Dissemination and Implementation of DIGEST™ as an Evidence-based Measurement Tool for Dysphagia: A Randomized Implementation Trial

M.D. Anderson Cancer Center

Status: Enrolling

Conditions: Dysphagia; Evidence Based Measurement; Randomized Implementation; DIGEST

Treatments: Other: No intervention; Other: DIGEST Training Program; Other: DIGEST Training + Practice Facilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT07283653

2024-1270

Details and patient eligibility

About

To improve swallowing outcomes in cancer through clinical implementation of the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST™) as an evidence-based practice (EBP) tool to grade pharyngeal dysphagia (difficulty swallowing) as a toxicity of cancer.

Full description

Primary Objective Assess the impact of implementation strategies on clinical adoption (reach) of DIGEST for oncology MBS studies.

Secondary Objective Assess the impact of implementation strategies on the fidelity (reliability) of DIGEST adoption for oncology MBS studies

Enrollment: 85 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. A hospital or clinic affiliated with the Veteran's Affairs system, University of Wisconsin system, or Ohio State University system.
2. A minimum average of 10 Modified Barium Swallow (MBS) procedures per month in oncology patients in preceding year.
3. MBS imaging files are recorded and archived as a routine procedure (and accessible to researchers).

Exclusion criteria

N/A

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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85 participants in 3 patient groups

Control Arm 1

Experimental group

Description:

The control arm will receive no active implementation strategy.

Treatment:

Other: No intervention

Training Arm 2

Experimental group

Description:

Represents a low intensity implementation strategy solely using the DIGEST training program as the intervention.

Treatment:

Other: DIGEST Training Program

Training + Practice Facilitation Arm 3

Experimental group

Description:

Represents a higher intensity strategy using the same training program plus practice facilitation.

Treatment:

Other: DIGEST Training + Practice Facilitation