Saturday, April 11, 2015

Research Design ~ Nova Dissertation


(Kia, 2015)


There are several different types of research designs available: experimental, correlational, survey, grounded, ethnographic, narrative, mixed methods, and action (Creswell, 2014). It may feel overwhelming deciding on the type of research design one may utilize in an experiment. Within my research I have decided that a correlational design fits best. I determined this by asking myself “what is the goal of my research?” I want to compare diet recommendations and compensatory strategies from the modified barium swallow study (MBS) and the fiberoptic endoscopic evaluation of swallow (FEES). Creswell (2014) reported that there are two types of correlational designs: explanatory and prediction. An explanatory design relates/compares two or more variables within a study while a prediction design focuses on variables that will predict an outcome (Creswell, 2014). I feel that my research is an explanatory design due to only comparing the outcomes of two instrumental swallowing assessments.

Purpose Statement
            The purpose of this study is to determine the intra-rater reliability of the MBS and the FEES for measuring diet recommendations and compensatory strategies in patients with and without dysphagia.

Research Questions
            The following questions will guide this study.

How do diet recommendations evaluated through MBS compare to diet recommendations evaluated through FEES?

How do recommended compensatory strategies evaluated through MBS compare to recommended compensatory strategies evaluated through FEES?

What is the intra-rater reliability of diet recommendations and compensatory strategies evaluated through the MBS and FEES in individuals with dysphagia?

What is the intra-rater reliability of diet recommendations and compensatory strategies evaluated through MBS and FEES in individuals without dysphagia?

How does the intra-rater reliability of diet recommendations and compensatory strategies evaluated through MBS and FEES in individuals with dysphagia compare to the intra-rater reliability in individuals without dysphagia?

References


Creswell, J. W. (2014). Educational research: Planning, conducting, and evaluating quantitative and qualitative research (5 ed.). Boston: Pearson Education.

Pete's Car Smart Kia. Dare To Compare. (2015, January 1). Retrieved from http://www.petescarsmartkia.com/Dare_To_Compare.html

Tuesday, March 24, 2015

My MBS!


Though I love everything I do as a Speech-Language Pathologist, my favorite part of my job is performing Modified Barium Swallow Studies (MBS). The general purpose of an MBS is to evaluate the patients safety and efficiency of the swallow. It is an x-ray performed under fluoroscopy. This is a live, in-motion setting. Patients drink a variety of barium consistencies in order to view the bolus trials.

My hospital recently received a grant for a new digital swallow station. This was a huge upgrade for our hospital, we went from using VHS tapes to having a digital format! I was first in line to volunteer to make sure that our new equipment was working properly. Though I have performed more MBS's than I can count, it was such an eye-opening experience to actually partake in the study. For starters, I was amazed with how tight of a space it really is when you are sitting in the chair with the equipment in place. Second, thickened barium is pretty awful! All of the barium trials had a chalky-sweet taste but the honey thick barium's texture really got to me! Below you can see my MBS! As you can see this is a very normal swallow. Now my hospital is able to readily share what a "normal swallow" should look like. Please feel free to share this video for education for your patients as well!

video

Friday, March 20, 2015

My Home Away from Home

My Home Away from Home

In the final semester of my graduate degree studies we had the course “Professional Issues.” I’ll always remember my professor telling us about the various places she had the opportunity to work and her different office locations. From the broiler room to a regular office my professor worked everywhere! I have always felt so fortunate to have my own little office at my full time position. I like to think of it as my home away from home. Sometimes it is actually referred to as “Miss Mallory’s house” by my patients. So I thought today that I would give you all a brief tour of my office.

Welcome!

Come on in and relax!

 You might enjoy looking at some of my educational materials...
 
Do you like my new drawers? I decorated them this year!



 Don't forget to say hi to Olaf!

And that is my office! Hope you enjoyed!



Now at my two PRN jobs we have a cabinet to put our things (and a few binders for TX material) and that is about it. Treatment is provided within the patients’ room. What kind of office do you work out of? What is one thing you would change about your office?

Monday, March 9, 2015

Purpose Statement ~ Dissertation Blog Post 3

(Tobin, 2012)


Purpose Statement
The purpose of this study is to determine the intra-rater reliability of diet recommendations and compensatory strategies evaluated through the modified barium swallow study (MBS) and the fiberoptic endoscopic evaluation of swallow (FEES) in individuals with and without dysphagia. By determining a strong intra-rater reliability clinicians may have the opportunity for an accessible instrumental assessment of swallow. Conversely, if a low intra-rater reliability is found then researchers may have the opportunity of further exploration into accessible instrumental studies.


Research Questions
  1. How do diet recommendations evaluated through MBS compare to diet recommendations evaluated through FEES?

  1. How do recommended compensatory strategies evaluated through MBS compare to recommended compensatory strategies evaluated through FEES?

  1. What is the intra-rater reliability of diet recommendations and compensatory strategies evaluated through the MBS versus FEES in individuals with dysphagia?

  1. What is the intra-rater reliability of diet recommendations and compensatory strategies evaluated through MBS versus FEES in individuals without dysphagia?


  1. How does the intra-rater reliability of diet recommendations and compensatory strategies evaluated through MBS versus FEES in individuals with dysphagia compare to the intra-rater reliability in individuals without dysphagia?
References


Tobin, J. (2012, June 12). Why You Need a Purpose Statement. Retrieved March 10, 2015, from http://jeffreytobin.com/2012/06/04/why-you-need-a-purpose-statement/