Dissemination and Implementation of DIGEST™ as an Evidence-based Measurement Tool for Dysphagia: A Randomized Implementation Trial
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- M.D. Anderson Cancer Center
- Enrollment
- 85
- Locations
- 1
- Primary Endpoint
- Adoption of DIGEST in routine clinical documentation for oncology MBS studies
Overview
Brief 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.
Detailed 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
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •A hospital or clinic affiliated with the Veteran's Affairs system, University of Wisconsin system, or Ohio State University system.
- •A minimum average of 10 Modified Barium Swallow (MBS) procedures per month in oncology patients in preceding year.
- •MBS imaging files are recorded and archived as a routine procedure (and accessible to researchers).
Exclusion Criteria
- Not provided
Arms & Interventions
Control Arm 1
The control arm will receive no active implementation strategy.
Intervention: No intervention (Other)
Training Arm 2
Represents a low intensity implementation strategy solely using the DIGEST training program as the intervention.
Intervention: DIGEST Training Program (Other)
Training + Practice Facilitation Arm 3
Represents a higher intensity strategy using the same training program plus practice facilitation.
Intervention: DIGEST Training + Practice Facilitation (Other)
Outcomes
Primary Outcomes
Adoption of DIGEST in routine clinical documentation for oncology MBS studies
Time Frame: Through study completion; an average of 1 year
Secondary Outcomes
No secondary outcomes reported