Date of Completion

5-3-2023

Document Type

Thesis

Degree Name

Bachelor of Science in Speech Language Pathology

Keywords

Oropharyngeal dysphagia, swallowing disorder, clinical practice

Abstract

Oropharyngeal dysphagia is a swallowing disorder that adversely impacts a patient’s health status and quality of life. As one of the healthcare professionals managing this condition, Filipino speech-language pathologists (SLPs) face a lack of local clinical practice guidelines (CPGs) guiding their clinical practice, creating variations in service delivery. This study aims to identify and synthesize available CPGs recommended for screening, assessment and evaluation, and intervention of patients with oropharyngeal dysphagia. This systematic review, implemented in accordance with the PRISMA 2020 Statement, searched for CPGs on oropharyngeal dysphagia management in databases, organizational websites, and reference lists. The search yield was filtered through a selection process that included an initial and

full-text screening of the references. Critical appraisal of methodological quality was conducted using the AGREE-II Instrument which determined their eligibility for recommendation. Of the 24 CPGs appraised, 13 (54%) are recommended, three (13%) are recommended with modifications, and eight (33%) are not recommended. Most CPGs were recent publications from more developed countries. Sixteen quality CPGs’ recommendations encompassing various populations and diagnoses included statements for screening, assessment and evaluation, and intervention of oropharyngeal dysphagia. The most common recommendations for management include use of formal dysphagia screening tools, preference of videofluoroscopy for instrumental evaluation, and the inclusion of adjunctive interventions in behavioral intervention, among others. Thus, this study may benefit Filipino SLPs through synthesizing evidence-based practice recommendations to guide clinical decision-making and alleviate service delivery constraints exacerbated by the lack of CPGs contextualized in the local clinical setting.

First Advisor

Kerwyn Jim C. Chan

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