Evaluation of a clinical service model for dysphagia assessment via telerehabilitation

Ward, Elizabeth C., Bruns, Clare L., Theodoros, Deborah G. and Russell, Trevor G. (2013) Evaluation of a clinical service model for dysphagia assessment via telerehabilitation. International Journal of Telemedicine and Applications, 2013 . doi:doi:10.1155/2013/918526

Author Ward, Elizabeth C.
Bruns, Clare L.
Theodoros, Deborah G.
Russell, Trevor G.
Title Evaluation of a clinical service model for dysphagia assessment via telerehabilitation
Journal name International Journal of Telemedicine and Applications   Check publisher's open access policy
ISSN 1687-6415
Publication date 2013-01-01
Year available 2013
Sub-type Article (original research)
DOI doi:10.1155/2013/918526
Open Access Status DOI
Volume 2013
Total pages 7
Place of publication New York, United States
Publisher Hindawi Publishing Corporation
Language eng
Formatted abstract
 Emerging research supports the feasibility and viability of conducting clinical swallow examinations (CSE) for patients with dysphagia via telerehabilitation. However, minimal data has been reported to date regarding the implementation of such services within the clinical setting or the user perceptions of this type of clinical service. A mixed methods study design was employed to examine the outcomes of a weekly dysphagia assessment clinic conducted via telerehabilitation and examine issues relating to service delivery and user perceptions. Data was collected across a total of 100 patient assessments. Information relating to primary patient outcomes, session statistics, patient perceptions, and clinician perceptions was examined. Results revealed that session durations averaged 45 minutes, there was minimal technical difficulty experienced, and clinical decisions made regarding primary patient outcomes were comparable between the online and face to face clinicians. Patient satisfaction was high and clinicians felt that they developed good rapport, found the system easy to use, and were satisfied with the service in over 90% of the assessments conducted. Key factors relating to screening patient suitability, having good general organization, and skilled staff were identified as facilitators for the service. This trial has highlighted important issues for consideration when planning or implementing a telerehabilitation service for dysphagia management.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article ID 918526

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: Scopus Citation Count Cited 3 times in Scopus Article | Citations
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Created: Tue, 18 Feb 2014, 00:46:37 EST by Professor Elizabeth Ward on behalf of School of Health & Rehabilitation Sciences