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Study protocol for the SOFIA project Swallowing function, Oral health, and Food Intake in old Age: a descriptive study with a cluster randomized trial

Hägglund, Patricia (författare)
Olai, Lena, (författare)
Högskolan Dalarna, Omvårdnad, Uppsala universitet
Ståhlnacke, Katri (författare)
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Persenius, Mona (författare)
Hägg, Mary (författare)
Andersson, Maria (författare)
Koistinen, Susanne (författare)
Carlsson, Eva (författare)
Hagg, Mary (författare)
Hagglund, Patricia, (författare)
Umea Univ, Fac Med, Dept Odontol, Oral & Maxillofacial Radiol, SE-90187 Umea, Sweden.
Stahlnacke, Katri, (författare)
Publ Dent Hlth Serv, Orebro Cty Reg, Orebro, Sweden.;Orebro Univ, Fac Hlth & Med, Orebro, Sweden.
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Högskolan Dalarna Akademin Utbildning, hälsa och samhälle. Omvårdnad. (creator_code:org_t)
Region Örebro län (creator_code:org_t)
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Örebro universitet Institutionen för medicinska vetenskaper. (creator_code:org_t)
Örebro universitet Institutionen för hälsovetenskaper. (creator_code:org_t)
Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet. Medicinska fakulteten. Institutionen för folkhälso- och vårdvetenskap. Allmänmedicin och preventivmedicin. (creator_code:org_t)
Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet. Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm. Centrum för klinisk forskning, Gävleborg. (creator_code:org_t)
Umeå universitet Medicinska fakulteten. Institutionen för odontologi. (creator_code:org_t)
Karlstads universitet Fakulteten för samhälls- och livsvetenskaper. Avdelningen för omvårdnad. (creator_code:org_t)
Karlstads universitet Fakulteten för hälsa, natur- och teknikvetenskap (from 2013). Institutionen för hälsovetenskaper. (creator_code:org_t)
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Ingår i: BMC Geriatrics. - BioMed Central. - 1471-2318. ; 17
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
  • Background: Extensive studies have shown that older people are negatively impacted by impaired eating and nutrition. The abilities to eat, enjoy food, and participate in social activities associated with meals are important aspects of health-related quality of life (HRQoL) and recovery after illness. This project aims to (i) describe and analyze relationships between oral health and oral HRQoL, swallowing ability, eating ability, and nutritional risk among older individuals admitted to short-term care; (ii) compare the perceptions that older individuals and staff report on care quality related to oral hygiene and eating; and (iii) study the feasibility and effects of a training program for people with impaired swallowing (i.e., dysphagia). Methods/Design: This project consists of two parts, which will be performed in five Swedish counties. It will include approximately 400 older individuals and 200 healthcare professionals. Part 1 is a cross-sectional, descriptive study of older people admitted to short-term care. Subjects will be assessed by trained professionals regarding oral health status, oral HRQoL, eating and nutritional risk, and swallowing ability. Swallowing ability will be measured with a teaspoon test and a swallowing capacity test (SCT). Furthermore, subjects and staff will complete a questionnaire regarding their perceptions of care quality. Part 2 is a cluster randomized intervention trial with controls. Older participants with dysphagia (i.e., SCT < 10 ml/s, measured in part 1) will be recruited consecutively to either the intervention or control group, depending on where they were admitted for short-term care. At baseline, all subjects will be assessed for oral health status, oral HRQoL, eating and nutritional risk, swallowing ability, and swallowing-related QoL. Then, the intervention group will receive 5 weeks of training with an oral screen for neuromuscular training focused on orofacial and pharyngeal muscles. After completing the intervention, and at six months post-intervention, all assessments will be repeated in both study groups. Discussion: The results will make important contributions to rehabilitation knowledge, including approaches for improving swallowing function, oral health, and food intake and for improving the quality of oral care for older people.


MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Geriatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Annan hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Other Health Sciences (hsv//eng)


Hälsa och välfärd
Health and Welfare
Oral health
Oral screen
Quality of health care
Quality of life
Short-term care
Swallowing disorders
Short-term re
Dental Hygiene
Oral hälsa
Nursing Science

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