Mills, CS orcid.org/0000-0002-3436-3876, Michou, E, Bellamy, MC et al. (3 more authors) (2022) Determining the Prevalence, Implementation Approaches, and Opinions of Above Cuff Vocalization: A Survey of Health Care Professionals. Archives of Physical Medicine and Rehabilitation, 103 (3). pp. 394-401. ISSN 0003-9993
Abstract
Objective
To conduct an international survey to investigate the use of above cuff vocalization (ACV) and how practice and opinion differs.
Design
Observational, cross-sectional online survey.
Setting
Critical care, acute, rehabilitation, long-term care, and community.
Participants
Health care professionals involved in tracheostomy care or weaning (N=243).
Interventions
Not applicable.
Main Outcome Measures
Tracheostomy management, prevalence, personal experiences and opinions, and barriers to use. Quantitative data were reported descriptively, and content analysis was conducted with qualitative data.
Results
The survey was completed by 243 health care professionals from 9 professional groups and 25 countries, with most responses from the United Kingdom (54%) and speech and language therapists (55%). ACV was used in 39% of services (n=93). Sixty percent (n=50/83) of health care professionals with direct experience of ACV had used it with <10 people. Implementation of ACV varied widely concerning procedures, contraindications, safety processes, professionals involved, competencies, staff training, delivery, and outcome measures. The top benefits were communication (n=76/93; 82%), mood (n=62/93; 67%), and laryngeal sensation (n=49/93; 53%). Complications included discomfort (n=54/93; 58%) and strained vocal quality (n=39/93; 42%). Barriers to ACV implementation included lack of knowledgeable staff (n=92/238; 39%) and lack of access to training (n=73/238; 31%).
Conclusions
ACV uptake varies internationally with no standardized approach to ACV delivery. Diversity of opinions on approaches and benefits exist. Serious complications are infrequent, but minor complications are common. Future research is needed to establish optimal ACV implementation to maximize benefits and minimize risks.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 The Authors. Published by Elsevier Inc. on behalf of The American Congress of Rehabilitation Medicine. |
Keywords: | Communication; Critical care; Deglutition; Rehabilitation; Surveys and questionnaires; Tracheostomy; Voice |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Health Economics (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 11 Nov 2021 13:54 |
Last Modified: | 07 Aug 2022 08:26 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.apmr.2021.08.016 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:180207 |