search
Back to results

Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia

Primary Purpose

Deglutition Disorders, Dysphagia, Stroke

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
TOR-BSST© Refresher Training
Sponsored by
University Health Network, Toronto
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Deglutition Disorders focused on measuring Skill Maintenance, Skill Decay, Screening

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Nurses who care for acute stroke patients

Sites / Locations

  • Our Lady of Lourdes Hospital
  • Foothills Hospital
  • Alberta Health Services - Capital Health (University of Alberta Hospital, Royal Alexandra Hospital)
  • Georgian Bay General Hospital
  • University Health Network - Toronto Western Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Group A Nurses

Group B Nurses

Arm Description

Participants receive neither web-based refresher courses nor periodic feedback by SLP

Participants receive web-based skill refresher courses but no periodic feedback by SLP

Outcomes

Primary Outcome Measures

Skill decay over time among nurses trained to use the TOR-BSST© to screen for dysphagia in stroke patients

Secondary Outcome Measures

Full Information

First Posted
December 7, 2007
Last Updated
January 9, 2012
Sponsor
University Health Network, Toronto
Collaborators
Ontario Ministry of Health and Long Term Care
search

1. Study Identification

Unique Protocol Identification Number
NCT00570557
Brief Title
Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia
Official Title
Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
September 2007 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
June 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Health Network, Toronto
Collaborators
Ontario Ministry of Health and Long Term Care

4. Oversight

5. Study Description

Brief Summary
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 two groups: Group A - Control group with no refresher course or periodic feedback from SLP; Group B - Web-based skill refresher courses only. Nurses will be evaluated at several timepoints throughout Phase B to assess theoretical dysphagia screening knowledge and skills.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Deglutition Disorders, Dysphagia, Stroke
Keywords
Skill Maintenance, Skill Decay, Screening

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
96 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A Nurses
Arm Type
No Intervention
Arm Description
Participants receive neither web-based refresher courses nor periodic feedback by SLP
Arm Title
Group B Nurses
Arm Type
Experimental
Arm Description
Participants receive web-based skill refresher courses but no periodic feedback by SLP
Intervention Type
Other
Intervention Name(s)
TOR-BSST© Refresher Training
Intervention Description
Web-based refresher training in dysphagia screening
Primary Outcome Measure Information:
Title
Skill decay over time among nurses trained to use the TOR-BSST© to screen for dysphagia in stroke patients
Time Frame
1 year

10. Eligibility

Sex
All
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Nurses who care for acute stroke patients
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rosemary Martino, MA, MSc, PhD
Organizational Affiliation
University of Toronto, Dept. of Speech Language Pathology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Our Lady of Lourdes Hospital
City
Binghamton
State/Province
New York
Country
United States
Facility Name
Foothills Hospital
City
Calgary
State/Province
Alberta
Country
Canada
Facility Name
Alberta Health Services - Capital Health (University of Alberta Hospital, Royal Alexandra Hospital)
City
Edmonton
State/Province
Alberta
Country
Canada
Facility Name
Georgian Bay General Hospital
City
Penetanguishene/Midland
State/Province
Ontario
Country
Canada
Facility Name
University Health Network - Toronto Western Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5T 2S8
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
16269630
Citation
Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005 Dec;36(12):2756-63. doi: 10.1161/01.STR.0000190056.76543.eb. Epub 2005 Nov 3.
Results Reference
background
PubMed Identifier
10594255
Citation
Martino R, Pron G, Diamant N. Screening for oropharyngeal dysphagia in stroke: insufficient evidence for guidelines. Dysphagia. 2000 Winter;15(1):19-30. doi: 10.1007/s004559910006.
Results Reference
background
PubMed Identifier
19074483
Citation
Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL, Diamant NE. The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke. 2009 Feb;40(2):555-61. doi: 10.1161/STROKEAHA.107.510370. Epub 2008 Dec 12.
Results Reference
background
Links:
URL
http://swallowinglab.uhnres.utoronto.ca
Description
Swallowing Lab Website

Learn more about this trial

Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia

We'll reach out to this number within 24 hrs