Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia - Tabular View

Tracking Information

First Received Date ^ICMJE

December 7, 2007

Last Updated Date

June 18, 2008

Start Date ^ICMJE

September 2007

Estimated Primary Completion Date

February 2009 (final data collection date for primary outcome measure)

Current Primary Outcome Measures ^ICMJE

Skill decay over time among nurses trained to use the TOR-BSST© to screen for dysphagia in stroke patients [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Original Primary Outcome Measures ^ICMJE

Same as current

Change History

Complete list of historical versions of study NCT00570557 on ClinicalTrials.gov Archive Site

Current Secondary Outcome Measures ^ICMJE

Original Secondary Outcome Measures ^ICMJE

Descriptive Information

Brief Title ^ICMJE

Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia

Official Title ^ICMJE

Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia

Brief Summary

This research aims to facilitate the successful implementation of the new Heart and Stroke Foundation of Ontario dysphagia screening model for acute stroke patients. The objectives will be 1) to determine the natural history of dysphagia screening skill decay, and 2) to assess the benefit of independent web-based practice and periodic feedback on screening skill maintenance. We will enrol a convenience sample of nurses who currently work with stroke patients but who have had no prior formal training with dysphagia screening.

The study will consist of 2 phases: A) an initial pilot phase followed by B) a prospective randomized controlled study. During Phase A, three new web-based, self-instructed skill refresher courses will be developed to help nurses maintain the skills they will learn in an 8-hour workshop on dysphagia screening. During Phase B, nurses will receive the 8-hour workshop and one-on-one evaluation by a speech-language pathologist (SLP). Following training, competent screeners will be randomized into one of three groups: Group A - Control group with no refresher course or periodic feedback from SLP; Group B - Web-based skill refresher courses only; or Group C - Both web-based skill refresher courses and periodic feedback from SLP. Nurses will be evaluated at several timepoints throughout Phase B to assess theoretical dysphagia screening knowledge and skills.

Detailed Description

Study Phase

Study Type ^ICMJE

Interventional

Study Design ^ICMJE

Prevention, Randomized, Open Label, Parallel Assignment

Condition ^ICMJE

Deglutition Disorders
Dysphagia
Stroke

Intervention ^ICMJE

Other: TOR-BSST© Refresher Training
Behavioral: Periodic feedback by SLP

Study Arms / Comparison Groups

No Intervention: Participants receive neither web-based refresher courses nor periodic feedback by SLP
Experimental: Participants receive web-based skill refresher courses but no periodic feedback by SLP
Experimental: Participants receive web-based skill refresher courses and periodic feedback by SLP

Publications *

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information

Recruitment Status ^ICMJE

Recruiting

Estimated Enrollment ^ICMJE

Estimated Completion Date

February 2009

Estimated Primary Completion Date

February 2009 (final data collection date for primary outcome measure)

Eligibility Criteria ^ICMJE

Inclusion Criteria:

Nurses who care for acute stroke patients

Exclusion Criteria:

Previous formal training in dysphagia screening

Gender

Both

Ages

Accepts Healthy Volunteers

Yes

Contacts ^ICMJE

Contact: Trixie Reichardt, MHSc

416-603-5800 ext 3913

trixie.reichardt@uhn.on.ca

Location Countries ^ICMJE

Canada

Administrative Information

NCT ID ^ICMJE

NCT00570557

Responsible Party

Rosemary Martino, PhD, Assistant Professor, University of Toronto

Study ID Numbers ^ICMJE

06354

Study Sponsor ^ICMJE

University Health Network, Toronto

Collaborators ^ICMJE

Ontario Ministry of Health and Long Term Care

Investigators ^ICMJE

Principal Investigator:

Rosemary Martino, MA, MSc, PhD

University of Toronto, Dept. of Speech Language Pathology

Information Provided By

University Health Network, Toronto

Verification Date

October 2007

^ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP