Bibliographic Details
| Title: |
Anterior--Posterior View Acquisition During Videofluoroscopy: A Survey Study Exploring Influential Factors on Speech-Language Pathologists' Practice Patterns. |
| Authors: |
Jones-Rastelli, R. Brynn1 rbj2158@nyu.edu, Xi Tang2, Harel, Daphna2, Molfenter, Sonja M.1,3 |
| Source: |
Journal of Speech, Language & Hearing Research. Dec2024, Vol. 67 Issue 12, p4628-4650. 23p. |
| Subject Terms: |
*Speech therapists, *Corporate culture, *Allied health personnel, *Ability, *Training, *Educational attainment, Radiologic technologists, Diagnostic imaging, Labor productivity, Questionnaires, Logistic regression analysis, Work environment, Decision making in clinical medicine, Work experience (Employment), Descriptive statistics, Population geography, Surveys, Odds ratio, Computers in medicine, Physician practice patterns, Medical radiology, Evidence-based medicine, Social support, Data analysis software, Deglutition disorders, Fluoroscopy, Video recording, Psychosocial factors |
| Geographic Terms: |
United States |
| Abstract: |
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. [ABSTRACT FROM AUTHOR] |
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| Database: |
Education Research Complete |
