Yee Joanne, Smaoui Sana, Rogus-Pulia Nicole
William S. Middleton Memorial Veterans Affairs Hospital, Geriatric Research Education and Clinical Center, Madison, WI.
Department of Medicine, Division of Geriatrics and Gerontology, University of Wisconsin-Madison.
Am J Speech Lang Pathol. 2024 Aug 16;33(5):1-11. doi: 10.1044/2024_AJSLP-22-00179.
Oropharyngeal swallowing exercise-based interventions are frequently utilized to target physiologic mechanisms with the goal of improving swallowing function. However, study replicability and evidence synthesis regarding effects of interventions are limited due to inconsistent reporting on factors known to influence treatment delivery. In order to promote consistency of reporting factors associated with replicability, the authors constructed a set of preferred parameters focused on dysphagia as part of the initial version of the larger tool (Framework for RigOr aNd Transparency In REseaRch on Swallowing or FRONTIERS).
Thirty-eight initial questions were assembled by the authors as part of the treatment subsection. Questions were then reviewed by individuals in the FRONTIERS collaborative who have expertise in research, clinical practice, or both.
Twenty-four questions were removed following review, reducing the final set of treatment-focused questions to 14 questions.
The revised set of questions provides users of the exercise-based treatment section of the FRONTIERS checklist with an initial checklist to promote transparency and rigor to improve study replicability and evidence synthesis. We intend for this treatment section of FRONTIERS to undergo further refinement following commentary and feedback.
基于口咽吞咽练习的干预措施经常被用于针对生理机制，以改善吞咽功能。然而，由于对已知影响治疗实施的因素报告不一致，关于干预效果的研究可重复性和证据综合受到限制。为了促进与可重复性相关报告因素的一致性，作者构建了一组以吞咽困难为重点的首选参数，作为更大工具（吞咽研究的严格性和透明度框架或FRONTIERS）初始版本的一部分。
作者收集了38个初始问题作为治疗部分的内容。然后由FRONTIERS合作团队中在研究、临床实践或两者都有专业知识的人员对这些问题进行审查。
审查后删除了24个问题，将最终以治疗为重点的问题集减少到14个问题。
修订后的问题集为FRONTIERS检查表中基于练习的治疗部分的用户提供了一个初始检查表，以促进透明度和严谨性，从而提高研究的可重复性和证据综合。我们希望FRONTIERS的这一治疗部分在经过评论和反馈后能进一步完善。
