Dissemination and Implementation of DIGEST™ as an Evidence-based Measurement Tool for Dysphagia: A Randomized Implementation Trial

M.D. Anderson Cancer Center

Summary

To improve swallowing outcomes in cancer through clinical implementation of the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST™) as an evidence-based practice (EBP) tool to grade pharyngeal dysphagia (difficulty swallowing) as a toxicity of cancer.

Description

Primary Objective Assess the impact of implementation strategies on clinical adoption (reach) of DIGEST for oncology MBS studies. Secondary Objective Assess the impact of implementation strategies on the fidelity (reliability) of DIGEST adoption for oncology MBS studies

Eligibility

Age range: 18+ years
Sex: All
Healthy volunteers: No

Detailed criteria

Inclusion Criteria: 1. A hospital or clinic affiliated with the Veteran's Affairs system, University of Wisconsin system, or Ohio State University system. 2. A minimum average of 10 Modified Barium Swallow (MBS) procedures per month in oncology patients in preceding year. 3. MBS imaging files are recorded and archived as a routine procedure (and accessible to researchers). Exclusion Criteria: N/A

Interventions

Other
No intervention
receive no active implementation
Other
DIGEST Training Program
Investigator led training program
Other
DIGEST Training + Practice Facilitation
Training plus practice facilitation

Location

MD Anderson Cancer Center
Houston, Texas
karnold@mdanderson.org 713-792-6513