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Thickened liquids: practice patterns of speech-language pathologists.
Jane Mertz Garcia1, Edgar Chambers, Michelle Molander
1Program in Communication Science & Disorders, Kansas State University, Manhattan 66506-1403, USA. jgarcia@humec.ksu.edu
American Journal of Speech-Language Pathology
|June 21, 2005
Summary
Speech-language pathologists use thickened liquids for swallowing difficulties, finding them effective but noting patient dislike. Issues include product choice and training for better compliance.
Area of Science:
- Clinical practice
- Speech-language pathology
- Dysphagia management
Background:
- Swallowing difficulties (dysphagia) often require dietary modifications.
- Thickened liquids are a common intervention to manage dysphagia.
- Patient acceptance and compliance with thickened liquids can be challenging.
Purpose of the Study:
- To survey speech-language pathologists' (SLPs) practice patterns regarding thickened liquids.
- To understand SLP perceptions of thickened liquid effectiveness and patient acceptance.
- To identify factors influencing the use of thickened liquids in dysphagia management.
Main Methods:
- An internet-based survey was distributed to members of the American Speech-Language-Hearing Association Division 13 (Swallowing and Swallowing Disorders).
- The survey included 25 items focusing on the use of thickened liquids.
- Data were collected from 145 SLPs primarily managing adult dysphagia.
Main Results:
- Most SLPs believe thickening thin liquids is effective, with higher favorability for nectar-thick compared to honey-like or spoon-thick consistencies.
- Respondents acknowledged that patients generally dislike thickened liquids.
- Key issues identified include product availability, staff training, and patient-related factors affecting acceptance and compliance.
Conclusions:
- Thickened liquids are perceived as effective by SLPs, but patient acceptance remains a significant concern.
- Addressing product-related issues and enhancing staff training may improve adherence to thickened liquid protocols.
- Further research into patient-centered strategies for thickened liquid consumption is warranted.