Swallowing Difficulties in People Over 60 Years: Prevalence, Degree of Difficulty and Intervention
1 other identifier
interventional
99
1 country
1
Brief Summary
Participants included in SCAPIS2 (Swedish Cardio Pulmonary bioimage study) are screened regarding swallowing difficulty using a timed water swallow test. Participants who show signs of swallowing difficulty (dysphagia) are included in the present study, which encompasses s flexible endoscopic evaluation of swallowing function (FEES). Participants showing a moderate-severe dysphagia are randomized into one of three intervention groups: muscle strengthening training, skill-based swallowing training and a control group who will receive compensatory treatment. The study is expected to improve diagnostics and treatment of swallowing difficulties in an ageing population.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2024
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 10, 2024
CompletedFirst Posted
Study publicly available on registry
September 19, 2024
CompletedStudy Start
First participant enrolled
December 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2028
April 27, 2026
April 1, 2026
2.3 years
September 10, 2024
April 22, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Penetration-aspiration score (PAS)
Ranges from 1-8 where 8 indicates worst possible aspiration score. Swallowing safety measured from Flexible Endoscopic Examination of Swallowing (FEES).
Baseline to post-intervention (6 weeks)
Secondary Outcomes (11)
Dysphagia related symtoms
Up to 12 months post-intervention
Tongue strength
Up to 12 months post-intervention
Body composition
Up to 12 months post-intervention
Cost of intervention
Up to 12 months post-intervention
Self-perceived swallowing function
Up to 12 months post-intervention
- +6 more secondary outcomes
Study Arms (3)
Muscular strengthening training
EXPERIMENTALThe muscular strengthening training is permformed 3 times daily as "head-ups" where the participant lies down and lifts their head anf then holds it upright during 60 seconds. This is repeated x 3 followed by 30 head-lifts. The duration of the training programme is 6 weeks.
Skill-based training
EXPERIMENTALDuring the skill-based training programme, food and beverages are used as swallowing training material based on a pre-determined food-hierarchy. The training starts at the highest level that the participant can safely swallow and then progresses as strength and coordination of swallowing improves. This training is comprised of 15 speech- and language pathologist lead training sessions during 3 weeks.
Compensatory treatment
NO INTERVENTIONThe control group will receive information about dysphagia and advise on compensatory strategies.
Interventions
6 weeks daily muscular strengthening training.
15 sessions skill based swallowing training lead by a speech and language pathologist during 3 weeks.
Eligibility Criteria
You may qualify if:
- Participation in SCAPIS2
- Swallowing dysfunction according to timed water swallow test or
- Swallowing dysfunction according to self-report
You may not qualify if:
- Severely impaired intellectual abilities.
- Inability to answer written questionnaires in Swedish
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Lisa Tuomilead
Study Sites (1)
Sahlgrenska University Hospital
Gothenburg, 43362, Sweden
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Speech-language pathologist, associate professor
Study Record Dates
First Submitted
September 10, 2024
First Posted
September 19, 2024
Study Start
December 1, 2024
Primary Completion (Estimated)
April 1, 2027
Study Completion (Estimated)
April 1, 2028
Last Updated
April 27, 2026
Record last verified: 2026-04