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Updated: Jul 5, 2025

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Socioeconomic Impact on Swallow Therapy Attendance
Nicolette Jabbour1, Pratima Agarwal2, Jessica M Pisegna2,3
1Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston University School of Medicine, 830 Harrison Avenue, Boston, MA, 02118, USA. Nicolette.Jabbour@bmc.org.
Swallow therapy attendance is crucial for treating dysphagia, but this study found poor attendance rates. Surprisingly, demographic and socioeconomic factors did not significantly impact attendance, suggesting other barriers exist.
Area of Science:
- Medical research
- Clinical outcomes
- Healthcare access
Background:
- Dysphagia significantly impairs quality of life and increases healthcare costs.
- Swallow therapy is the primary treatment for dysphagia, with attendance being key to its effectiveness.
- Identifying barriers to therapy attendance is crucial for improving patient outcomes.
Purpose of the Study:
- To identify barriers to swallow therapy attendance in a tertiary care, safety-net hospital.
- To compare demographic, socioeconomic, and diagnostic factors between patients who attended and did not attend swallow therapy.
Main Methods:
- A retrospective study of 309 patients referred for swallow therapy between January 2018 and April 2019.
- Patients were categorized into 'Attended' (at least one appointment) and 'Did not Attend' groups.
- Analysis included demographics, socioeconomic status (insurance, income), and referral diagnoses.
Main Results:
- 57% of patients attended at least one swallow therapy appointment; 43% did not attend any.
- No significant correlation was found between demographic factors, socioeconomic status, or referral diagnosis and therapy attendance.
- Poor overall swallow therapy attendance was observed in this patient cohort.
Conclusions:
- Socioeconomic and demographic factors did not significantly influence swallow therapy attendance in this safety-net hospital population.
- Further research is needed to uncover the specific barriers to swallow care and develop strategies to enhance therapy attendance.
- Improving attendance is vital for maximizing the benefits of swallow therapy for dysphagia patients.
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