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Anterior--Posterior View Acquisition During Videofluoroscopy: A Survey Study Exploring Influential Factors on Speech-Language Pathologists' Practice Patterns.

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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]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Purpose: This study explored factors influencing speech-language pathologists&#39; (SLPs&#39;) 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 &quot;probably&quot; (OR = 5.65, p = .006) or &quot;definitely&quot; align (OR = 5.30, p = .006) with evidence-based practice; perception the AP view has &quot;a lot&quot; (OR = 4.17, p = .025) or &quot;a great deal&quot; (OR = 4.77, p = .028) of diagnostic value; perception that their department is &quot;definitely&quot; supportive (OR = 4.69, p = .040); &quot;moderate&quot; (OR = 4.75, p = .001) or &quot;no&quot; (OR = 7.51, p &lt; .001) equipment limitations; and radiologist support greater than &quot;extremely unsupportive or resistant&quot; (&quot;somewhat unsupportive&quot; [OR = 5.74, p = .041], &quot;neutral&quot; [OR = 11.23, p = .002], &quot;somewhat supportive&quot; [OR = 13.92, p = .001], or &quot;extremely supportive&quot; [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 &quot;significantly&quot; 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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  Data: &lt;i&gt;Copyright of Journal of Speech, Language &amp; Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1044/2024_JSLHR-24-00424
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      – TitleFull: Anterior--Posterior View Acquisition During Videofluoroscopy: A Survey Study Exploring Influential Factors on Speech-Language Pathologists' Practice Patterns.
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              Text: Dec2024
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