Head and Neck Cancer, Stroke
Conditions
Keywords
Deglutition Disorders, Evaluation, Real-time internet
Brief summary
The purpose of this study is to determine whether real-time internet evaluations of swallowing, or x-ray swallow studies viewed over closed internet circuit, are a reliable method of evaluating swallowing function.
Detailed description
The objective of this proposal is to establish the validity of an Internet based protocol for real-time, remote, telefluoroscopic evaluation of oropharyngeal swallowing function. The investigators will achieve this goal by testing the hypothesis that oropharyngeal swallowing function evaluated by an experienced speech-language pathologist (SLP) using a remote, interactive, real-time, dynamic Internet telefluoroscopic procedure, which was developed in the PI's laboratory, has an acceptable level of agreement with the evaluations performed by an experienced SLP who is present in the fluoroscopy suite and using the traditional videofluoroscopic methodology. In other words, the primary aim of this investigation is to determine whether the telemedicine approach to evaluation of swallowing function is reliable relative to the traditional method by which a clinician is in direct contact with a patient for a pre-examination interview, clinical examination, and videofluoroscopic evaluation of swallowing function. Confirmation of the reliability of the telefluoroscopic evaluation of oropharyngeal dysphagia (hereafter referred to as dysphagia) can result in equity of access for underserved groups for whom SLPs with expertise in evaluating swallowing function are locally unavailable. Ultimately, the success of this project could translate specialty services into routine clinical practice across the United States and globally.
Interventions
None listed
Sponsors
University of Illinois at Chicago
University of Wisconsin, Madison
University of Arkansas
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Stroke, Head & neck cancer, referred for swallowing evaluation.
Exclusion criteria
* No stroke or no head and neck cancer, or not referred for swallowing evaluation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reliability Ratings Among Clinicians Using Real-time Internet Evaluation of Swallowing. | 2 years | Percentages were calculated for agreement between ratings made by on site clinician and clinician off site with telemedicine. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Stroke or Head & Neck Cancer Any subject who has suffered a stroke or has some form of head & neck cancer (non-laryngectomee) may be enrolled. | 30 |
| Total | 30 |
Baseline characteristics
| Characteristic | Stroke or Head & Neck Cancer |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 11 Participants |
| Age, Categorical Between 18 and 65 years | 19 Participants |
| Age, Continuous | 62 years STANDARD_DEVIATION 4 |
| Gender Female | 13 Participants |
| Gender Male | 17 Participants |
| Region of Enrollment United States | 30 participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 30 |
| serious Total, serious adverse events | 0 / 30 |
Outcome results
Primary
Reliability Ratings Among Clinicians Using Real-time Internet Evaluation of Swallowing.
Percentages were calculated for agreement between ratings made by on site clinician and clinician off site with telemedicine.
Time frame: 2 years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Stroke or Head & Neck Cancer | Reliability Ratings Among Clinicians Using Real-time Internet Evaluation of Swallowing. | 60 percent agreement |