Validity of conducting clinical dysphagia assessments for patients with normal to mild cognitive impairment via telerehabilitation

Elizabeth C. Ward, Shobha Sharma, Clare Burns, Deborah Theodoros, Trevor Russell

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

To assess the validity of conducting clinical dysphagia assessments via telerehabilitation, 40 individuals with dysphagia from various etiologies were assessed simultaneously by a face-to-face speech-language pathologist (FTF-SLP) and a telerehabilitation SLP (T-SLP) via an Internet-based videoconferencing telerehabilitation system. Dysphagia status was assessed using a Clinical Swallowing Examination (CSE) protocol, delivered via a specialized telerehabilitation videoconferencing system and involving the use of an assistant at the patient's end of the consultation to facilitate the assessment. Levels of agreement between the FTF-SLP and T-SLP revealed that the majority of parameters reached set levels of clinically acceptable levels of agreement. Specifically, agreement between the T-SLP and FTF-SLP ratings for the oral, oromotor, and laryngeal function tasks revealed levels of exact agreement ranging from 75 to 100% (kappa = 0.36-1.0), while the parameters relating to food and fluid trials ranged in exact agreement from 79 to 100% (kappa = 0.61-1.0). Across the parameters related to aspiration risk and clinical management, exact agreement ranged between 79 and 100% (kappa = 0.49-1.0). The data show that a CSE conducted via telerehabilitation can provide valid and reliable outcomes comparable to clinical decisions made in the FTF environment.

Original languageEnglish
Pages (from-to)460-472
Number of pages13
JournalDysphagia
Volume27
Issue number4
DOIs
Publication statusPublished - Dec 2012

Fingerprint

Deglutition Disorders
Videoconferencing
Language
Deglutition
Risk Management
Cognitive Dysfunction
Telerehabilitation
Internet
Referral and Consultation
Food
Pathologists

Keywords

  • Aspiration
  • Clinical swallowing examination
  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Swallowing disorders
  • Telerehabilitation
  • Videoconferencing

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

Cite this

Validity of conducting clinical dysphagia assessments for patients with normal to mild cognitive impairment via telerehabilitation. / Ward, Elizabeth C.; Sharma, Shobha; Burns, Clare; Theodoros, Deborah; Russell, Trevor.

In: Dysphagia, Vol. 27, No. 4, 12.2012, p. 460-472.

Research output: Contribution to journalArticle

Ward, Elizabeth C. ; Sharma, Shobha ; Burns, Clare ; Theodoros, Deborah ; Russell, Trevor. / Validity of conducting clinical dysphagia assessments for patients with normal to mild cognitive impairment via telerehabilitation. In: Dysphagia. 2012 ; Vol. 27, No. 4. pp. 460-472.
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