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
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
- OtherNo intervention
receive no active implementation
- OtherDIGEST Training Program
Investigator led training program
- OtherDIGEST Training + Practice Facilitation
Training plus practice facilitation
Location
- MD Anderson Cancer CenterHouston, Texas