Feasibility and Impact of an Activity-based Intervention for Strengthening Ingestive Functions in Elders With Sarcopenic Dysphagia: a Multiple-case Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Sarcopenia
- Sponsor
- Hvidovre University Hospital
- Enrollment
- 11
- Locations
- 1
- Primary Endpoint
- Intervention tolerance
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
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.
Investigators
Tina Hansen, PhD, MSc.OT
Senior Researcher
Hvidovre University Hospital
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •Dysphagia related to the esophagus
- •Psychiatric diagnosis
- •Neurodegenerative disease or
- •Needs palliative care
- •Admitted to hospital from a nursing home.
Outcomes
Primary Outcomes
Intervention tolerance
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: Up to 12 weeks
Semi-structured interviews based on the Theoretical Framework of Acceptability
Secondary Outcomes
- 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)