Using different perspectives to generate items for a new scale measuring medical outcomes of dysphagia (MOD)

Journal of Clinical Epidemiology
Rosemary MartinoNicholas E Diamant

Abstract

To compare and contrast clinician, patient, and caregiver perspectives to generate all important and salient items for a new scale to measure medical consequences relevant to adult patients with dysphagia. Six focus groups (three with clinicians, two with patients, and one with caregivers) were conducted with a total of 33 participants. Through the constant comparison method of Grounded Theory, analysis began with open coding and progressed with higher-order categorization to derive perceptions from differing vantage points. Three themes evolved: (1) clinicians, caregivers, and patients each limited the medical consequences of dysphagia to the same impairment domains: pulmonary, nutritional, and psychological; (2) these consequences were given the same priority by clinicians and caregivers, but patients ranked them differently; (3) within each impairment domain, few dimensions were derived by clinicians and many by patients. Patients were more elaborate in their descriptions of psychological consequences. The use of qualitative methodology to generate different perspectives derived different content. Clinicians, caregivers, and patients all agreed on the importance of three domains but differed in their prioritization and speci...Continue Reading

References

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Citations

May 17, 2014·International Journal of Speech-language Pathology·Rosemary MartinoNicholas Diamant
Oct 26, 2016·Nature Reviews. Gastroenterology & Hepatology·Rosemary Martino, Timothy McCulloch
Sep 27, 2018·International Journal of Qualitative Studies on Health and Well-being·Josefin HelldénStaffan Karlsson
Jan 16, 2020·American Journal of Speech-language Pathology·Rahul Krishnamurthy, Radish Kumar Balasubramanium
Jul 8, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jessica M PisegnaBarbara Pauloski
Aug 29, 2020·Journal of Sleep Research·Mohamed EstaiPeter R Eastwood
Apr 24, 2019·Geriatrics·Dorte MelgaardMarianne M Mørch
May 14, 2010·Current Opinion in Otolaryngology & Head and Neck Surgery·Bruce R Gordon
Jul 6, 2020·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Iris KrebbersLaura W J Baijens

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