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Study protocol of the OrkA project: orofacial and communicative activation in old age– a cluster randomized prevention study in long-term care facilities in Lower Saxony, Germany

Authors: Walther, Wenke; Ptok, Martin; Hager, Klaus; Miller, Simone;

Study protocol of the OrkA project: orofacial and communicative activation in old age– a cluster randomized prevention study in long-term care facilities in Lower Saxony, Germany

Abstract

Abstract Background The process of aging involves numerous changes in the body, influencing physical, mental, and emotional well-being. Age-related changes and degradation can impact various functions of the swallowing process and lead to delayed word retrieval. Individuals with limited linguistic stimulation may experience a more rapid decline in cognitive performance. Thus, this project explores a preventive training program targeting swallowing and linguistic-communicative skills, aimed at preserving the social participation of older individuals residing in nursing homes. Methods A preventive intervention program, combining orofaciopharyngeal and linguistic-communicative components, will be offered twice weekly over 12 weeks in long-term care facilities in the greater Hanover area. The program will aim at: (a) activating sensitive and motor skills in the orofaciopharyngeal area to counter age-related swallowing disorders, and (b) enhancing communicative abilities through semantic-lexical activation. A cluster randomized controlled trial will be conducted to investigate whether the intervention program improves swallowing skills in older adults. Additionally, a secondary analysis will explore the impact on language skills and social participation, as well as program acceptance. Discussion The results will provide valuable insight into the effectiveness of preventive measures addressing swallowing and speech issues in older individuals. Trial registration The trial was registered with DRKS (German register for clinical trials) in June 2023 (study ID: DRKS00031594) and the WHO International Clinical Trail Registry Platform (secondary register).

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Keywords

Aging, Cluster-randomized trial ; Communication ; Aged [MeSH] ; Language [MeSH] ; Study Protocol ; Humans [MeSH] ; Long-Term Care [MeSH] ; Swallowing ; Prevention ; Nursing Homes [MeSH] ; Germany/epidemiology [MeSH] ; Group training ; Aging/psychology [MeSH] ; Randomized Controlled Trials as Topic [MeSH] ; Skilled Nursing Facilities [MeSH] ; Long-term care ; Deglutition Disorders/prevention ; Cognition, Prevention, Communication, RC952-954.6, Swallowing, Long-Term Care, Nursing Homes, Study Protocol, Cognition, Geriatrics, Germany, Cluster-randomized trial, Humans, Deglutition Disorders, Group training, Aged, Language, Randomized Controlled Trials as Topic, Skilled Nursing Facilities

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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gold