Conducting real-time videofluoroscopic swallow study via telepractice: a preliminary feasibility and reliability study

Burns, Clare L., Ward, Elizabeth C., Hill, Anne J., Phillips, Nick and Porter, Linda (2016) Conducting real-time videofluoroscopic swallow study via telepractice: a preliminary feasibility and reliability study. Dysphagia, 31 3: 473-483. doi:10.1007/s00455-016-9701-2


Author Burns, Clare L.
Ward, Elizabeth C.
Hill, Anne J.
Phillips, Nick
Porter, Linda
Title Conducting real-time videofluoroscopic swallow study via telepractice: a preliminary feasibility and reliability study
Journal name Dysphagia   Check publisher's open access policy
ISSN 0179-051X
Publication date 2016-06-01
Year available 2016
Sub-type Article (original research)
DOI 10.1007/s00455-016-9701-2
Open Access Status Not Open Access
Volume 31
Issue 3
Start page 473
End page 483
Total pages 11
Place of publication New York, NY United States
Publisher Springer New York
Language eng
Abstract A small number of studies have examined the feasibility of conducting videofluoroscopic swallow studies (VFSS) via telepractice. While the results have confirmed this potential, the systems tested to date have either reported issues that impacted the ability to analyze/interpret the VFSS recordings in real time, or they were not designed to enable real-time interpretation. Further system design is needed to establish a telepractice model that enables the VFSS assessment to be both guided and interpreted live in real time. The aim of this study was to test the feasibility and reliability of using a telepractice system to enable live VFSS assessment. Twenty adult patients underwent a VFSS assessment directed by a telepractice SLP with competency in VFSS located in another room of the hospital. The telepractice clinician led the sessions using a C20 Cisco TelePresence System. This was linked in real time via a secure telehealth network (at 4 megabits per second (Mbit/s)) to a C60 Cisco TelePresence System located in a fluoroscopy suite, connected to the digital fluoroscopy system. Levels of agreement were calculated between the telepractice clinician and a face-to-face clinician who simultaneously rated the VFSS in real time. High levels of agreement for swallowing parameters (range = 75–100 %; k = −0.34 to 1.0) and management decisions (range = 70–100 %, k = 0.64–1.0) were found. A post-session questionnaire revealed clinicians agreed that the telepractice system enabled successful remote assessment of VFSS. The findings support the potential to conduct live VFSS assessment via a telepractice model.
Keyword Telepractice
Videofluoroscopy
Videofluoroscopic swallow study
Deglutition
Deglutition disorders
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 18 Mar 2016, 23:38:20 EST by Dr Anne Hill on behalf of School of Health & Rehabilitation Sciences