Correlates of Early Pharyngeal High-Resolution Manometry Adoption in Expert Speech-Language Pathologists.
Corinne A Jones, Angela L Forgues, Nicole M Rogus-Pulia and 4 others
PMID 30232550WHAT IT FOUND
Most expert SLPs do not plan to adopt pharyngeal high-resolution manometry.
Those who do have trained on more instruments and feel confident explaining the procedure. Years of experience and work setting did not predict adoption.
Key findings
0145 of 73 respondents did not plan to adopt the technique, while 28 did.
02Adoption intention was best predicted by the number of instruments trained on and confidence in explaining the procedure to a patient.
03Years of practice and outpatient work setting were not significant predictors of adoption intention.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study only surveyed expert SLPs with a specific board certification, so results may not apply to the broader population of clinicians treating dysphagia. The response rate was 33%, which is standard for web surveys but limits generalizability. The survey measured intention to adopt, not actual clinical implementation or patient outcomes.
Declared interests
The study was supported by the National Institutes of Health (N.I.H., Extramural). No other conflicts of interest were declared in the provided text.
The easy way to misread this
Do not assume that pharyngeal high-resolution manometry is becoming a standard clinical practice for swallowing evaluation. The majority of expert respondents indicated they did not plan to adopt it, and the study only measured intention, not actual use or efficacy.