Implementation of the VA Intensive Dysphagia Treatment Program: A Mixed-Methods Evaluation.
Swallowing
implementation science
mixed methods
program evaluation
speech-language pathologists
Journal
Health services insights
ISSN: 1178-6329
Titre abrégé: Health Serv Insights
Pays: United States
ID NLM: 101624726
Informations de publication
Date de publication:
2022
2022
Historique:
received:
23
04
2022
accepted:
03
08
2022
entrez:
9
9
2022
pubmed:
10
9
2022
medline:
10
9
2022
Statut:
epublish
Résumé
The Department of Veterans Affairs (VA) Intensive Dysphagia Treatment program serves a critical role in facilitating improvements to quality of care, standardization of outcomes, and increased access to structured therapy for Veterans with dysphagia. It has been implemented at 26 sites nationally and continues expanding. An explanatory sequential mixed-methods design was utilized for program evaluation to identify barriers and facilitators to implementation as reported by speech-language pathologists (SLPs) participating in the program. All 23 IDT program SLPs were invited to participate in an online survey. SLPs were asked to describe etiologies referred for SLP evaluation, most and least clinically useful program aspects, and characteristics of patients recommended for therapy. Qualitative interviews/focus groups were then conducted with 9 SLPs at 3 facilities with varying levels of program experience. Transcripts underwent systems engineering framework informed deductive thematic analysis. Interview/focus groups revealed overall positive feedback. Barriers included data entry challenges and provider understanding of long-term program goals, while facilitators included program structure enabling increased patient follow-up, outcomes tracking, and training in new treatment modalities. Through this evaluation process, program leadership garnered actionable feedback to improve further implementation of the IDT program. Ongoing efforts will further improve data entry, site onboarding procedures, and program communication.
Identifiants
pubmed: 36081831
doi: 10.1177/11786329221121207
pii: 10.1177_11786329221121207
pmc: PMC9445514
doi:
Types de publication
Journal Article
Langues
eng
Pagination
11786329221121207Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
Declaration Of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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