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A telehealth approach to conducting clinical swallowing evaluations in children with cerebral palsy.

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.

journal_name

Res Dev Disabil

journal_title

Research in developmental disabilities

authors

Kantarcigil C,Sheppard JJ,Gordon AM,Friel KM,Malandraki GA

doi

10.1016/j.ridd.2016.04.008

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

207-17

eissn

0891-4222

issn

1873-3379

pii

S0891-4222(16)30078-6

journal_volume

55

pub_type

杂志文章

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