DIGEST, Dysphagia, Evidence Based Measurement, Randomized Implementation
Conditions
Brief summary
To improve swallowing outcomes in cancer through clinical implementation of the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST™) as an evidence-based practice (EBP) tool to grade pharyngeal dysphagia (difficulty swallowing) as a toxicity of cancer.
Detailed description
Primary Objective Assess the impact of implementation strategies on clinical adoption (reach) of DIGEST for oncology MBS studies. Secondary Objective Assess the impact of implementation strategies on the fidelity (reliability) of DIGEST adoption for oncology MBS studies
Interventions
Training plus practice facilitation
receive no active implementation
Investigator led training program
Sponsors
Study design
Eligibility
Inclusion criteria
1. A hospital or clinic affiliated with the Veteran's Affairs system, University of Wisconsin system, or Ohio State University system. 2. A minimum average of 10 Modified Barium Swallow (MBS) procedures per month in oncology patients in preceding year. 3. MBS imaging files are recorded and archived as a routine procedure (and accessible to researchers).
Exclusion criteria
N/A
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adoption of DIGEST in routine clinical documentation for oncology MBS studies | Through study completion; an average of 1 year |
Countries
United States
Contacts
M.D. Anderson Cancer Center