Correlates of Early Pharyngeal High-Resolution Manometry Adoption in Expert Speech-Language Pathologists

Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of SLPs who are early adopters of HRM are unclear; perspectives of early adopters may shape how the technology is received by the field...

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Veröffentlicht in:Dysphagia 2019-06, Vol.34 (3), p.325-332
Hauptverfasser: Jones, Corinne A., Forgues, Angela L., Rogus-Pulia, Nicole M., Orne, Jason, Macdonald, Cameron L., Connor, Nadine P., McCulloch, Timothy M.
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container_end_page 332
container_issue 3
container_start_page 325
container_title Dysphagia
container_volume 34
creator Jones, Corinne A.
Forgues, Angela L.
Rogus-Pulia, Nicole M.
Orne, Jason
Macdonald, Cameron L.
Connor, Nadine P.
McCulloch, Timothy M.
description Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of SLPs who are early adopters of HRM are unclear; perspectives of early adopters may shape how the technology is received by the field at large. We hypothesized that younger SLPs, those working in outpatient settings, those with a strong knowledge base in HRM, and those with experience in other types of instrumentation are more likely to have interest in adopting HRM. We surveyed the population of board-certified SLPs (BCS-S; n  = 262) with a 33% response rate ( n  = 78). Firth logistic regression was used to determine differences in those expressing interest in adopting HRM into future practice ( n  = 28) and those who did not ( n  = 45) from the analytic sample of 73 respondents. The best fitting model predicted that SLPs: (1) with training in more types of instrumentation; and (2) believing they could explain the HRM procedure to a patient were more likely to plan to adopt pharyngeal HRM into regular clinical practice. Experience with a variety of instrumentation techniques may encourage SLPs to use new forms of technology. Knowledge of early adopter demographics will allow for development of targeted trainings and determination of HRM implementation barriers. Identification of a clinician sub-group more likely to adopt other new technologies in the future may also be possible.
doi_str_mv 10.1007/s00455-018-9941-4
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subjects Adult
Clinical medicine
Demographics
Demography
Female
Gastroenterology
Hepatology
Humans
Imaging
Language
Male
Manometry - methods
Manometry - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Original Article
Otorhinolaryngology
Pharynx
Practice Patterns, Physicians' - statistics & numerical data
Radiology
Speech
Speech therapists
Speech-Language Pathology - methods
Speech-Language Pathology - statistics & numerical data
Training
title Correlates of Early Pharyngeal High-Resolution Manometry Adoption in Expert Speech-Language Pathologists
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