Interjudge agreement in videofluoroscopic studies of swallowing

J Speech Hear Res. 1996 Feb;39(1):144-52. doi: 10.1044/jshr.3901.144.

Abstract

Videofluoroscopic swallowing examinations of 3 patients with dysphagia were reviewed independently by 10 speech-language pathologists. Prior to viewing each video, clinicians were provided with information about the patient's history, the results of a bedside swallow examination, and oral-facial and oral motor control examinations. Clinicians completed a swallowing observation protocol as they viewed each video. They then recommended, from a list of treatment strategies, intervention techniques that would be most appropriate for each patient. Interjudge agreement was calculated by determining how many clinicians observed a given swallowing event or deficit, and how many recommended a given treatment strategy. Results suggest that the level of interjudge agreement for videofluoroscopic evaluations is not encouragingly high.

MeSH terms

  • Barium
  • Deglutition Disorders / diagnosis*
  • Fluoroscopy*
  • Humans
  • Observer Variation*
  • Professional Competence
  • Speech-Language Pathology
  • Videotape Recording*
  • Workforce

Substances

  • Barium