Exploring current sensory enhancement practices within videofluoroscopic swallow study (VFSS) clinics

Turkington, Leisa, Nund, Rebecca L., Ward, Elizabeth C. and Farrell, Anna (2016) Exploring current sensory enhancement practices within videofluoroscopic swallow study (VFSS) clinics. Dysphagia, 32 2: 1-11. doi:10.1007/s00455-016-9747-1


Author Turkington, Leisa
Nund, Rebecca L.
Ward, Elizabeth C.
Farrell, Anna
Title Exploring current sensory enhancement practices within videofluoroscopic swallow study (VFSS) clinics
Journal name Dysphagia   Check publisher's open access policy
ISSN 1432-0460
0179-051X
Publication date 2016-09-01
Sub-type Article (original research)
DOI 10.1007/s00455-016-9747-1
Open Access Status Not yet assessed
Volume 32
Issue 2
Start page 1
End page 11
Total pages 11
Place of publication New York, NY, United States
Publisher Springer New York LLC
Language eng
Subject 2733 Otorhinolaryngology
2715 Gastroenterology
3616 Speech and Hearing
Abstract Whilst some research evidence supports the potential benefits of sensory enhancement strategies (SES) in dysphagia management, there is limited understanding of how SES are used in clinical services and the influencing drivers involved in selection during instrumental assessment. SES include modification of temperature, flavour, texture, chemesthetic qualities and bolus size of food/fluid. This study aimed to explore the use of SES within Australian Videofluoroscopic Swallow Study (VFSS) clinics providing adult services, via a qualitative methodology. Maximum variation sampling was used to select a cross section of speech-language pathologists (SLPs) with a range of experience working within 16 VFSS clinics across metropolitan and regional settings to participate in semi-structured, focus group or individual teleconference interviews. Content analysis of interview transcripts was conducted, with four themes emerging as influencing drivers of SES use, including: Patient factors influence SES use; Clinician factors influence SES use; Trials of SES require planning and organisation, and; Organisational barriers impact on SES use. These four themes were all connected through a single integrative theme: Extensive variations of SES procedures exist across clinical settings. Findings indicate that achieving alignment of clinical purpose and implementation of practices amongst VFSS clinicians will be complex given current diversity in SES use. Organisational issues and clinician training need to be addressed, and more research is needed to provide a stronger evidence base to inform clinical practice in this emerging area of dysphagia management.
Keyword Compensation
Deglutition
Deglutition disorders
Dysphagia
Sensory enhancement
Videofluoroscopic swallow study
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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