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Related Experiment Video

Updated: Jan 29, 2026

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Occupation-centred intervention for age-related dysphagia: A proof-of-concept study.

Tina Hansen1,2, Ulla Andersen2,3, Masumi Takeuchi Holm2

  • 1Physical Medicine & Rehabilitation Research-Copenhagen (PMR-C), Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital Amager and Hvidovre, Hvidovre, Denmark.

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PubMed
Summary

The ACTING (ACTivity-based Skill Training of INGestion) intervention shows promise for improving swallowing function in older adults. Further research is needed to optimize its implementation in clinical practice.

Keywords:
Complex interventiondeglutition disordersdrinkingeatingmotor skillsrehabilitation

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Area of Science:

  • Gerontology
  • Occupational Therapy
  • Rehabilitation Science

Background:

  • Age-related dysphagia presents a significant clinical challenge in older adults.
  • The ACTING (ACTivity-based Skill Training of INGestion) intervention was developed using an occupation-centered approach.
  • A proof-of-concept study is essential to evaluate ACTING's real-world potential before large-scale implementation.

Purpose of the Study:

  • To assess the clinical effectiveness of the ACTING intervention for dysphagia rehabilitation.
  • To evaluate the implementation fidelity of ACTING within municipal occupational therapy settings.
  • To explore the impact of ACTING on mealtime task performance and quality of life in older adults.

Main Methods:

  • A proof-of-concept case series design with 5 participants.
  • Pre-post outcome assessments including mealtime task performance, dietary variety, and perceived changes.
  • Collection of structural and process fidelity data alongside secondary outcomes like dysphagia severity and quality of life.

Main Results:

  • All participants demonstrated increased dietary variety.
  • Four participants achieved clinically meaningful improvements in mealtime performance and perceived eating/drinking.
  • Trends towards improvement were observed in secondary outcomes, but outcome variability and inconsistent fidelity were noted.

Conclusions:

  • The ACTING intervention shows potential for occupation-centered dysphagia rehabilitation in community settings.
  • Further development is recommended to enhance implementation fidelity and clinician training.
  • Larger-scale testing is warranted following refinement of the intervention delivery.