Dysphagia and Mealtime Difficulties in Dementia: Speech and Language Therapists' Practices and Perspectives

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Autor/inn/en	Egan, Aisling; Andrews, Carolyn; Lowit, Anja
Titel	Dysphagia and Mealtime Difficulties in Dementia: Speech and Language Therapists' Practices and Perspectives
Quelle	In: International Journal of Language & Communication Disorders, 55 (2020) 5, S.777-792 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Egan, Aisling) ORCID (Andrews, Carolyn) ORCID (Lowit, Anja)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.1111/1460-6984.12563
Schlagwörter	Physical Disabilities; Intervention; Dementia; Barriers; Cross Cultural Studies; Foreign Countries; Food; Well Being; Speech Language Pathology; Allied Health Personnel; Case Studies; Decision Making; Clinical Experience; Caregiver Training; Delivery Systems; Health Services; Eating Disorders; Attitudes; United Kingdom; Ireland + Suchen Sie Ihr Suchwort? Physical handicap; Körperbehinderung; Demenz; Cultural comparison; Kulturvergleich; Ausland; Lebensmittel; Well-being; Wellness; Wohlbefinden; Case study; Fallstudie; Case Study; Decision-making; Entscheidungsfindung; Auslieferung; Health service; Gesundheitsdienst; Gesundheitswesen; Appetite disorder; Essstörung; Attitude; Einstellung; Verhalten; Großbritannien; Irland
Abstract	Background: There is increasing recognition of the impact that dementia has upon swallowing and at mealtimes, and the significant effect this can have on people with dementia's health and well-being. However, there remains a paucity of evidence for assessment and intervention practices for dysphagia and mealtime difficulties. Furthermore, there is a limited understanding of how speech and language therapists (SLTs) support people with these dementia-related issues and what are the barriers and facilitators to practice. Further research is therefore needed to guide policy as well as service guideline and delivery development. Aims: To establish the current practices of SLTs managing dementia-related dysphagia and mealtime difficulties in the UK and Republic of Ireland (ROI), and to establish their opinions and experiences of what challenges or supports to practice they have encountered. Methods & Procedures: An anonymous, cross-sectional web-based survey was developed and distributed to SLTs working in the UK and ROI. Respondents completed a questionnaire that consisted of open and closed questions across nine topic areas. Closed responses were evaluated using descriptive statistics; open-ended questions were analysed using conventional content analysis. Outcomes & Results: A total of 310 people accessed the survey, and 125 respondents completed it fully. While respondents agreed on their role in dysphagia management, they varied in their views on the extent of their role in managing mealtime difficulties. Additionally, their self-rated knowledge of mealtime difficulties in dementia was lower than their dysphagia knowledge. The respondents predominantly based their management decisions on their clinical experience of working with people with dementia. They primarily used compensatory strategies and frequently cited the need for family and care staff training. Respondents also highlighted barriers to effective management and training provision such as inefficient referral systems, a lack of carer knowledge and lack of SLT resources. Conclusions & Implications: The results provide valuable insight into the issues facing SLTs practising in this area. The SLTs surveyed considered dysphagia a core part of their role when supporting people with dementia; however, respondents' views on mealtime difficulties varied. This highlights the need to establish consensus guidelines on the SLT's role in order to avoid variations in service delivery that could negatively impact the health and well-being of people with dementia. Moreover, further research to develop efficient and effective training for care staff supporting mealtime difficulties and dysphagia is essential. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01