Mir Michela Jean, Hegland Karen Wheeler
Rehabilitation Science PhD, College of Public Health and Health Professions, University of Florida, Gainesville.
Department of Speech, Language, and Hearing Sciences, University of Florida, Gainesville.
Perspect ASHA Spec Interest Groups. 2021 Dec;6(6):1627-1640. doi: 10.1044/2021_persp-21-00144. Epub 2021 Nov 16.
The purpose of this study was to determine if students (clinicians-intraining) and clinicians of speech-language pathology assess cough during clinical swallow evaluations. We also sought to determine if participants received background education and training regarding implementation of clinical cough assessment. Finally, we aimed to identify participant interest in a cough assessment training program.
A clinician-researcher panel developed a 20-question survey to address specific aims. The final survey was distributed via social media and a clinical dysphagia website after two phases of revision.
A percentage (84.6%) of the survey participants reported that they assess cough in clinical swallow evaluations, mainly using subjective measures. The majority of clinicians reported no background education or skilled training to implement cough assessment. Background education and training was higher for participants outside the United States, although the total sample size of that group was small. Almost all participants (97.8%) were interested in a cough training program.
Many practicing clinicians in this survey reported that they complete cough assessments, despite limited education and training to do so. However, they also reported high interest in participating in a clinical cough assessment training program, which would support the field of speech-language pathology and patients at risk of airway protective dysfunction.
本研究的目的是确定言语语言病理学专业的学生（临床实习医生）和临床医生在临床吞咽评估过程中是否会评估咳嗽情况。我们还试图确定参与者是否接受过关于实施临床咳嗽评估的背景教育和培训。最后，我们旨在确定参与者对咳嗽评估培训项目的兴趣。
一个临床研究人员小组设计了一份包含20个问题的调查问卷，以解决特定目标。经过两个阶段的修订后，最终调查问卷通过社交媒体和一个临床吞咽困难网站进行分发。
一定比例（84.6%）的调查参与者报告称，他们在临床吞咽评估中会评估咳嗽情况，主要采用主观测量方法。大多数临床医生报告称没有接受过实施咳嗽评估的背景教育或专业培训。美国以外的参与者接受背景教育和培训的比例更高，尽管该组的样本总量较小。几乎所有参与者（97.8%）都对咳嗽培训项目感兴趣。
本次调查中的许多执业临床医生报告称，尽管接受的相关教育和培训有限，但他们仍会进行咳嗽评估。然而，他们也表示对参加临床咳嗽评估培训项目有很高的兴趣，这将对言语语言病理学领域以及有气道保护功能障碍风险的患者提供支持。
