{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T15:36:54Z","timestamp":1791992214177,"version":"4.4.0"},"reference-count":58,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T00:00:00Z","timestamp":1687824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To identify how speech\u2010language pathologists (SLPs) in the United States are screening for and identifying dysphagia. To do this, we examined the approaches most often used to screen for dysphagia and the influence of contextual factors such as setting, continuing education and means of staying up to date with the most current literature on screening approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A web\u2010based survey composed of 32 questions was developed and field tested for content, relevance and workflow. The survey was distributed online, via social media, online SLP forums and through the American Speech\u2010Language\u2010Hearing Association's Special Interest Group 13 (swallowing disorders). One hundred and thirty\u2010seven clinicians from the United States completed the survey and were included for analysis using descriptive statistics and linear regression modelling to assess associations of continuing education and years practicing with screening protocols and consumption of evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Respondents worked in a variety of settings, including acute care, skilled nursing facilities, and inpatient rehabilitation. Most respondents worked with adult populations (88%). The most common screening protocols reported were a volume\u2010dependent water swallow test (74%), subjective patient report (66%), and trials of solids\/liquids (49%). Twenty\u2010four percent (24%) reported using a questionnaire, the Eating Assessment Tool (80%) being most common. How clinicians consume their evidence was significantly associated with the types of screening approaches used. Continuing education hours were significantly associated with dysphagia screening protocol choice (<jats:italic>p<\/jats:italic> &lt; 0.001) and how clinicians stayed up to date with evidence (<jats:italic>p<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results from this study provide an in\u2010depth look at the choices clinicians are making in the field regarding how to effectively screen patients for the presence of dysphagia. Contextual factors such as evidence base consumption patterns should serve researchers to continue seeking alternative ways to share evidence with clinicians, accessibly. Associations between continuing education and protocol choice show the need for continued evidence\u2010based and high\u2010quality continuing education opportunities.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study provides an in\u2010depth look at the choices clinicians are making in the field regarding effective dysphagia screening practices. Clinician screening choices are examined with contextual factors such as evidence base consumption patterns and continuing education. This paper increases knowledge of the most used dysphagia screening practices and context for clinicians and researchers to improve use, evidence and dissemination of best practices.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1111\/1460-6984.12921","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T06:44:18Z","timestamp":1687934658000},"page":"2062-2076","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Clinical practice patterns of speech\u2010language pathologists for screening and identifying dysphagia"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5229-1223","authenticated-orcid":false,"given":"Matthew","family":"Dumican","sequence":"first","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences Western Michigan University  Kalamazoo Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3421-1207","authenticated-orcid":false,"given":"Zoe","family":"Thijs","sequence":"additional","affiliation":[{"name":"Molloy University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlynn","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences Western Michigan University  Kalamazoo Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,27]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"American Speech\u2010Language\u2010Hearing Association(2022)2021 Member and affiliate profile.www.asha.org"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103813"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603\u2010020\u20101377\u20105"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2008.04915.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp\u20102016\u2010313356"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010017\u20109868\u20101"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.03.059"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_PERSP\u201020\u201000115"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414558107"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2008.06.011"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010020\u201010097\u2010z"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010021\u201010333\u20100"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20109993(98)90200\u20103"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_PERSP\u201019\u201000152"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100041\u20101735846"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD\u2010202044"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP\u201020\u201000194"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41430\u2010018\u20100148\u20104"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_PERSP\u201021\u201000106"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000256"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.16646"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415\u2010010\u20105558\u20108"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12333"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2011.11.006"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010013\u20109490\u20109"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215515576779"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12450"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010010\u20109312\u20102"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009583"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.510370"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000190056.76543.eb"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.4021\/jocmr1340w"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2011.110180"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_PERS\u201019\u201000007"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10092"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12975\u2010018\u20100625\u2010z"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2020.10.007"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000066309.06490.B8"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215518774832"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.3390\/foods10081900"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP\u201019\u201000011"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.12382"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010017\u20109849\u20104"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010018\u20109885\u20108"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.7.1200"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010021\u201010283\u20107"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP\u201019\u201000140"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010007\u20109127\u2010y"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1044\/leader.FTR1.12032007.4"},{"key":"e_1_2_10_53_1","volume-title":"An advanced course in communication sciences and disorders","author":"Tanner D.","year":"2012"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12613"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12571"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/14417040410001708530"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1159\/000486031"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40141\u2010016\u20100134\u20105"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2011.04.001"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12921","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T13:15:39Z","timestamp":1699967739000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.12921"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,27]]},"references-count":58,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1111\/1460-6984.12921"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.12921","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,27]]},"assertion":[{"value":"2022-11-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}