Assessing adherence to the evidence base in the management of poststroke dysphagia

Burton, Christopher ORCID: https://orcid.org/0000-0003-1159-1494, Pennington, Lindsay, Roddam, Hazel, Russell, Ian, Russell, Daphne, Krawczyk, Karen and Smith, Hilary A. (2006) Assessing adherence to the evidence base in the management of poststroke dysphagia. Clinical Rehabilitation, 20 (1). pp. 46-51. ISSN 0269-2155

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Abstract

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. 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. Setting: Seventeen SLT departments in the north-west of England participated in the study. 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. Analysis: Inter- and intra-rater reliability were explored, together with the tool's internal consistency and responsiveness to change. Results: The assessment tool had high face validity, although internal consistency was low (ra = 0.37). Composite scores on the tool were however responsive to differences between SLT departments. Both inter- and intra-rater reliability ranged from 'substantial' to 'near perfect' across all items. 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.

Item Type:	Article
Uncontrolled Keywords:	physical therapy, sports therapy and rehabilitation,rehabilitation ,/dk/atira/pure/subjectarea/asjc/3600/3612
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
Related URLs:	https://www.scopus.com/pages/publication... https://knowledge.lancashire.ac.uk/id/ep...
Depositing User:	LivePure Connector
Date Deposited:	17 Nov 2025 09:33
Last Modified:	18 Jun 2026 20:47
URI:	https://ueaeprints.uea.ac.uk/id/eprint/101019
DOI:	10.1191/0269215506cr903oa

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