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dc.contributor.authorChadwick, D D
dc.contributor.authorStubbs, J
dc.contributor.authorFovargue, S
dc.contributor.authorAnderson, D
dc.contributor.authorStacey, G
dc.contributor.authorTye, S
dc.date.accessioned2019-03-19T16:21:41Z
dc.date.available2019-03-19T16:21:41Z
dc.date.issued2013-12-09
dc.identifier.citationChadwick, D. D., Stubbs, J. , Fovargue, S. , Anderson, D. , Stacey, G. and Tye, S. (2014), Training support staff to modify fluids. J Intellect Disabil Res, 58: 84-98. doi:10.1111/jir.12013en
dc.identifier.issn1365-2788
dc.identifier.pmid23336612
dc.identifier.doi10.1111/jir.12013
dc.identifier.urihttp://hdl.handle.net/2436/622226
dc.description.abstractModifying the consistency of food and drink is a strategy commonly used in the management of dysphagia for people with intellectual disabilities (ID). People with ID often depend on others for the preparation of food and drink and therefore depend on those caregivers achieving the correct consistency to keep them safe and avoid discomfort during mealtimes. Clinical experience and prior research have demonstrated that although training can improve modification, carers often find modification difficult and potentially stressful and recommend additional support for carers. Fluid consistency is often modified through the addition of powdered thickener. This study investigates the efficacy of typical training and use of consistency guides, the Thickness Indicator Model (TIM) tubes, in helping carers to modify fluids accurately. A 3 × 3 pre-post experimental design with a control group was employed to compare the observed accuracy of modification across three groups and at three time points (pre-intervention baseline, immediately post-training intervention and 3-10 months post-training). Sixty-two paid carers who supported people with ID were recruited to participate in the study and each was randomly allocated to one of the three groups: a control group given written guidance only, a group who received typical training and written guidance and a group who received training, written guidance and the TIM tubes. Typical training resulted in significantly greater carer accuracy in modifying fluid consistencies when compared with written guidance alone. Use of the TIM tubes also significantly improved accuracy in the modification of drinks compared with the group who modified with the aid of written guidance alone. At 3-10-month follow-up only the group who received typical training alongside the TIM tubes were significantly more accurate than the Written Guidance group. Further research is warranted to ascertain the effectiveness of the training and the utility of the TIM tubes in improving accuracy over a longer time scale and in individuals' usual living environments.en
dc.description.sponsorshipDepartment of Health Support For Science fundingen
dc.formatapplication/PDFen
dc.language.isoenen
dc.publisherBlackwellen
dc.relation.urlhttps://onlinelibrary.wiley.com/doi/abs/10.1111/jir.12013en
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectdietary modificationen
dc.subjectdysphagiaen
dc.subjectefficacyen
dc.subjectintellectual disabilitiesen
dc.subjecttrainingen
dc.titleTraining support staff to modify fluids to appropriate safe consistencies for adults with intellectual disabilities and dysphagia: an efficacy studyen
dc.typeJournal article
dc.identifier.journalJournal of Intellectual Disability Researchen
dc.source.journaltitleJournal of intellectual disability research : JIDR


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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 United States