorders; disorders of hearing and balance; psychoacoustics; and anatomy and physiology of hearing.
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