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Tackling unmanaged oropharyngeal dysphagia in primary care: a behavioural science realist review of interventions.


ABSTRACT:

Introduction

Oropharyngeal dysphagia (OD) is difficulty manipulating a food bolus from the mouth to the throat. Up to 70% of older adults develop OD; however, it is unmanaged in primary care, leading to avoidable hospitalisation.

Objective

This behavioural science realist review aimed to develop programme theories to describe how interventions facilitate primary care healthcare professionals (HCPs) to proactively manage OD.

Methods

We developed initial programme theories (IPTs) inductively using the expertise of stakeholders and deductively using the theoretical domains framework (TDF). Databases were searched to identify evidence regarding contexts, behavioural mechanisms and outcomes related to proactive management of OD and comparative behaviours which offer transf

SUBMITTER: Smith C 

PROVIDER: S-EPMC11367299 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature