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Sponsors and Collaborators: |
University Health Network, Toronto Ontario Ministry of Health and Long Term Care |
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Information provided by: | University Health Network, Toronto |
ClinicalTrials.gov Identifier: | NCT00570557 |
This research aims to facilitate the successful implementation of the new Heart and Stroke Foundation of Ontario dysphagia screening model for acute stroke patients. The objectives will be 1) to determine the natural history of dysphagia screening skill decay, and 2) to assess the benefit of independent web-based practice and periodic feedback on screening skill maintenance. We will enrol a convenience sample of nurses who currently work with stroke patients but who have had no prior formal training with dysphagia screening.
The study will consist of 2 phases: A) an initial pilot phase followed by B) a prospective randomized controlled study. During Phase A, three new web-based, self-instructed skill refresher courses will be developed to help nurses maintain the skills they will learn in an 8-hour workshop on dysphagia screening. During Phase B, nurses will receive the 8-hour workshop and one-on-one evaluation by a speech-language pathologist (SLP). Following training, competent screeners will be randomized into one of three groups: Group A - Control group with no refresher course or periodic feedback from SLP; Group B - Web-based skill refresher courses only; or Group C - Both web-based skill refresher courses and periodic feedback from SLP. Nurses will be evaluated at several timepoints throughout Phase B to assess theoretical dysphagia screening knowledge and skills.
Condition | Intervention |
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Deglutition Disorders Dysphagia Stroke |
Other: TOR-BSST© Refresher Training Behavioral: Periodic feedback by SLP |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Open Label, Parallel Assignment |
Official Title: | Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia |
Estimated Enrollment: | 90 |
Study Start Date: | September 2007 |
Estimated Study Completion Date: | February 2009 |
Estimated Primary Completion Date: | February 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Group A Nurses: No Intervention
Participants receive neither web-based refresher courses nor periodic feedback by SLP
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Group B Nurses: Experimental
Participants receive web-based skill refresher courses but no periodic feedback by SLP
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Other: TOR-BSST© Refresher Training
Web-based refresher training in dysphagia screening
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Group C Nurses: Experimental
Participants receive web-based skill refresher courses and periodic feedback by SLP
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Other: TOR-BSST© Refresher Training
Web-based refresher training in dysphagia screening
Behavioral: Periodic feedback by SLP
Periodic feedback by SLP to the trained nurse administering the TOR-BSST© to screen for dysphagia in stroke patients
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Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Exclusion Criteria:
Contact: Trixie Reichardt, MHSc | 416-603-5800 ext 3913 | trixie.reichardt@uhn.on.ca |
Canada, Ontario | |
University Health Network - Toronto Western Hospital | Recruiting |
Toronto, Ontario, Canada, M5T 2S8 | |
Contact: Trixie Reichardt, MHSc 416-603-5800 ext 3913 trixie.reichardt@uhn.on.ca |
Principal Investigator: | Rosemary Martino, MA, MSc, PhD | University of Toronto, Dept. of Speech Language Pathology |
Responsible Party: | University of Toronto ( Rosemary Martino, PhD, Assistant Professor ) |
Study ID Numbers: | 06354 |
Study First Received: | December 7, 2007 |
Last Updated: | June 18, 2008 |
ClinicalTrials.gov Identifier: | NCT00570557 |
Health Authority: | Canada: Ministry of Health & Long Term Care, Ontario |
Skill Maintenance Skill Decay Screening |
Deglutition Disorders Otorhinolaryngologic Diseases Digestive System Diseases Esophageal disorder Cerebral Infarction |
Gastrointestinal Diseases Stroke Benzocaine Esophageal Diseases Pharyngeal Diseases |