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Attitudes to the Implementation of Speech and Language Therapist Led Low Risk Two Week Wait Clinic in the UK: A Survey Exploration Using Normalization Process Theory

Bradley, Paula Theresa and Patterson, Joanne (2021) Attitudes to the Implementation of Speech and Language Therapist Led Low Risk Two Week Wait Clinic in the UK: A Survey Exploration Using Normalization Process Theory. Journal of Voice. ISSN 0892-1997

Item Type: Article

Abstract

Objectives
The aim of this study was to identify the factors which might shape the implementation of speech and language therapist led low risk 2 week wait clinic (SLTLR-2WW).

Study design
An online survey was designed, piloted, and disseminated through UK speech and language professional groups. The survey asked questions about, the skills of, and equipment available, to SLT respondents. Using a modified NoMAD instrument (based on Normalization Process Theory) the survey explored attitudes to the prospect of the development of the SLTLR-2WW clinical model in the UK. Responses were tallied and calculated as percentage of responses. The free text question responses were analyzed using a qualitative content approach, responses were coded and grouped into categories and mapped onto the Normalization Process Theory domains by the two authors.

Results
There were 129 responses to the survey questions from SLTs from all regions of the UK and 72 respondents supplied free text comments for analysis.

Conclusions
The collected responses indicate there is enthusiasm for the potential development of SLTLR-2WW clinics. The survey demonstrates that there are disparities in terms of resource availability, departmental, management and clinical support, around the UK.

There is limited but successful experience of SLTLR-2WW in the UK but the survey responses indicate there is potential for expanding the scope of practice for SLTs into the delivery of clinical care for patients referred as suspected cancer with hoarseness and swallowing issues. The responses to the NoMAD derived questions and free text analysis identify some factors which could impede the development of this new service model include, resistance, lack of training, supervision, and support from colleagues and management.

Full text not available from this repository.

More Information

Depositing User: Leah Maughan

Identifiers

Item ID: 13779
Identification Number: https://doi.org/10.1016/j.jvoice.2021.06.027
ISSN: 0892-1997
URI: http://sure.sunderland.ac.uk/id/eprint/13779
Official URL: http://dx.doi.org/10.1016/j.jvoice.2021.06.027

Users with ORCIDS

ORCID for Paula Theresa Bradley: ORCID iD orcid.org/0000-0002-1908-1053

Catalogue record

Date Deposited: 28 Jul 2021 07:31
Last Modified: 20 Sep 2021 14:39

Contributors

Author: Paula Theresa Bradley ORCID iD
Author: Joanne Patterson

University Divisions

Faculty of Health Sciences and Wellbeing > School of Medicine

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