Knowledge, attitudes, and practice patterns of obstructive sleep apnea among speech-language pathologists

Area of Science:

• Sleep Medicine
• Otolaryngology
• Speech-Language Pathology

Background:

• Obstructive sleep apnea (OSA) is a prevalent sleep disorder linked to dysphagia.
• The role of speech-language pathologists (SLPs) in managing OSA patients is not well-defined.
• Dysphagia is an increasingly recognized complication of OSA.

Purpose of the Study:

• To assess international speech-language pathologists' knowledge, attitudes, and experience with obstructive sleep apnea (OSA).
• To identify gaps in SLP understanding and confidence regarding OSA management.
• To inform educational strategies and research priorities for SLPs involved with OSA patients.

Main Methods:

• An international online survey using the OSA Knowledge and Attitudes (OSAKA) questionnaire was distributed to SLPs.
• Data collected included demographics, educational background, and clinical practices related to OSA.
• A total of 822 clinicians from 24 countries were included in the final analysis.

Main Results:

• SLPs demonstrated limited knowledge of OSA, with an average correct answer rate of 55%.
• Over half of surveyed SLPs manage patients with OSA, primarily referred for dysphagia.
• Only 50% of SLPs felt confident assessing or managing dysphagia in OSA patients, though experience positively impacted knowledge and attitudes.

Conclusions:

• Speech-language pathologists are involved in OSA patient care but practice with insufficient knowledge and confidence.
• There is a clear need for improved OSA education and training programs for SLPs.
• Further research is required to develop evidence-based clinical guidelines for dysphagia management in OSA patients.