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Dysphagia

, Volume 34, Issue 1, pp 105–111 | Cite as

Dysphagia Management in Iran: Knowledge, Attitude and Practice of Healthcare Providers

  • Sima Farpour
  • Hamid Reza FarpourEmail author
  • David Smithard
  • Bahareh Kardeh
  • Fatemeh Ghazaei
  • Mohsen Zafarghasempour
Original Article
  • 149 Downloads

Abstract

Despite the remarkable burden of dysphagia, appropriate multidisciplinary management is lacking in Iran and patients are often deprived of effective treatments. Obtaining a full understanding of knowledge, attitude and practice (KAP) of healthcare providers is necessary to determine the gaps in improvement of the quality of care for dysphagic patients. A questionnaire was designed covering demographic information and the parameters of KAP. Face and content validity were determined. Test–retest reliability confirmed that the questionnaire scores are stable over time (r = 0.77, p value < 0.01). Participants were healthcare providers employed in university-affiliated hospitals in three major cities of Iran; Tehran, Shiraz and Mashhad. In total, 312 healthcare professionals completed our survey. The majority (96.8%) were familiar with the term “dysphagia or swallowing disorders”. Most of the participants believed their profession (88.5%), as well as other disciplines (92.3%) can play an important role in the management of dysphagia; and this problem should be recognized in a multidisciplinary manner (96.2%). Also, 60.9% had encountered a patient with dysphagia. 52.2% had used at least one assessment method, while 49.9% had applied at least one treatment method. However, very few participants were familiar with a standard test for screening and assessment of dysphagia (11.9%). 74.7% were willing to participate in a workshop on dysphagia. As the main pitfalls of care lie in diagnosis and treatment expertise, the policy of hospitals should prioritize educating and updating the skills of healthcare professionals, encourage multidisciplinary teamwork, establishing clear guidelines and facilitate access to advanced tools.

Keywords

Deglutition Deglutition disorders Health personnel Knowledge Quality of health care 

Notes

Funding

This study was funded by Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran (Grant No. 13502).

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Sima Farpour
    • 1
  • Hamid Reza Farpour
    • 2
    Email author
  • David Smithard
    • 3
  • Bahareh Kardeh
    • 4
  • Fatemeh Ghazaei
    • 5
  • Mohsen Zafarghasempour
    • 6
  1. 1.Shiraz Geriatric Research CenterShiraz University of Medical SciencesShirazIran
  2. 2.Department of Physical Medicine and Rehabilitation, Bone and Joint Diseases Research CenterShiraz University of Medical SciencesShirazIran
  3. 3.Queen Elizabeth Hospital, Lewisham and Greenwich NHS TrustLondonUK
  4. 4.Bone and Joint Diseases Research Center, Clinical Neurology Research CenterShiraz University of Medical SciencesShirazIran
  5. 5.Neuromusculoskeletal Research CenterIran University of Medical SciencesTehranIran
  6. 6.Department of Physical Medicine and RehabilitationMashhad University of Medical SciencesMashhadIran

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