ArticleJournal of speech, language, and hearing research : JSLHR2018
A Survey of Clinician Decision Making When Identifying Swallowing Impairments and Determining Treatment.
Article in Journal of speech, language, and hearing research : JSLHR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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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.
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Who cites it
32 citing papers in PubMed, 69 citations in OpenAlex.
- Dysphagia Management in Geriatric Medicine: Clinical Perspectives and Practice Patterns.American journal of speech-language pathology · 2026Article
- The Clinical Pathway of the Normal Outpatient Modified Barium Swallow: A Case Series.Laryngoscope investigative otolaryngology · 2026Article
- Quantifying Pharyngeal Residue during Videofluoroscopic Swallow Studies (VFSS/MBS): Validation of Percentage-Based Visual-Perceptual Residue Ratings.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026Article
- Assessment of Dysphagia Management Competence among Healthcare Providers: A Scoping Review.Dysphagia · 2025Article
- Bridging Voice and Swallowing: A Qualitative Study on Speech-Language Pathologist Perspectives of Integrated Therapy.American journal of speech-language pathology · 2025Article
- Esophageal retention on modified barium swallow study: Limited predictive value for true esophageal pathology.World journal of gastrointestinal pathophysiology · 2025Article
- The State of Exercise-Based Dysphagia Intervention in the Literature: A Scoping Review.Laryngoscope investigative otolaryngology · 2025Review
- Eating and swallowing care disparities in persons with dementia: A conceptual framework.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- The Influence of a Dementia Diagnosis on Clinical Decision-Making in Dysphagia Management.International journal of geriatric psychiatry · 2025Article
- Knowledge, Attitudes, and Practices Regarding Swallowing Disorders Among General Practitioners.International journal of general medicine · 2025Article
- Oropharyngeal dysphagia management and informed consent: a survey of speech-language pathologists' practice patterns when recommending modified texture diets.Frontiers in rehabilitation sciences · 2025Article
- Article
- Identifying Non-Traditional Approaches to Swallowing Rehabilitation: A Scoping Review.Dysphagia · 2024Article
- Surface Electromyographic Activity of the Masseter Muscle During Regular and Effortful Saliva Swallows: A Preliminary Study.Dysphagia · 2024Article
- Tube feeding in advanced dementia: Insights from South African speech-language therapists.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024Article
- Elevating Patient Care With Deep Learning: High-Resolution Cervical Auscultation Signals for Swallowing Kinematic Analysis in Nasogastric Tube Patients.IEEE journal of translational engineering in health and medicine · 2024Article
- Article
- Reference Values for Videofluoroscopic Measures of Swallowing: An Update.Journal of speech, language, and hearing research : JSLHR · 2023Article
- Swallow Reaction Time in Healthy Adults.Perspectives of the ASHA special interest groups · 2023Article
- Temporal Sequence of Laryngeal Vestibule Closure and Reopening is Associated With Airway Protection.The Laryngoscope · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Purpose: Speech-language pathologists (SLPs) are the primary providers of dysphagia management; however, this role has been criticized with assertions that SLPs are inadequately trained in swallowing physiology (Campbell-Taylor, 2008). To date, diagnostic acuity and treatment planning for swallowing impairments by practicing SLPs have not been examined. We conducted a survey to examine how clinician demographics and swallowing complexity influence decision making for swallowing impairments in videofluoroscopic images. Our goal was to determine whether SLPs' judgments of swallowing timing impairments align with impairment thresholds available in the research literature and whether or not there is agreement among SLPs regarding therapeutic recommendations. Method: The survey included 3 videofluoroscopic swallows ranging in complexity (easy, moderate, and complex). Three hundred three practicing SLPs in dysphagia management participated in the survey in a web-based format (Qualtrics, 2005) with frame-by-frame viewing capabilities. SLPs' judgments of impairment were compared against impairment thresholds for swallowing timing measures based on 95% confidence intervals from healthy swallows reported in the literature. Results: The primary impairment in swallowing physiology was identified 67% of the time for the easy swallow, 6% for the moderate swallow, and 6% for the complex swallow. On average, practicing clinicians mislabeled 8 or more swallowing events as impaired that were within the normal physiologic range compared with healthy normative data available in the literature. Agreement was higher among clinicians who report using frame-by-frame analysis 80% of the time. A range of 19-21 different treatments was recommended for each video, regardless of complexity. Conclusions: Poor to modest agreement in swallowing impairment identification, frequent false positives, and wide variability in treatment planning recommendations suggest that additional research and training in healthy and disordered swallowing are needed to increase accurate dysphagia diagnosis and treatment among clinicians.
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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.