ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2014
Impact of dysphagia severity on clinical decision making via telerehabilitation.
Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- The neurogenic dysphagia management via telemedicine: a systematic review.European journal of physical and rehabilitation medicine · 2022Pooled it
- Telehealth for Dysphagia Across the Life Span: Using Contemporary Evidence and Expertise to Guide Clinical Practice During and After COVID-19.American journal of speech-language pathology · 2021Pooled it
- The efficacy of telerehabilitation in dysphagic patients: a systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2018Pooled it
- Trial
- Administering the Communication and Symbolic Behavior Scales in Collaboration With Caregivers in a Virtual Environment: Reliability, Fidelity, and Lessons Learned.American journal of speech-language pathology · 2026Article
- Effects of Telemedicine on Dysphagia Rehabilitation in Patients Requiring Home Care: A Retrospective Study.Dysphagia · 2025Article
- Amyotrophic Lateral Sclerosis-Bulbar Dysfunction Index-Remote: Test-Retest and Interrater Reliability of Candidate Items.American journal of speech-language pathology · 2023Article
- Article
- Virtual Care Initiatives for Older Adults in Australia: Scoping Review.Journal of medical Internet research · 2023Article
- Development of a Remote Examination of Deglutition Based on Consensus Surveys of Clinicians (Part I): Selection of Examination Items.Dysphagia · 2022Article
- Evaluating the Use of Telepractice for Bottle-Feeding Assessments.Children (Basel, Switzerland) · 2021Article
- COVID-19 and ENT SLT services, workforce and research in the UK: A discussion paper.International journal of language & communication disorders · 2020Article
- Management of dysphagia in the patient with head and neck cancer during COVID-19 pandemic: Practical strategy.Head & neck · 2020Article
- Article
- Conducting Real-Time Videofluoroscopic Swallow Study via Telepractice: A Preliminary Feasibility and Reliability Study.Dysphagia · 2016Article
- Case Reports: Trial Dysphagia Interventions Conducted via Telehealth.International journal of telerehabilitation · 2016Article
- Evaluation of a Clinical Service Model for Dysphagia Assessment via Telerehabilitation.International journal of telemedicine and applications · 2013Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveRecent research supports the proposal that valid and reliable clinical swallow examinations (CSEs) can be conducted via telerehabilitation. However, no studies have explored whether dysphagia severity has an impact on the success of the session or its outcomes. The current study examined how dysphagia severity impacted on either (a) clinical decision making for safety of oral intake or (b) clinician perceptions of CSEs conducted via telerehabilitation. SUBJECTS AND
methodsOne hundred patients (25 nondysphagics and 25 mild, 25 moderate, and 25 severe dysphagics) were assessed using a telehealth system and methodology reported in prior research. For each assessment, the online and face-to-face (FTF) clinicians simultaneously completed a structured CSE. On session completion, the online clinician indicated level of agreement with two statements regarding the level of rapport and ability to competently assess the patient.
resultsIn each of the four groups, acceptable levels of agreement were observed between raters for the three primary outcomes (decisions regarding oral/nonoral intake and safe food and fluids) as well as over 90% of the CSE items. Clinicians agreed they could develop good rapport with the majority of patients in all groups. However, for a small but significant (p<0.5) proportion of patents in the severe dysphagic group, clinicians disagreed they were able to satisfactorily and competently assess to the best of their abilities using the telerehabilitation system.
conclusionsClinical decisions made during and as an outcome of the total CSE were found to be comparable to those made in the FTF environment regardless of dysphagia severity. Clinicians noted some difficulty assessing patients with greater complexity, which occurred in greater numbers in the group with severe dysphagia.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.