Clinical trial NCT05186961: Determining Dysphagia Awareness in Caregivers
Official title: Determining Pediatric Dysphagia Awareness in Caregivers
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Caregiver Awareness About Dysphagia
Keywords: caregiver
awareness
dysphagia
children
Lead sponsor: Atılım University
Sponsor class: OTHER
First posted: 2022-01-11
Enrollment: 25
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: FAMILY_BASED
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Persons who provided primary care for children younger than 18 years with swallowing disorders will be included in the study.

Brief summary: Genetic, neuromuscular, gastrointestinal, cardiorespiratory diseases and congenital abnormalities can cause dysphagia in children (1, 2). Various symptoms such as coughing during or after feeding, vomiting, recurrent lung infections, inability to gaining weight, difficulty in oromotor control, nasal regurgitation, and prolonged feeding time can be seen in children whose growth and development are affected due to dysphagia (3).

The primary aim of dysphagia rehabilitation is; gaining a child's age-appropriate nutritional experience by ensuring safe swallowing; supporting growth and development (1). Rehabilitation consists of active or passive oral motor exercises, sensory training, thickened fluids, positioning and their combinations (4, 5). The caregiver is one of the most important partners of the rehabilitation program and should apply feding modifications and positioning for safe swallowing during each feeding. In addition, the exercise approaches recommended by the health personnel should be performed in order to improve the swallowing function at certain times of the day (5).

According to a study in patients with neurologenic caregivers' failure to comply with dysphagia strategies; chest infections, aspiration pneumonia, prolongation of hospital stay, and adverse clinical outcomes resulting in death (6). Therefore, the role of caregivers is very important in the perisistence and success of rehabilitation is great. The level of knowledge and awareness of the caregiver directly affects the rehabilitation effectiveness.

The knowledge and awareness of the caregiver directly affects the effectiveness of rehabilitation, as it is the caregiver who is most interested and spends time with the child. The caregiver, who has knowledge about dysphagia, symptoms and management, will give the necessary importance to rehabilitation and will be more aware of the child's existing condition. Thus, communication with health personnel will be strengthened, effectiveness of rehabilitation will increase. The aim of this study; to determine the level of knowledge of the caregiver about dysphagias and symptoms.


Eligibility criteria: Inclusion Criteria:

* Persons who provided primary care for children younger than 18 years with dysphagia

Exclusion Criteria:

* Doesn't accept to participate to study

Primary outcomes:
measure: Determination of Caregiver Awareness:
timeFrame: 1 hour
Secondary outcomes:
measure: Demographic Information about caregiver
timeFrame: 1 hour
measure: Child's Demographic Information
timeFrame: 1 hour
measure: Evaluation of Dysphagia
timeFrame: 1 hour
measure: Chewing Function:
timeFrame: 1 hour
measure: Drooling:
timeFrame: 1 hour
measure: Tongue Trust:
timeFrame: 1 hour
Other outcomes:
Locations:
Study officials:
affiliation: Hacettepe University Faculty of Physical Therapy and Rehabilitation Ankara, TURKEY
name: Selen Serel Arslan, assoc. prof.
role: STUDY_DIRECTOR
affiliation: Atilim University, Facultyof Health Sciences Department of Physiotherapy and Rehabilitation
name: Sena Begen
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lefton-Greif MA. Pediatric dysphagia. Phys Med Rehabil Clin N Am. 2008 Nov;19(4):837-51, ix. doi: 10.1016/j.pmr.2008.05.007.
citation: Prasse JE, Kikano GE. An overview of pediatric dysphagia. Clin Pediatr (Phila). 2009 Apr;48(3):247-51. doi: 10.1177/0009922808327323. Epub 2008 Nov 20.
citation: van den Engel-Hoek L, Harding C, van Gerven M, Cockerill H. Pediatric feeding and swallowing rehabilitation: An overview. J Pediatr Rehabil Med. 2017 May 16;10(2):95-105. doi: 10.3233/PRM-170435.
citation: Chadwick, D. D., Jolliffe, J., & Goldbart, J. (2003). Dysphagia management for adults with learning disabilities: Caregiver knowledge and barriers to their adherence.
citation: Serel Arslan S, Kilinc HE, Yasaroglu OF, Demir N, Karaduman AA. The pediatric version of the eating assessment tool-10 has discriminant ability to detect aspiration in children with neurological impairments. Neurogastroenterol Motil. 2018 Nov;30(11):e13432. doi: 10.1111/nmo.13432. Epub 2018 Aug 13.
citation: Serel Arslan S, Aydin G, Alemdaroglu I, Tunca Yilmaz O, Karaduman AA. Reliability and validity of the Karaduman Chewing Performance Scale in paediatric neuromuscular diseases: A system for classification of chewing disorders. J Oral Rehabil. 2018 Jul;45(7):526-531. doi: 10.1111/joor.12642. Epub 2018 May 20.
citation: Rashnoo P, Daniel SJ. Drooling quantification: Correlation of different techniques. Int J Pediatr Otorhinolaryngol. 2015 Aug;79(8):1201-5. doi: 10.1016/j.ijporl.2015.05.010. Epub 2015 May 18.
citation: Serel Arslan S, Demir N, Karaduman AA. Reliability and validity of a tool to measure the severity of tongue thrust in children: the Tongue Thrust Rating Scale. J Oral Rehabil. 2017 Feb;44(2):119-124. doi: 10.1111/joor.12471.
citation: Borowitz KC, Borowitz SM. Feeding Problems in Infants and Children: Assessment and Etiology. Pediatr Clin North Am. 2018 Feb;65(1):59-72. doi: 10.1016/j.pcl.2017.08.021.