Self-perception and clinical presentation of eating and swallowing difficulties within elderly care
\r\nBackground\r\nThe growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents’ eating and swallowing abilities has been reported. Recent research...
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| Published in | South African journal of communication disorders Vol. 72; no. 1; pp. e1 - 6 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
South Africa
AOSIS
04.03.2025
African Online Scientific Information Systems (Pty) Ltd t/a AOSIS AOSIS (Pty) Ltd South African Speech-Language-Hearing Association (SASLHA) |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0379-8046 2225-4765 2225-4765 |
| DOI | 10.4102/sajcd.v72i1.1078 |
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| Abstract | \r\nBackground\r\nThe growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents’ eating and swallowing abilities has been reported. Recent research is critical for future policy development.\r\n\r\n\r\nObjectives\r\nThis study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context.\r\n\r\n\r\nMethod\r\nThis comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool – 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown.\r\n\r\n\r\nResults\r\nOf the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p<0.05) scores.\r\n\r\n\r\nConclusion\r\nIndividuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context.\r\n\r\n\r\nContribution\r\nThis study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population.\r\n |
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| AbstractList | \r\nBackground\r\nThe growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents’ eating and swallowing abilities has been reported. Recent research is critical for future policy development.\r\n\r\n\r\nObjectives\r\nThis study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context.\r\n\r\n\r\nMethod\r\nThis comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool – 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown.\r\n\r\n\r\nResults\r\nOf the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p<0.05) scores.\r\n\r\n\r\nConclusion\r\nIndividuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context.\r\n\r\n\r\nContribution\r\nThis study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population.\r\n Background: The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents’ eating and swallowing abilities has been reported. Recent research is critical for future policy development. Objectives: This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context. Method: This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool – 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown. Results: Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p 0.05) scores. Conclusion: Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context. Contribution: This study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population. The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents' eating and swallowing abilities has been reported. Recent research is critical for future policy development. This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context. This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool - 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown. Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p 0.05) scores. Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context.Contribution: This study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population. The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents' eating and swallowing abilities has been reported. Recent research is critical for future policy development. This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context. This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool - 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown. Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p < 0.05) scores. Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context. Background The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents' eating and swallowing abilities has been reported. Recent research is critical for future policy development. Objectives This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context. Method This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool - 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown. Results Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p < 0.05) scores. Conclusion Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context. Contribution This study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population. BACKGROUND: The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents' eating and swallowing abilities has been reported. Recent research is critical for future policy development OBJECTIVES: This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context METHOD: This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool - 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown RESULTS: Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p < 0.05) scores CONCLUSION: Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context CONTRIBUTION: This study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents' eating and swallowing abilities has been reported. Recent research is critical for future policy development.BACKGROUND The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents' eating and swallowing abilities has been reported. Recent research is critical for future policy development. This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context.OBJECTIVES This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context. This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool - 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown.METHOD This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool - 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown. Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p 0.05) scores.RESULTS Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p 0.05) scores. Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context.Contribution: This study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population.CONCLUSION Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context.Contribution: This study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population. |
| Audience | Academic |
| Author | Masenge, Andries Krüger, Esedra Pillay, Bhavani S. Vermeulen, Rouxjeanne Bell, Caitlin S. |
| AuthorAffiliation | University of KwaZulu-Natal University of Pretoria |
| AuthorAffiliation_xml | – name: University of Pretoria – name: University of KwaZulu-Natal |
| Author_xml | – sequence: 1 givenname: Caitlin S. orcidid: 0009-0005-6832-2238 surname: Bell fullname: Bell, Caitlin S. organization: Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Tshwane, South Africa – sequence: 2 givenname: Esedra orcidid: 0000-0001-9940-8812 surname: Krüger fullname: Krüger, Esedra organization: Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Tshwane, South Africa – sequence: 3 givenname: Rouxjeanne orcidid: 0000-0003-1722-3692 surname: Vermeulen fullname: Vermeulen, Rouxjeanne organization: Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Tshwane, South Africa – sequence: 4 givenname: Andries surname: Masenge fullname: Masenge, Andries organization: Department of Statistics, Faculty of Natural and Agricultural Sciences, University of Pretoria, Tshwane, South Africa – sequence: 5 givenname: Bhavani S. orcidid: 0000-0002-7839-8384 surname: Pillay fullname: Pillay, Bhavani S. organization: Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Tshwane, South Africa |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40035121$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Aged Aged, 80 and over Aging Anxiety Blood pressure Clinical assessment Cognitive ability Cognitive impairment Communication Comorbidity Deglutition disorders Deglutition Disorders - diagnosis Deglutition Disorders - psychology Dysphagia Elder care Elderly Female Geriatric Assessment - methods Geriatrics Homes for the Aged Humans Hypertension Male Medical diagnosis Medical research Medicine, Experimental Older people Original Research Perceptions Physiology Population Residential care facilities Self Concept Self evaluation Self-perception South Africa Statistical analysis Swallowing Thyroid diseases |
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| Title | Self-perception and clinical presentation of eating and swallowing difficulties within elderly care |
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