Perceptions and practices of people with a total laryngectomy during COVID-19 pandemic : A mixed methods analysis
Copyright © 2023 Elsevier Inc. All rights reserved..
PURPOSE: People with a total laryngectomy (PTL) confront safety threats related to altered airway anatomy and risk of adverse events is amplified during healthcare crises, as exemplified by COVID-19 pandemic. Understanding these challenges, how they are navigated by PTL, and what resources can be deployed to alleviate risk can improve interprofessional care by speech-language pathologists (SLPs), otolaryngologists, and other professionals.
MATERIALS AND METHODS: An online survey was disseminated to PTL in the United States during the COVID-19 pandemic, querying participants about safety concerns and sources of information accessed to address care. Descriptive statistics and Chi-square were used to analyze information sources consumed by tracheoesophageal, esophageal, and electrolaryngeal speakers. Content analysis was completed to identify themes and quantify responses by subtheme.
RESULTS: Among 173 respondent PTL, tracheoesophageal speakers preferentially sought otolaryngologist input, whereas esophageal and electrolaryngeal speakers more often chose SLPs (p < .01). Overall, tracheoesophageal speakers had more SLP or otolaryngologist contact. Many PTL reported stringent handwashing, neck cleaning, and hygienic risk mitigation strategies. Six themes emerged in content analysis involving risk of infection/transmission, heightened vigilance, changes to alaryngeal communication, modified tracheostoma coverage, diagnostic testing, and risk from comorbid conditions. Limited provider contact suggested pandemic barriers to healthcare access.
CONCLUSIONS: PTL have a range of laryngectomy-specific needs and concerns, and type of alaryngeal communication was associated with source of information sought. Collaborations among healthcare professionals need to be optimized to improve patient navigation and overall access to specialized care.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
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| Enthalten in: |
American journal of otolaryngology - 45(2024), 2 vom: 02. März, Seite 104126 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Searl, Jeff [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 15.03.2024 Date Revised 16.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.amjoto.2023.104126 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM365309079 |
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| 100 | 1 | |a Searl, Jeff |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Perceptions and practices of people with a total laryngectomy during COVID-19 pandemic |b A mixed methods analysis |
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| 500 | |a Date Revised 16.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
| 520 | |a PURPOSE: People with a total laryngectomy (PTL) confront safety threats related to altered airway anatomy and risk of adverse events is amplified during healthcare crises, as exemplified by COVID-19 pandemic. Understanding these challenges, how they are navigated by PTL, and what resources can be deployed to alleviate risk can improve interprofessional care by speech-language pathologists (SLPs), otolaryngologists, and other professionals | ||
| 520 | |a MATERIALS AND METHODS: An online survey was disseminated to PTL in the United States during the COVID-19 pandemic, querying participants about safety concerns and sources of information accessed to address care. Descriptive statistics and Chi-square were used to analyze information sources consumed by tracheoesophageal, esophageal, and electrolaryngeal speakers. Content analysis was completed to identify themes and quantify responses by subtheme | ||
| 520 | |a RESULTS: Among 173 respondent PTL, tracheoesophageal speakers preferentially sought otolaryngologist input, whereas esophageal and electrolaryngeal speakers more often chose SLPs (p < .01). Overall, tracheoesophageal speakers had more SLP or otolaryngologist contact. Many PTL reported stringent handwashing, neck cleaning, and hygienic risk mitigation strategies. Six themes emerged in content analysis involving risk of infection/transmission, heightened vigilance, changes to alaryngeal communication, modified tracheostoma coverage, diagnostic testing, and risk from comorbid conditions. Limited provider contact suggested pandemic barriers to healthcare access | ||
| 520 | |a CONCLUSIONS: PTL have a range of laryngectomy-specific needs and concerns, and type of alaryngeal communication was associated with source of information sought. Collaborations among healthcare professionals need to be optimized to improve patient navigation and overall access to specialized care | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Advocacy | |
| 650 | 4 | |a Alaryngeal | |
| 650 | 4 | |a Anxiety | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Clinical care | |
| 650 | 4 | |a Communication | |
| 650 | 4 | |a Comorbidities | |
| 650 | 4 | |a Coronavirus | |
| 650 | 4 | |a Head and neck cancer | |
| 650 | 4 | |a Health care professionals | |
| 650 | 4 | |a Healthcare access | |
| 650 | 4 | |a Information sources | |
| 650 | 4 | |a Laryngectomy | |
| 650 | 4 | |a Nursing | |
| 650 | 4 | |a Otolaryngology | |
| 650 | 4 | |a Patient experience | |
| 650 | 4 | |a Patient-centered care | |
| 650 | 4 | |a Quality improvement | |
| 650 | 4 | |a Respiratory care practitioner | |
| 650 | 4 | |a SARS-CoV-2 | |
| 650 | 4 | |a Speech language pathology | |
| 650 | 4 | |a Tracheoesophageal speech | |
| 650 | 4 | |a Tracheostomy | |
| 700 | 1 | |a Genoa, Kathryn |e verfasserin |4 aut | |
| 700 | 1 | |a Fritz, Alyssa |e verfasserin |4 aut | |
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| 700 | 1 | |a Pandian, Vinciya |e verfasserin |4 aut | |
| 700 | 1 | |a Brenner, Michael J |e verfasserin |4 aut | |
| 700 | 1 | |a Doyle, Philip |e verfasserin |4 aut | |
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