Feasibility and Impact of an Activity-based Intervention for Strengthening Ingestive Functions in Elders With Sarcopenic Dysphagia: a Multiple-case Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 11
- 试验地点
- 1
- 主要终点
- Intervention tolerance
研究概览
简要总结
The purpose of the study is to test and optimize the feasibility of an activity-based resistance training program for patients with sarcopenic dysphagia. The study is a feasibility study designed as a multiple-case study with quantitative and qualitative data sources related to a number of feasibility outcomes and clinical outcomes during and after the intervention. Participants are 15 patients> 65 years of age are referred for dysphagia assessment by an Occupational Therapist (patients may be admitted to several different wards (endocrinology, pulmonary medicine, infectious medicine, gastrology). The intervention is offered during hospitalization and after discharge for a maximum of 12 weeks.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Speaks and understand Danish language, and able to provide written informed consent for participation
- •Dysphagia verified by a Gugging Swallowing Screen
- •Generalized sarcopenia determined by a Danish version of the questionnaire SARC-F
- •Sarcopenia of the swallowing mechanism indicated by reduced tongue strength measured with the Iowa Oral Performance Instrument
排除标准
- •Dysphagia related to the esophagus
- •Psychiatric diagnosis
- •Neurodegenerative disease or
- •Needs palliative care
- •Admitted to hospital from a nursing home.
结局指标
主要结局
Intervention tolerance
时间窗: During two therapy sessions per week in 12 weeks
Time-series of participants rated level of concern for aspiration on a 100 mm VAS-scale ((left side = no concerns and right side = maximal concerns). The success criterion is that 80% of the VAS scales are in the area of 'no concerns' for aspiration.
Intervention usefulness
时间窗: Up to 12 weeks
Participant self-report on the subscale 'Value/usefulness' from the Intrinsic Motivation Inventory (IMI). The subscale covers 7 items to be rated on a 7-point Likert scale (1=Not at all true to 7=very true). A high score indicate high usability.
Adverse effects
时间窗: During two therapy sessions per week in 12 weeks
Any expected and unintended events during the therapy sessions and the self-training are recorded.
Acceptability
时间窗: Up to 12 weeks
Semi-structured interviews based on the Theoretical Framework of Acceptability
次要结局
- Functional oral intake(Baseline and up to 12 weeks)
- Mealtime performance(Baseline and up to 12 weeks)
- Nutritional status(Baseline and up to 12 weeks)
- Intervention progress _ Swallow ability(During two therapy sessions per week in 12 weeks.)
- Emotional wellbeing and global quality of life(Baseline and up to 12 weeks)
- Intervention progress_ intensity(During two therapy sessions per week in 12 weeks.)
- Intervention progress _ swallow difficulty(During two therapy sessions per week in 12 weeks.)
- Tongue strength and endurance(Baseline and up to 12 weeks)
研究者
Tina Hansen, PhD, MSc.OT
Senior Researcher
Hvidovre University Hospital