Cagla Kantarcigil1, Justine Joan Sheppard2, Andrew M Gordon3, Kathleen M Friel4, Georgia A Malandraki5. 1. Purdue University, Lyles-Porter Hall, 715 Clinic Drive, West Lafayette, IN 47907, USA; Teachers College, Columbia University, 525 W. 120th Street, New York, NY 10027, USA. Electronic address: ckantarc@purdue.edu. 2. Teachers College, Columbia University, 525 W. 120th Street, New York, NY 10027, USA. Electronic address: jjs74@tc.columbia.edu. 3. Teachers College, Columbia University, 525 W. 120th Street, New York, NY 10027, USA. Electronic address: ag275@tc.columbia.edu. 4. Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA. Electronic address: kaf3001@med.cornell.edu. 5. Purdue University, Lyles-Porter Hall, 715 Clinic Drive, West Lafayette, IN 47907, USA; Teachers College, Columbia University, 525 W. 120th Street, New York, NY 10027, USA. Electronic address: malandraki@purdue.edu.
Abstract
BACKGROUND: Accurate and timely evaluation of dysphagia in children with cerebral palsy (CP) is critical. For children with limited access to quality healthcare, telehealth is an option; however, its reliability needs to be investigated. AIM: To test the reliability of an asynchronous telehealth model for evaluating dysphagia in children with CP using a standardized clinical assessment. METHODS AND PROCEDURES: Nineteen children (age range 6.9-17.5) were assessed at three mealtimes via the Dysphagia Disorder Survey (DDS) by three clinicians (face-to-face evaluations). Mealtimes were video-recorded to allow asynchronous evaluations by a remote clinician who also completed approximately 1/3 of face-to-face evaluations. Agreement was tested on DDS variables and dysphagia severity. OUTCOMES AND RESULTS: Results revealed substantial to excellent agreement between face-to-face and remote assessments by the same rater (78-100%, KW=0.64-1) on all, but two variables (oral transport and oral pharyngeal swallow) and by different raters (69-89%, KW=0.6-0.86) on all but one variable (orienting). For dysphagia severity, intrarater agreement was excellent (100%, KW=1); interrater agreement was substantial (85%; KW=0.76). CONCLUSIONS AND IMPLICATIONS: Asynchronous clinical swallowing evaluations using standardized tools have acceptable levels of agreement with face-to-face evaluations, and can be an alternative for children with limited access to expert swallowing care.
BACKGROUND: Accurate and timely evaluation of dysphagia in children with cerebral palsy (CP) is critical. For children with limited access to quality healthcare, telehealth is an option; however, its reliability needs to be investigated. AIM: To test the reliability of an asynchronous telehealth model for evaluating dysphagia in children with CP using a standardized clinical assessment. METHODS AND PROCEDURES: Nineteen children (age range 6.9-17.5) were assessed at three mealtimes via the Dysphagia Disorder Survey (DDS) by three clinicians (face-to-face evaluations). Mealtimes were video-recorded to allow asynchronous evaluations by a remote clinician who also completed approximately 1/3 of face-to-face evaluations. Agreement was tested on DDS variables and dysphagia severity. OUTCOMES AND RESULTS: Results revealed substantial to excellent agreement between face-to-face and remote assessments by the same rater (78-100%, KW=0.64-1) on all, but two variables (oral transport and oral pharyngeal swallow) and by different raters (69-89%, KW=0.6-0.86) on all but one variable (orienting). For dysphagia severity, intrarater agreement was excellent (100%, KW=1); interrater agreement was substantial (85%; KW=0.76). CONCLUSIONS AND IMPLICATIONS: Asynchronous clinical swallowing evaluations using standardized tools have acceptable levels of agreement with face-to-face evaluations, and can be an alternative for children with limited access to expert swallowing care.
Authors: Avinash Mishra; Georgia A Malandraki; Justine J Sheppard; Andrew M Gordon; Erika S Levy; Michelle S Troche Journal: Dysphagia Date: 2018-08-07 Impact factor: 3.438
Authors: Emma Pagnamenta; Lauren Longhurst; Anne Breaks; Katie Chadd; Amit Kulkarni; Val Bryant; Kathy Tier; Vanessa Rogers; Sai Bangera; Josephine Wallinger; Paula Leslie; Rebecca Palmer; Victoria Joffe Journal: BMJ Open Date: 2022-01-25 Impact factor: 2.692
Authors: Anna Miles; Nadine P Connor; Rinki Varindani Desai; Sudarshan Jadcherla; Jacqui Allen; Martin Brodsky; Kendrea L Garand; Georgia A Malandraki; Timothy M McCulloch; Marc Moss; Joseph Murray; Michael Pulia; Luis F Riquelme; Susan E Langmore Journal: Dysphagia Date: 2020-07-11 Impact factor: 3.438