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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

Page last updated: August 23, 2015

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