{"title":"口腔癌治疗后的言语和吞咽干预:澳大利亚和新西兰语言病理学家调查。","authors":"Katrina Blyth, Hannah Stainlay, Patricia McCabe","doi":"10.1080/17549507.2023.2240043","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Treatment for oral cancer has debilitating effects on speech and swallowing, however, little is known about current speech-language pathology practice.</p><p><strong>Method: </strong>An online survey of speech-language pathologists (SLPs) was disseminated via emails to speech pathology departments, social media platforms, and professional online forums. Survey questions captured demographics, service delivery, type and timing of speech and swallowing interventions, and influences and barriers to practice.</p><p><strong>Result: </strong>Forty-three SLPs working in Australia (<i>n</i> = 41) and New Zealand (<i>n</i> = 2) completed the survey. SLPs recommended speech and swallowing compensatory strategies significantly more frequently than active intervention. Swallowing outcomes measures were either instrumental (<i>n</i> = 31, 94%) or performance ratings (<i>n</i> = 25, 76%), whereas speech was measured informally with judgements of intelligibility (<i>n</i> = 30, 91%). SLPs used a range of supports for their decision making, particularly expert opinion (<i>n</i> = 81, 38.2%). They reported time and staffing limitations (<i>n</i> = 55, 55%) and a lack of relevant evidence (<i>n</i> = 35, 35%) as the largest barriers to evidence-based service delivery.</p><p><strong>Conclusion: </strong>There is variability amongst SLPs in Australia and New Zealand regarding rehabilitation of speech and swallowing for people with oral cancer. This study highlights the need for evidence-based guidelines outlining best practice for screening processes, active rehabilitation protocols, and valid outcome measures with this population.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Speech and swallowing intervention following oral cancer treatment: A survey of speech-language pathologists in Australia and New Zealand.\",\"authors\":\"Katrina Blyth, Hannah Stainlay, Patricia McCabe\",\"doi\":\"10.1080/17549507.2023.2240043\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Treatment for oral cancer has debilitating effects on speech and swallowing, however, little is known about current speech-language pathology practice.</p><p><strong>Method: </strong>An online survey of speech-language pathologists (SLPs) was disseminated via emails to speech pathology departments, social media platforms, and professional online forums. Survey questions captured demographics, service delivery, type and timing of speech and swallowing interventions, and influences and barriers to practice.</p><p><strong>Result: </strong>Forty-three SLPs working in Australia (<i>n</i> = 41) and New Zealand (<i>n</i> = 2) completed the survey. SLPs recommended speech and swallowing compensatory strategies significantly more frequently than active intervention. Swallowing outcomes measures were either instrumental (<i>n</i> = 31, 94%) or performance ratings (<i>n</i> = 25, 76%), whereas speech was measured informally with judgements of intelligibility (<i>n</i> = 30, 91%). SLPs used a range of supports for their decision making, particularly expert opinion (<i>n</i> = 81, 38.2%). They reported time and staffing limitations (<i>n</i> = 55, 55%) and a lack of relevant evidence (<i>n</i> = 35, 35%) as the largest barriers to evidence-based service delivery.</p><p><strong>Conclusion: </strong>There is variability amongst SLPs in Australia and New Zealand regarding rehabilitation of speech and swallowing for people with oral cancer. This study highlights the need for evidence-based guidelines outlining best practice for screening processes, active rehabilitation protocols, and valid outcome measures with this population.</p>\",\"PeriodicalId\":49047,\"journal\":{\"name\":\"International Journal of Speech-Language Pathology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Speech-Language Pathology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/17549507.2023.2240043\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/9/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Speech-Language Pathology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17549507.2023.2240043","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/13 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Speech and swallowing intervention following oral cancer treatment: A survey of speech-language pathologists in Australia and New Zealand.
Purpose: Treatment for oral cancer has debilitating effects on speech and swallowing, however, little is known about current speech-language pathology practice.
Method: An online survey of speech-language pathologists (SLPs) was disseminated via emails to speech pathology departments, social media platforms, and professional online forums. Survey questions captured demographics, service delivery, type and timing of speech and swallowing interventions, and influences and barriers to practice.
Result: Forty-three SLPs working in Australia (n = 41) and New Zealand (n = 2) completed the survey. SLPs recommended speech and swallowing compensatory strategies significantly more frequently than active intervention. Swallowing outcomes measures were either instrumental (n = 31, 94%) or performance ratings (n = 25, 76%), whereas speech was measured informally with judgements of intelligibility (n = 30, 91%). SLPs used a range of supports for their decision making, particularly expert opinion (n = 81, 38.2%). They reported time and staffing limitations (n = 55, 55%) and a lack of relevant evidence (n = 35, 35%) as the largest barriers to evidence-based service delivery.
Conclusion: There is variability amongst SLPs in Australia and New Zealand regarding rehabilitation of speech and swallowing for people with oral cancer. This study highlights the need for evidence-based guidelines outlining best practice for screening processes, active rehabilitation protocols, and valid outcome measures with this population.
期刊介绍:
International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.