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

This study has been completed.
Ontario Ministry of Health and Long Term Care
Information provided by (Responsible Party):
University Health Network, Toronto Identifier:
First received: December 7, 2007
Last updated: January 9, 2012
Last verified: January 2012

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 two groups: Group A - Control group with no refresher course or periodic feedback from SLP; Group B - Web-based skill refresher courses only. Nurses will be evaluated at several timepoints throughout Phase B to assess theoretical dysphagia screening knowledge and skills.

Condition Intervention
Deglutition Disorders Dysphagia Stroke Other: TOR-BSST© Refresher Training

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia

Resource links provided by NLM:

Further study details as provided by University Health Network, Toronto:

Primary Outcome Measures:
  • Skill decay over time among nurses trained to use the TOR-BSST© to screen for dysphagia in stroke patients [ Time Frame: 1 year ]

Enrollment: 96
Study Start Date: September 2007
Study Completion Date: June 2011
Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Group A Nurses
Participants receive neither web-based refresher courses nor periodic feedback by SLP
Experimental: Group B Nurses
Participants receive web-based skill refresher courses but no periodic feedback by SLP
Other: TOR-BSST© Refresher Training
Web-based refresher training in dysphagia screening


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Nurses who care for acute stroke patients
  Contacts and Locations
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Please refer to this study by its identifier: NCT00570557

United States, New York
Our Lady of Lourdes Hospital
Binghamton, New York, United States
Canada, Alberta
Foothills Hospital
Calgary, Alberta, Canada
Alberta Health Services - Capital Health (University of Alberta Hospital, Royal Alexandra Hospital)
Edmonton, Alberta, Canada
Canada, Ontario
Georgian Bay General Hospital
Penetanguishene/Midland, Ontario, Canada
University Health Network - Toronto Western Hospital
Toronto, Ontario, Canada, M5T 2S8
Sponsors and Collaborators
University Health Network, Toronto
Ontario Ministry of Health and Long Term Care
Principal Investigator: Rosemary Martino, MA, MSc, PhD University of Toronto, Dept. of Speech Language Pathology
  More Information

Additional Information:
Responsible Party: University Health Network, Toronto Identifier: NCT00570557     History of Changes
Other Study ID Numbers: 06354
Study First Received: December 7, 2007
Last Updated: January 9, 2012

Keywords provided by University Health Network, Toronto:
Skill Maintenance
Skill Decay

Additional relevant MeSH terms:
Deglutition Disorders
Esophageal Diseases
Gastrointestinal Diseases
Digestive System Diseases
Pharyngeal Diseases
Otorhinolaryngologic Diseases processed this record on September 21, 2017