Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia
Information source: University Health Network, Toronto
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Deglutition Disorders; Dysphagia; Stroke
Intervention: TOR-BSSTĀ© Refresher Training (Other)
Phase: N/A
Status: Completed
Sponsored by: University Health Network, Toronto Official(s) and/or principal investigator(s): Rosemary Martino, MA, MSc, PhD, Principal Investigator, Affiliation: University of Toronto, Dept. of Speech Language Pathology
Summary
This research aims to facilitate the successful implementation of the new Heart and Stroke
Foundation of Ontario dysphagia screening model for acute stroke patients. The objectives
will be 1) to determine the natural history of dysphagia screening skill decay, and 2) to
assess the benefit of independent web-based practice and periodic feedback on screening
skill maintenance. We will enrol a convenience sample of nurses who currently work with
stroke patients but who have had no prior formal training with dysphagia screening.
The study will consist of 2 phases: A) an initial pilot phase followed by B) a prospective
randomized controlled study. During Phase A, three new web-based, self-instructed skill
refresher courses will be developed to help nurses maintain the skills they will learn in an
8-hour workshop on dysphagia screening. During Phase B, nurses will receive the 8-hour
workshop and one-on-one evaluation by a speech-language pathologist (SLP). Following
training, competent screeners will be randomized into one of two groups: Group A - Control
group with no refresher course or periodic feedback from SLP; Group B - Web-based skill
refresher courses only. Nurses will be evaluated at several timepoints throughout Phase B to
assess theoretical dysphagia screening knowledge and skills.
Clinical Details
Official title: Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia
Study design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Primary outcome: Skill decay over time among nurses trained to use the TOR-BSSTĀ© to screen for dysphagia in stroke patients
Eligibility
Minimum age: N/A.
Maximum age: N/A.
Gender(s): Both.
Criteria:
Inclusion Criteria:
- Nurses who care for acute stroke patients
Locations and Contacts
Foothills Hospital, Calgary, Alberta, Canada
Alberta Health Services - Capital Health (University of Alberta Hospital, Royal Alexandra Hospital), Edmonton, Alberta, Canada
Our Lady of Lourdes Hospital, Binghamton, New York, United States
Georgian Bay General Hospital, Penetanguishene/Midland, Ontario, Canada
University Health Network - Toronto Western Hospital, Toronto, Ontario M5T 2S8, Canada
Additional Information
Swallowing Lab Website
Related publications: Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005 Dec;36(12):2756-63. Epub 2005 Nov 3. Review. Martino R, Pron G, Diamant N. Screening for oropharyngeal dysphagia in stroke: insufficient evidence for guidelines. Dysphagia. 2000 Winter;15(1):19-30. Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL, Diamant NE. The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke. 2009 Feb;40(2):555-61. doi: 10.1161/STROKEAHA.107.510370. Epub 2008 Dec 12.
Starting date: September 2007
Last updated: January 9, 2012
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