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Table 4 Relationship between referral policies, frequency, intensity, and intervention time

From: Dysphagia therapy for head and neck cancer patients undergoing radiotherapy by speech-language pathologists in Malaysia

 

Total

Proactive (%)

Reactive (%)

χ2

p-value

Referral policy

   

2.13

0.30

 Patients are automatically referred to speech therapy before or during RT, even if they do not have dysphagia currently

2

1 (50.0)

1 (50.0)

  

 Patients are referred only after they developed a possible dysphagia

31

6 (19.4)

25 (80.6)

  

 There is no institutional policy, or referrals are to be made on a case-by-case basis

32

4 (12.5)

28 (87.5)

  

Frequency of home therapy recommended for patients during RT (prophylactic exercise)

   

13.93

0.004*

 Not recommended at this time

16

1 (6.2)

15 (93.8)

  

 2–3 days/week

11

6 (54.5)

5 (45.5)

  

 4–6 days/week

9

2 (22.2)

7 (77.8)

  

 7 days/week

27

2 (7.4)

25 (92.6)

  

The intensity of home program during RT (prophylactic exercise)

   

3.96

0.18

 Not recommended at this time

16

1 (6.2)

15 (93.8)

  

  < 10 min

18

2 (11.1)

16 (88.9)

  

  > 10 min

29

8 (27.6)

21 (72.4)

  

Frequency of home program for patients with no dysphagia

   

1.78

0.66

 Not recommended at this time

18

3 (16.7)

15 (83.3)

  

 2–3 days per week

25

6 (24.0)

19 (76.0)

  

 4–6 days per week

5

1 (7.1)

13 (92.9)

  

 7 days per week

14

1 (7.1)

13 (92.9)

  

Intensity of home program for patients with no dysphagia

   

1.19

0.65

 Not recommended at this time

18

3 (16.7)

15 (83.3)

  

  < 10 min

20

5 (25.0)

15 (75.0)

  

  > 10 min

24

3 (12.5)

21 (87.5)

  

Frequency of home program for patients after RT

   

12.58

0.007*

 Compensatory techniques

7

0 (0.0)

7 (100.0)

  

 2–3 days per week

5

2 (40.0)

3 (60.0)

  

 4–6 days per week

10

5 (50.0)

5 (50.0)

  

 7 days per week

42

4 (9.5)

38 (90.5)

  

Intensity of home program for patients after RT

   

1.36

0.57

 Not recommended at this time

1

0 (0.0)

1 (100.0)

  

  < 10 min

20

2 (10.0)

18 (90.0)

  

  > 10 min

43

9 (20.9)

34 (79.1)

  
  1. *Statistically significant at p ≤ 0.05