{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T06:01:42Z","timestamp":1740808902322,"version":"3.38.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:p> Objective: To evaluate the reliability and responsiveness to change of an audit tool to assess adherence to evidence of effectiveness in the speech and language therapy (SLT) management of poststroke dysphagia. <\/jats:p><jats:p> Design: The tool was used to review SLT practice as part of a randomized study of different education strategies. Medical records were audited before and after delivery of the trial intervention. <\/jats:p><jats:p> Setting: Seventeen SLT departments in the north-west of England participated in the study. <\/jats:p><jats:p> Subjects: The assessment tool was used to assess the medical records of 753 patients before and 717 patients after delivery of the trial intervention across the 17 departments. A target of 10 records per department per month was sought, using systematic sampling with a random start. <\/jats:p><jats:p> Analysis: Inter- and intra-rater reliability were explored, together with the tool's internal consistency and responsiveness to change. <\/jats:p><jats:p> Results: The assessment tool had high face validity, although internal consistency was low ( r<jats:sub>a<\/jats:sub>=0.37). Composite scores on the tool were however responsive to differences between SLT departments. Both inter- and intra-rater reliability ranged from \u2018substantial\u2019 to \u2018near perfect\u2019 across all items. <\/jats:p><jats:p> Conclusions: The audit tool has high face validity and measurement reliability. The use of a composite adherence score should, however, proceed with caution as internal consistency is low. <\/jats:p>","DOI":"10.1191\/0269215506cr903oa","type":"journal-article","created":{"date-parts":[[2006,1,28]],"date-time":"2006-01-28T00:31:30Z","timestamp":1138408290000},"page":"46-51","source":"Crossref","is-referenced-by-count":6,"title":["Assessing adherence to the evidence base in the management of poststroke dysphagia"],"prefix":"10.1177","volume":"20","author":[{"given":"Christopher","family":"Burton","sequence":"first","affiliation":[{"name":"Department of Nursing, University of Central Lancashire, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Pennington","sequence":"additional","affiliation":[{"name":"Speech and Language Sciences, University of Newcastle, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazel","family":"Roddam","sequence":"additional","affiliation":[{"name":"Human Communication and Deafness, University of Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Russell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daphne","family":"Russell","sequence":"additional","affiliation":[{"name":"Institute of Medical and Social Care Research, University of Wales Bangor, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Krawczyk","sequence":"additional","affiliation":[{"name":"Speech and Language Therapy Department, Merchiston Hospital, Greater Renfrewshire and Inverclyde Division, NHS Argyll and Clyde, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary A","family":"Smith","sequence":"additional","affiliation":[{"name":"Speech and Language Therapy Department, Manchester Royal Infirmary, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,1,1]]},"reference":[{"volume-title":"Getting evidence into practice","year":"1999","key":"atypb1"},{"doi-asserted-by":"publisher","key":"atypb2","DOI":"10.1191\/0269215505cr878oa"},{"volume-title":"Using clinical practice guidelines to evaluate quality of care","year":"1995","author":"Agency for Health Care Policy and Research","key":"atypb3"},{"volume-title":"National clinical guidelines for stroke","year":"2000","author":"Intercollegiate Working Party","key":"atypb4"},{"doi-asserted-by":"publisher","key":"atypb5","DOI":"10.7861\/clinmedicine.2-3-231"},{"volume-title":"Management of patients with stroke (Part 3\u2013identification and management of dysphagia)","year":"1997","author":"Scottish Intercollegiate Guideline Network","key":"atypb6"},{"volume-title":"Clinical guidelines by consensus for speech and language therapists","year":"1998","author":"Royal College of Speech and Language Therapists","key":"atypb7"},{"doi-asserted-by":"publisher","key":"atypb8","DOI":"10.1093\/intqhc\/11.1.21"},{"doi-asserted-by":"publisher","key":"atypb9","DOI":"10.2307\/2529310"},{"doi-asserted-by":"publisher","key":"atypb10","DOI":"10.3310\/hta7180"},{"doi-asserted-by":"publisher","key":"atypb11","DOI":"10.3310\/hta8060"},{"key":"atypb12","first-page":"153","volume":"44","author":"Rethans JJ","year":"1994","journal-title":"Br J Gen Pract"},{"volume-title":"National clinical guidelines for stroke","year":"2004","author":"Intercollegiate Working Party","key":"atypb13"},{"volume-title":"Design and analysis of cluster randomization trials in health research","year":"2000","author":"Donner A","key":"atypb14"},{"volume-title":"Report from the panel of the policy review forum on the issues of the management of the dysphagia patient","year":"1998","author":"Royal College of Speech and Language Therapists","key":"atypb15"},{"key":"atypb16","first-page":"463","volume":"10","author":"Perry L","year":"2001","journal-title":"Part one: identification, implementation and initial evaluation of a screening tool for use by nurses. J Clin Nurs"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/0269215506cr903oa","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/0269215506cr903oa","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T23:26:59Z","timestamp":1740785219000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1191\/0269215506cr903oa"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,1]]}},"alternative-id":["10.1191\/0269215506cr903oa"],"URL":"https:\/\/doi.org\/10.1191\/0269215506cr903oa","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"type":"print","value":"0269-2155"},{"type":"electronic","value":"1477-0873"}],"subject":[],"published":{"date-parts":[[2006,1]]}}}