Assessing Facial Palsy: Does Feedback Improve Assessment Using the eFACE and Sunnybrook Facial Grading System?

Autor: Bruins TE; Department of Plastic Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands., Lammens RF; Department of Plastic Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands., van Veen MM; Department of Plastic Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands., Tamási K; Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.; Department of Neurosurgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands., Dijkstra PU; Center for Rehabilitation, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.; Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand., Werker PMN; Department of Plastic Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands., Broekstra DC; Department of Plastic Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2024 Jul; Vol. 134 (7), pp. 3105-3111. Date of Electronic Publication: 2024 Jan 13.
DOI: 10.1002/lary.31269
Abstrakt: Objective(s): To explore learning effects when applying the clinician-graded electronic facial function scale (eFACE) and the Sunnybrook Facial Grading System (Sunnybrook).
Methods: Surgeons, facial rehabilitation therapists, and medical students were randomly allocated to the eFACE (n = 7) or Sunnybrook (n = 6) and graded 60 videos (Massachusetts Eye and Ear Infirmary open-source standard set); 10 persons with normal facial function and 50 patients with a wide variation of facial palsy severity. Participants received an introduction and individual feedback after each set of 10 videos. Scores were compared to the reference score provided with the set. Multilevel analysis was performed to analyze learning effect.
Results: A learning effect was only found for the eFACE, with significant difference scores in set 1 and 2 compared to set 6, and no significant difference scores in the following sets. The difference score was associated with the reference score (severity of facial palsy) for eFACE (β = -0.19; SE = 0.04; p < 0.001) and Sunnybrook (β = -0.15; SE = 0.04; p < 0.001). Age of participants was also associated with the difference score in the eFACE group (β = 0.18; SE = 0.03; p < 0.001). No differences in scores were found between groups of participants.
Conclusion: The eFACE showed a learning effect of feedback while the Sunnybrook did not.
Level of Evidence: NA Laryngoscope, 134:3105-3111, 2024.
(© 2024 The Authors. The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze: MEDLINE
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