Few studies of the ways in which consistency modification might affect dimensions of wellness exist. The aim of this study is to furnish preliminary findings on the effects that consistency modification has on a range of aspects of living. The authors (five speech-language pathologists [SLPs]) restricted our oral intake to thickened liquids and purees for 1 week. During this time, we kept diaries and chose to focus on three domains of wellness namely emotional, social, and intellectual well-being. The diaries we generated were subjected to thematic analysis. The thematic analysis we conducted revealed that dietary restrictions had a sizable effect on the outlined dimensions of wellness. By pursuing this line of research, and recording and analyzing the views of people with dysphagia, researchers can understand the broader costs of consistency modification. Furthermore, our findings suggest that some form of disability stimulation might enhance educational outcomes for student SLPs.
AdamsT.BeznerJ.SteinhardtM. (1997). The conceptualization and measurement of perceived wellness: Integrating balance across and within dimensions. American Journal of Health Promotion, 11, 208–218.
2.
AgarM. (1986). Speaking of ethnography. New York, NY: SAGE.
3.
AltmanL. K. (1998). Who goes first? The story of self-experimentation in medicine. Berkley: University of California Press.
BlowM.OlssonR.EkbergO. (1999). Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in healthy volunteers. Dysphagia, 14(2), 67–72.
6.
BoyatzisR. E. (1998). Thematic analysis: Coding as a process for transforming qualitative information. New York, NY: SAGE.
7.
ChardG. (1997). Should occupational therapists use simulation exercises? Using wheelchair training as an example. The British Journal of Occupational Therapy, 60, 161–166.
8.
ChenP.GolubJ. S.HapnerE. R.JohnsM. M. (2009). Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Dysphagia, 24, 1–6.
9.
CicheroJ. A. (2013). Thickening agents used for dysphagia management: Effect on bioavailability of water, medication and feelings of satiety. Nutrition Journal, 12(1), Article 54.
10.
DamicoJ. S.Simmons-MackieN. N. (2003). Qualitative research and speech-language pathology: A tutorial for the clinical realm. American Journal of Speech-language Pathology, 12, 131–143.
11.
EslickG. D.TalleyN. J. (2008). Dysphagia: Epidemiology, risk factors and impact on quality of life–a population-based study. Alimentary Pharmacology & Therapeutics, 27, 971–979.
12.
FranklinJ.SutherlandJ. (1984). Guinea pig doctors: The drama of medical research through self-experimentation. New York, NY: William Morrow.
13.
GarciaJ. M.ChambersE.MolanderM. (2005). Thickened liquids: Practice patterns of speech-language pathologists. American Journal of Speech-language Pathology, 14, 4–13.
14.
GillespieM. B.BrodskyM. B.DayT. A.LeeF.Martin-HarrisB. (2004). Swallowing-related quality of life after head and neck cancer treatment. The Laryngoscope, 114, 1362–1367.
15.
GoddardL.JordanL. (1998). Changing attitudes about persons with disabilities: Effects of a simulation. Journal of Neuroscience Nursing, 30, 307–313.
16.
GreenbergJ. S. (1985). Health and wellness: A conceptual differentiation. Journal of School Health, 55, 403–406.
17.
GroherM. E.McKaigT. N. (1995). Dysphagia and dietary levels in skilled nursing facilities. Journal of the American Geriatrics Society, 43, 528–532.
18.
HettlerB. (1984). Wellness: Encouraging a lifetime pursuit of excellence. Health Values, 8(4), 7–13.
19.
KerridgeI. (2003). Altruism or reckless curiosity? A brief history of self experimentation in medicine. Internal Medicine Journal, 33, 203–207.
20.
KnaflK. A.BreitmayerB. J. (1989). Triangulation in qualitative research: Issues of conceptual clarity and purpose. In MorseJ. (Ed.), Qualitative nursing research: A contemporary dialogue (pp. 193–203). Newbury Park, CA: SAGE.
21.
KuhlemeierK. V.PalmerJ. B.RosenbergD. (2001). Effect of liquid bolus consistency and delivery method on aspiration and pharyngeal retention in dysphagia patients. Dysphagia, 16, 119–122.
22.
LaffertyJ. (1979). A credo for wellness. Health Education, 10, 10–11.
23.
LederS. B.JudsonB. L.SliwinskiE.MadsonL. (2013). Promoting safe swallowing when puree is swallowed without aspiration but thin liquid is aspirated: Nectar is enough. Dysphagia, 28, 58–62.
24.
LeowL. P.HuckabeeM.AndersonT.BeckertL. (2010). The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the swallowing quality of life (SWAL-QOL) questionnaire. Dysphagia, 25, 216–220.
25.
LogemannJ. A.GenslerG.RobbinsJ.LindbladA. S.BrandtD.HindJ. A.. . . GramignaG. D. (2008). A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson’s disease. Journal of Speech, Language, and Hearing Research, 51, 173–183.
26.
LohmanP. (2008). Students’ perceptions of face-to-face pseudostuttering experience. Perceptual and Motor Skills, 107, 951–962.
27.
McCulloughG.PelletierC.SteeleC. (2003, November). National dysphagia diet: What to swallow?ASHA Leader, 8(20), 16–27.
28.
McKibbonK. A. (1998). Evidence-based practice. Bulletin of the Medical Library Association, 86, 396–401.
29.
MillerN.NobleE.JonesD.BurnD. (2006). Hard to swallow: Dysphagia in Parkinson’s disease. Age and Ageing, 35, 614–618.
30.
NguyenN. P.FrankC.MoltzC. C.VosP.SmithH. J.KarlssonU.. . . SallahS. (2005). Impact of dysphagia on quality of life after treatment of head-and-neck cancer. International Journal of Radiation Oncology, Biology and Physics, 61, 772–778.
31.
ParrS. (2007). Living with severe aphasia: Tracking social exclusion. Aphasiology, 21, 98–123.
32.
PenmanJ. P.ThomsonM. (1998). A review of the textured diets developed for the management of dysphagia. Journal of Human Nutrition and Dietetics, 11, 51–60.
33.
Plowman-PrineE. K.SapienzaC. M.OkunM. S.PollockS. L.JacobsonC.WuS. S.RosenbekJ. C. (2009). The relationship between quality of life and swallowing in Parkinson’s disease. Movement Disorders, 24, 1352–1358.
34.
ReevesS.AlbertM.KuperA.HodgesB. D. (2008). Why use theories in qualitative research. British Medical Journal, 337, Article a949.
35.
RengerR. F.MidyettS. J.MasS.FranciscoG.ErinT. D.McDermottH. M.. . . HewittM. J. (2000). Optimal living profile: An inventory to assess health and wellness. American Journal of Health Behavior, 24, 403–412.
36.
SchmidtJ.HolasM.HalvorsonK.RedingM. (1994). Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke. Dysphagia, 9, 7–11.
37.
SpradleyJ. P.McCurdyD. W. (1980). Anthropology, the cultural perspective. New York, NY: John Wiley.
38.
State of California Health and Human Services Agency. (2010). Diet manual. Sacramento: State of California Department of Developmental Services.
39.
van den HoonaardW. (1997). Working with sensitizing concepts: Analytical field research. Thousand Oaks, CA: SAGE.
