Post-stroke dysphagia Dysphagia Stroke Swallowing exercise Video instructions
Conditions
Interventions
Patients receive standard care, an educational pamphlet for swallowing exercises, a logbook, and face-to-face instruction (1 session). Additionally, they receive a daily LINE message containing a vide
Experimental Other,Active Comparator Other
LINE-Delivered Video Instructions + Educational Pamphlet,Educational Pamphlet
Sponsors
Kabinburi Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age >= 18 years with confirmed ischemic or hemorrhagic stroke via CT or MRI. 2.Clinical signs of dysphagia confirmed by a baseline GUSS score < 20. 3.Good consciousness, stable vital signs, and ability to follow 2-step basic commands. 4.Patient or primary caregiver owns a smartphone with the LINE application installed, internet access, and the ability to play videos. 5.Provided signed informed consent.
Exclusion criteria
Exclusion criteria: 1.Dysphagia caused by conditions other than the current stroke (e.g., neuromuscular disease, head/neck cancer, history of radiation, or esophageal structural abnormalities). 2.Patients with a tracheostomy. 3.Severe communication or language deficits (Severe aphasia). 4.Severe uncontrolled comorbidities (e.g., critical heart failure, sepsis, or ventilator dependence). 5.Pneumonia or active respiratory tract infection. 6.Severe visual or hearing impairment that prevents reading or watching videos on the LINE application. 7.End-of-life or receiving palliative care. 8.History of receiving swallowing rehabilitation from an occupational therapist within the past 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Swallowing performance At 4 weeks Gugging Swallowing Screen (GUSS) score. | — |
Secondary
| Measure | Time frame |
|---|---|
| Adherence rate to the swallowing exercise program At 4 weeks. Percentage of completed exercise sessions recorded in the logbook,User experience regarding confidence, convenience, and usefulness of LINE reminders At 4 weeks. A 5-point rating scale questionnaire - Intervention group only | — |
Countries
Thailand
Contacts
Public ContactSuthida Somnam
Kabinburi Hospital
Outcome results
None listed