Factors that influence success when training videofluoroscopic swallowing study analysts

Journal article


Edwards, Ann, Froude, Elspeth, Dark, Leigha and Carding, Paul. (2023). Factors that influence success when training videofluoroscopic swallowing study analysts. Speech, Language and Hearing. 26(3), pp. 223-234. https://doi.org/10.1080/2050571X.2023.2171952
AuthorsEdwards, Ann, Froude, Elspeth, Dark, Leigha and Carding, Paul
Abstract

Background: The literature relating to videofluoroscopic swallowing study (VFSS) training is sparse. The available evidence suggests that the learner, environment, and training design might influence VFSS analysts’ skill development. Aims: To identify the factors that VFSS analysts perceive to influence VFSS training. Methods & Procedures: In this qualitative study we interviewed nine speech pathologists from three countries who train VFSS analysts. The interviews followed a semi-structured guide to obtain data describing the trajectory of skill development and the influence of the learner, environment, and training design. We completed a thematic analysis using a simultaneously deductive and inductive approach. Outcomes & Results: Participants indicated that they believed that a trainee’s clinical experience, cognitive attributes, and learning preferences may influence their skill development. Trainers perceived a need to balance increasing the complexity of the task against maintaining the trainee’s confidence. The opportunity to practise and receive feedback was considered important. Barriers to practice were discussed. Training was perceived to have increased in complexity as the field of dysphagia has matured. Participants discussed the interacting demands of time and competency in this evolving environment. Conclusions & Implications: VFSS analytical skill development requires an investment of time by the trainee, trainer, and service. Trainers perceived that the trajectory of training and the time taken to reach competency varied according to the trainee, trainer, training design, and training environment factors. Future research into the impact of these influences and training content is needed to identify ways to provide sufficient practice and support learner differences to reduce the costs and time associated with training.

Keywordsdeglutition; deglutition disorders; dysphagia; training; videofluoroscopic swallowing study; clinical education; modified barium swallow
Year2023
JournalSpeech, Language and Hearing
Journal citation26 (3), pp. 223-234
PublisherTaylor & Francis
ISSN2050-5728
Digital Object Identifier (DOI)https://doi.org/10.1080/2050571X.2023.2171952
Scopus EID2-s2.0-85147662994
Web address (URL)https://www.tandfonline.com/doi/full/10.1080/2050571X.2023.2171952
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range223-234
FunderResearch Training Program Scholarship (RTP), Australian Government
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online06 Feb 2023
Publication process dates
Accepted12 Jan 2023
Deposited04 Jul 2023
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© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, orbuilt upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

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Patterson, J, Rapley, T, Carding, Paul, Wilson, Janet and McColl, E. (2013). Head and neck cancer and dysphagia : Caring for carers. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. https://doi.org/10.1002/pon.3226
Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study
Paleri, V, Carding, Paul, Chatterjee, S, Kelly, Charles, Wilson, Janet, Welch, Andrew and Drinnan, M. (2012). Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study. Head and Neck: journal for the sciences and specialities of the head and neck. 34(12), pp. 1747 - 1752. https://doi.org/10.1002/hed.22003
A new voice rating tool for clinical practice
Gould, James, Waugh, J, Carding, Paul and Drinnan, M. (2012). A new voice rating tool for clinical practice. Journal of Voice. 26(4), pp. 163 - 170. https://doi.org/10.1016/j.jvoice.2011.07.011
Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey
Roe, J, Carding, Paul, Rhys-Evans, P, Newbold, K, Harrington, K and Nutting, C. (2012). Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey. Oral Oncology. 48(4), pp. 343 - 348. https://doi.org/10.1016/j.oraloncology.2011.11.003
What other journals tell us. Laryngeal transplantation: Working party final report, June 2011
Narula, Tony, Bradley, Patrick, Carding, Paul Nicholas, Hakim, Nadey, Rumsey, Nichola, Sokol, Daniel and Edwards, Simon. (2012). What other journals tell us. Laryngeal transplantation: Working party final report, June 2011. Clinical Otolaryngology. 37(1), pp. 53 - 55. https://doi.org/10.1111/j.1749-4486.2012.02439.x
Prospective study of the participation patterns of Grade 6 and Year 8 students in Victoria, Australia in activities outside of school
McMullan, Sarah, Chin, Rachel, Froude, Elspeth Heather and Imms, Christine. (2012). Prospective study of the participation patterns of Grade 6 and Year 8 students in Victoria, Australia in activities outside of school. Australian Occupational Therapy Journal. 59(3), pp. 197 - 208. https://doi.org/10.1111/j.1440-1630.2012.01013.x
Translating evidence into practice: the role of scholarly journals
Froude, Elspeth. (2012). Translating evidence into practice: the role of scholarly journals. Australian Occupational Therapy Journal. 59(3), pp. 171 - 171. https://doi.org/10.1111/j.1440-1630.2012.01021.x
Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives
Wilson, Janet, Carding, Paul and Patterson, J. (2011). Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives. Otolaryngology. 145(5), pp. 767 - 771. https://doi.org/10.1177/0194599811414506
Leisure Participation Patterns of Children in Victoria Australia
Chin, Rachel, McMullen, Sarah, Froude, Elspeth Heather and Imms, Christine. (2011). Leisure Participation Patterns of Children in Victoria Australia. Australian Occupational Therapy Journal. 58(Suppl s1), pp. 101 - 101. https://doi.org/10.1111/j.1440-1630.2011.00938.x
Factors Influencing Children's Readiness to Enter School :Views From Early Childhood Educators
Froude, Elspeth Heather, Imms, Christine, Merrigan, C, Joffe, Beverly, Heine, Chyrisse and Serry, Tanya. (2011). Factors Influencing Children's Readiness to Enter School :Views From Early Childhood Educators. Australian Occupational Therapy Journal. 58(Suppl s1), pp. 23 - 23.
Effectiveness of voice therapy in functional dysphonia :Where are we now?
Bos-Clark, M and Carding, Paul. (2011). Effectiveness of voice therapy in functional dysphonia :Where are we now? Current Opinion in Otolaryngology and Head and Neck Surgery. 19(3), pp. 160 - 164. https://doi.org/10.1097/MOO.0b013e3283448f85
Women with physical disability and the mammogram :An observational study to identify barriers and facilitators
Poulos, Ann, Balandin, Susan, Llewellyn, Gwynnyth, McCarthy, Louella and Dark, Leigha. (2011). Women with physical disability and the mammogram :An observational study to identify barriers and facilitators. Radiography. 17(1), pp. 14 - 19. https://doi.org/10.1016/j.radi.2010.07.001
Relationship between fatigue, perfectionism, and functional dysphonia
O'Hara, J, Miller, T, Carding, Paul, Wilson, Janet and Deary, V. (2011). Relationship between fatigue, perfectionism, and functional dysphonia. Otolaryngology. 144(6), pp. 921 - 926. https://doi.org/10.1177/0194599811401236
The clinical application of the 100 mL water swallow test in head and neck cancer
Patterson, J, Hildreth, A, McColl, E, Carding, Paul, Hamilton, D and Wilson, Janet. (2011). The clinical application of the 100 mL water swallow test in head and neck cancer. Oral Oncology. 47(3), pp. 180 - 184. https://doi.org/10.1016/j.oraloncology.2010.11.020
Communicating about loss: Experiences of older Australian adults with cerebral palsy and complex communication needs
Dark, Leigha, Balandin, Susan and Clemson, Lindy. (2011). Communicating about loss: Experiences of older Australian adults with cerebral palsy and complex communication needs. Communication Disorders Quarterly. 32(3), pp. 176 - 189. https://doi.org/10.1177/1525740109353936
Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task
Brockmann, M, Drinnan, M, Storck, C and Carding, Paul. (2011). Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task. Journal of Voice. 25(1), pp. 44 - 53. https://doi.org/10.1016/j.jvoice.2009.07.002
Evaluation of the Australian adaptation of the Keeping It Together (KIT-Australia) information package with carers of children with special needs
Stewart, Janeen, Galvin, Jane, Froude, Elspeth and Lentin, Primrose. (2010). Evaluation of the Australian adaptation of the Keeping It Together (KIT-Australia) information package with carers of children with special needs. Australian Occupational Therapy Journal. 57(4), pp. 268 - 275. https://doi.org/10.1111/j.1440-1630.2010.00858.x
Children's participation in home, school and community life after acquired brain injury
Galvin, Jane, Froude, Elspeth and McAleer, Jennifer. (2010). Children's participation in home, school and community life after acquired brain injury. Australian Occupational Therapy Journal. 57(2), pp. 118 - 126. https://doi.org/10.1111/j.1440-1630.2009.00822.x
From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire
Deary, Ian, Wilson, Janet, Carding, Paul, MacKenzie, K and Watson, Roger. (2010). From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research. 68(1), pp. 67 - 71. https://doi.org/10.1016/j.jpsychores.2009.06.008
Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review
Roe, J, Carding, Paul, Dwivedi, R, Kazi, R, Rhys-Evans, P, Harrington, K and Nutting, C. (2010). Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review. Oral Oncology. 46(10), pp. 727 - 733. https://doi.org/10.1016/j.oraloncology.2010.07.012
From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire
Deary, Ian, Wilson, Janet, Carding, Paul, MacKenzie, K and Watson, Roger. (2010). From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research. 68(1), pp. 67 - 71. https://doi.org/10.1016/j.jpsychores.2009.06.008
Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review
Roe, J, Carding, Paul, Dwivedi, R, Kazi, R, Rhys-Evans, P, Harrington, K and Nutting, C. (2010). Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review. Oral Oncology. 46(10), pp. 727 - 733. https://doi.org/10.1016/j.oraloncology.2010.07.012
Facilitating access to evidence - a benefit to the profession
Froude, Elspeth and Craik, C.. (2010). Facilitating access to evidence - a benefit to the profession. Australian Occupational Therapy Journal. 57(6), pp. 355 - 355.
Writing for the reader
Froude, Elspeth. (2010). Writing for the reader. Australian Occupational Therapy Journal. 57(2), pp. 75 - 75.
Swallowing performance in patients with head and neck cancer: A simple clinical test
Patterson, Joanne M., McColl, Elaine, Carding, Paul Nicholas, Kelly, Charles G. and Wilson, Janet A.. (2009). Swallowing performance in patients with head and neck cancer: A simple clinical test. Oral Oncology. 45(10), pp. 904 - 907. https://doi.org/10.1016/j.oraloncology.2009.03.012
The voice handicap index with post-laryngectomy male voices research report
Evans, Eryl, Carding, Paul Nicholas and Drinnan, Michael. (2009). The voice handicap index with post-laryngectomy male voices research report. International Journal of Language and Communication Disorders. 44(5), pp. 575 - 586. https://doi.org/10.1080/13682820902928729
Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia
Haselden, Karen, Powell, Theresa, Drinnan, Mike and Carding, Paul Nicholas. (2009). Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia. Journal of Voice. 23(6), pp. 699 - 706. https://doi.org/10.1016/j.jvoice.2008.03.011
Measuring voice outcomes: State of the science review
Carding, Paul Nicholas, Wilson, Janet A., MacKenzie, K. and Deary, Ian J.. (2009). Measuring voice outcomes: State of the science review. Journal of Laryngology and Otology. 123(8), pp. 823 - 829. https://doi.org/10.1017/S0022215109005398
Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale
Hurren, A., Hildreth, A. J. and Carding, Paul Nicholas. (2009). Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale. Clinical Otolaryngology. 34(6), pp. 533 - 538. https://doi.org/10.1111/j.1749-4486.2009.02034.x
Sensory processing abilities of children who have sustained traumatic brain injuries
Galvin, Jane, Froude, Elspeth and Imms, Christine. (2009). Sensory processing abilities of children who have sustained traumatic brain injuries. American Journal of Occupational Therapy. 63(6), pp. 701 - 709. https://doi.org/10.5014/ajot.63.6.701
The relationship between physical performance and self-perception in children with and without cerebral palsy
Ziebell, Melanie, Imms, Christine, Froude, Elspeth, McCoy, Anne and Galea, Mary. (2009). The relationship between physical performance and self-perception in children with and without cerebral palsy. Australian Occupational Therapy Journal. 56(1), pp. 24 - 32. https://doi.org/10.1111/j.1440-1630.2008.00775.x
Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain
Thomas, Lois H., Jones, Tony M., Tandon, S., Carding, Paul Nicholas, Lowe, Derek G. and Rogers, Sarah. (2009). Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain. Clinical Otolaryngology. 34(1), pp. 34 - 42. https://doi.org/10.1111/j.1749-4486.2008.01830.x
The nature and severity of voice disorders in lung cancer patients
Lee, Clare F., Carding, Paul Nicholas and Fletcher, Mike. (2008). The nature and severity of voice disorders in lung cancer patients. Logopedics Phoniatrics Vocology. 33(2), pp. 93 - 103. https://doi.org/10.1080/14015430701745997
Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it
Karagama, Y., Hurren, A., Carding, Paul Nicholas and Lindsey, L.. (2008). Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it. Clinical Otolaryngology. 33(4), pp. 362 - 366. https://doi.org/10.1111/j.1749-4486.2008.01690.x
Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures
Steen, I. N., MacKenzie, K., Carding, Paul Nicholas, Webb, A., Deary, Ian J. and Wilson, Janet A.. (2008). Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures. Journal of Laryngology and Otology. 122(1), pp. 46 - 51. https://doi.org/10.1017/S0022215107007839
Voice change following thyroid and parathyroid surgery
Meek, Pauline, Carding, Paul Nicholas, Howard, D. H. and Lennard, T. W.J.. (2008). Voice change following thyroid and parathyroid surgery. Journal of Voice. 22(6), pp. 765 - 772. https://doi.org/10.1016/j.jvoice.2007.02.002
Voice loudness and gender effects on jitter and shimmer in healthy adults
Brockmann, Meike, Storck, Claudio, Carding, Paul Nicholas and Drinnan, Michael J.. (2008). Voice loudness and gender effects on jitter and shimmer in healthy adults. Journal of Speech, Language, and Hearing Research. 51(5), pp. 1152 - 1160. https://doi.org/10.1044/1092-4388(2008/06-0208)
An investigation of Bilateral Isokinematic Training and Neurodevelopmental Therapy in improving use of the affected hand in children with hemiplegia
Sheppard, Loretta, Mudie, Heather and Froude, Elspeth. (2007). An investigation of Bilateral Isokinematic Training and Neurodevelopmental Therapy in improving use of the affected hand in children with hemiplegia. Physical & Occupational Therapy in Pediatrics. 27(1), pp. 5 - 25.
Therapeutic practice resulted in moderate improvement in handwriting ability for children with poor handwriting when compared with sensorimotor intervention, but not when compared with a control group
Wallen, Margaret and Froude, Elspeth. (2007). Therapeutic practice resulted in moderate improvement in handwriting ability for children with poor handwriting when compared with sensorimotor intervention, but not when compared with a control group. Australian Occupational Therapy Journal. 54(3), pp. 239 - 244.