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Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review

OBJECTIVE: To evaluate the evidence of aerosol generation across tasks involved in voice and speech assessment and intervention, to inform better management and to reduce transmission risk of such diseases as COVID-19 in healthcare settings and the wider community. DESIGN: Systematic literature revi...

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Autores principales: Chacon, Antonia Margarita, Nguyen, Duy Duong, McCabe, Patricia, Madill, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081183/
https://www.ncbi.nlm.nih.gov/pubmed/33909654
http://dx.doi.org/10.1371/journal.pone.0250308
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author Chacon, Antonia Margarita
Nguyen, Duy Duong
McCabe, Patricia
Madill, Catherine
author_facet Chacon, Antonia Margarita
Nguyen, Duy Duong
McCabe, Patricia
Madill, Catherine
author_sort Chacon, Antonia Margarita
collection PubMed
description OBJECTIVE: To evaluate the evidence of aerosol generation across tasks involved in voice and speech assessment and intervention, to inform better management and to reduce transmission risk of such diseases as COVID-19 in healthcare settings and the wider community. DESIGN: Systematic literature review. DATA SOURCES AND ELIGIBILITY: Medline, Embase, Scopus, Web of Science, CINAHL, PubMed Central and grey literature through ProQuest, The Centre for Evidence-Based Medicine, COVID-Evidence and speech pathology national bodies were searched up until August 13(th), 2020 for articles examining the aerosol-generating activities in clinical voice and speech assessment and intervention within speech pathology. RESULTS: Of the 8288 results found, 39 studies were included for data extraction and analysis. Included articles were classified into one of three categories: research studies, review articles or clinical guidelines. Data extraction followed appropriate protocols depending on the classification of each article (e.g. PRISMA for review articles). Articles were assessed for risk of bias and certainty of evidence using the GRADE system. Six behaviours were identified as aerosol generating. These were classified into three categories: vegetative acts (coughing, breathing), verbal communication activities of daily living (speaking, loud voicing), and performance-based tasks (singing, sustained phonation). Certainty of evidence ranged from very low to moderate with variation in research design and variables. CONCLUSIONS: This body of literature helped to both identify and categorise the aerosol-generating behaviours involved in speech pathology clinical practice and confirm the low level of evidence throughout the speech pathology literature pertaining to aerosol generation. As many aerosol-generating behaviours are common human behaviours, these findings can be applied across healthcare and community settings. SYSTEMATIC REVIEW REGISTRATION: Registration number CRD42020186902 with PROSPERO International Prospective Register for Systematic Reviews.
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spelling pubmed-80811832021-05-06 Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review Chacon, Antonia Margarita Nguyen, Duy Duong McCabe, Patricia Madill, Catherine PLoS One Research Article OBJECTIVE: To evaluate the evidence of aerosol generation across tasks involved in voice and speech assessment and intervention, to inform better management and to reduce transmission risk of such diseases as COVID-19 in healthcare settings and the wider community. DESIGN: Systematic literature review. DATA SOURCES AND ELIGIBILITY: Medline, Embase, Scopus, Web of Science, CINAHL, PubMed Central and grey literature through ProQuest, The Centre for Evidence-Based Medicine, COVID-Evidence and speech pathology national bodies were searched up until August 13(th), 2020 for articles examining the aerosol-generating activities in clinical voice and speech assessment and intervention within speech pathology. RESULTS: Of the 8288 results found, 39 studies were included for data extraction and analysis. Included articles were classified into one of three categories: research studies, review articles or clinical guidelines. Data extraction followed appropriate protocols depending on the classification of each article (e.g. PRISMA for review articles). Articles were assessed for risk of bias and certainty of evidence using the GRADE system. Six behaviours were identified as aerosol generating. These were classified into three categories: vegetative acts (coughing, breathing), verbal communication activities of daily living (speaking, loud voicing), and performance-based tasks (singing, sustained phonation). Certainty of evidence ranged from very low to moderate with variation in research design and variables. CONCLUSIONS: This body of literature helped to both identify and categorise the aerosol-generating behaviours involved in speech pathology clinical practice and confirm the low level of evidence throughout the speech pathology literature pertaining to aerosol generation. As many aerosol-generating behaviours are common human behaviours, these findings can be applied across healthcare and community settings. SYSTEMATIC REVIEW REGISTRATION: Registration number CRD42020186902 with PROSPERO International Prospective Register for Systematic Reviews. Public Library of Science 2021-04-28 /pmc/articles/PMC8081183/ /pubmed/33909654 http://dx.doi.org/10.1371/journal.pone.0250308 Text en © 2021 Chacon et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Chacon, Antonia Margarita
Nguyen, Duy Duong
McCabe, Patricia
Madill, Catherine
Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review
title Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review
title_full Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review
title_fullStr Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review
title_full_unstemmed Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review
title_short Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review
title_sort aerosol-generating behaviours in speech pathology clinical practice: a systematic literature review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081183/
https://www.ncbi.nlm.nih.gov/pubmed/33909654
http://dx.doi.org/10.1371/journal.pone.0250308
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