Healthcare professionals' experiences and thoughts on eating and drinking with acknowledged risks in older adults: a comparison of Japan and the UK.
Purpose Older adults are commonly restricted of oral intake due to concerns of aspiration. Eating and drinking with acknowledged risks (EDAR) is an alternative pathway that facilitates comfort, dignity and autonomy. However, EDAR decision-making is difficult, with guidance only existing in the UK, a...
| Publicado en: | Age & Ageing Vol. 55; no. 1; pp. 1 - 9 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jan2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513121&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513121 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2026 vid: 55 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513121 10.1093/ageing/afaf380 ppf: 1 ppct: 8 formats: tig: atl: Healthcare professionals' experiences and thoughts on eating and drinking with acknowledged risks in older adults: a comparison of Japan and the UK. aug: au: Yoshimatsu, Yuki Markowski, Marianne Smithard, David Graeme Hansjee, Dharinee Hashimoto, Tadayuki Nagano, Hiroyuki Essex, Ryan affil: Guy's and St Thomas' Hospitals NHS Foundation Trust, Ageing and Health, London, England, United Kingdom of Great Britain and Northern IrelandLewisham and Greenwich NHS Trust, Elderly Care, Queen Elizabeth Hospital, London, England, United Kingdom of Great Britain and Northern IrelandUniversity of Greenwich, The Institute for Lifecourse Development, Centre for Exercise Activity and Rehabilitation, School of Human Sciences, London, England, United Kingdom of Great Britain and Northern Ireland University of Greenwich, The Institute for Lifecourse Development, Centre for Chronic Illness and Ageing, School of Human Sciences, London, England, United Kingdom of Great Britain and Northern IrelandUniversity of Greenwich, The Institute for Lifecourse Development, Centre for Professional Workforce Development, London, England, United Kingdom of Great Britain and Northern Ireland Lewisham and Greenwich NHS Trust, Elderly Care, Queen Elizabeth Hospital, London, England, United Kingdom of Great Britain and Northern IrelandUniversity of Greenwich, Centre for Exercise Activity and Rehabilitation, School of Human Sciences, London, England, United Kingdom of Great Britain and Northern Ireland University of Greenwich, Speech and Language Therapy, School of Health Sciences, London, England, United Kingdom of Great Britain and Northern Ireland Osaka Medical and Pharmaceutical University, Department of General Medicine, Takatsuki, Osaka, JapanBrigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts, USA Kyoto University, Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto, Kyoto Prefecture, JapanTenri Yorozu Hospital, General Medicine, Tenri, Nara, Japan University of Greenwich, The Institute for Lifecourse Development, Centre for Chronic Illness and Ageing, School of Human Sciences, London, England, United Kingdom of Great Britain and Northern IrelandUniversity of Greenwich, The Institute for Lifecourse Development, Centre for Professional Workforce Development, London, England, United Kingdom of Great Britain and Northern IrelandThe George Institute, Injury Division, Sydney, New South Wales, AustraliaUniversity of New South Wales, School of Population Health, Sydney, New South Wales, Australia su: Japan United Kingdom Work Medical personnel Medical specialties & specialists Interprofessional relations Self-efficacy Work environment Confidence Quantitative research Food habits Quality of life Social support Psychosocial factors Experiential learning Drinking behavior Educational attainment Disease risk factors Old age Risk assessment Medical protocols Research funding Aspiration pneumonia Multiple regression analysis Decision making in clinical medicine Descriptive statistics Continuum of care Attitudes of medical personnel Research Comparative studies Data analysis software Deglutition disorders Professional competence Disease complications sug: subj: Work Medical personnel Medical specialties & specialists Interprofessional relations Self-efficacy Work environment Confidence Quantitative research Food habits Quality of life Social support Psychosocial factors Experiential learning Drinking behavior Educational attainment Disease risk factors Old age Japan United Kingdom Other Individual and Family Services Risk assessment Medical protocols Research funding Aspiration pneumonia Multiple regression analysis Decision making in clinical medicine Descriptive statistics Continuum of care Attitudes of medical personnel Research Comparative studies Data analysis software Deglutition disorders Professional competence Disease complications keyword: aspiration choking comfort feeding copyrightHolder:British Geriatrics Society copyrightYear:2026 decision making deglutition disorders eating edar gene https://dx.doi.org/10.1093/ageing/afaf380 inLanguage:en japanese modified diet older adult older people pneumonia publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41569281/ aspiration choking comfort feeding copyrightHolder:British Geriatrics Society copyrightYear:2026 decision making deglutition disorders eating edar gene https://dx.doi.org/10.1093/ageing/afaf380 inLanguage:en japanese modified diet older adult older people pneumonia publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41569281/ ab: Purpose Older adults are commonly restricted of oral intake due to concerns of aspiration. Eating and drinking with acknowledged risks (EDAR) is an alternative pathway that facilitates comfort, dignity and autonomy. However, EDAR decision-making is difficult, with guidance only existing in the UK, and support not readily available. This study was the third in a mixed-methods project aiming to understand how to develop EDAR further whilst providing clinicians with optimal support. This study aimed to reveal the factors that shape confidence in healthcare professionals regarding EDAR decision-making. Methods We performed a survey regarding the experiences of healthcare professionals in Japan and the UK with EDAR in older adults. We developed the survey based on themes extracted from our previous qualitative study. Results There were 1452 responses (1058 Japanese, 394 UK). Confidence towards EDAR was higher in UK-based respondents (β = 2.358, SE = 0.137, P < .001), with greater years of experience (β = 0.028 per year, SE = 0.005, P < .001), higher rate of clinical work related to EDAR (β = 0.341, SE = 0.022, P < .001), a more involved role in the decision-making, and being clinicians who are not doctors. Similar results were observed regarding likeliness to support EDAR, likeliness to acknowledge perceived benefits, and lower levels of difficulty in undertaking EDAR. Framework (such as guidelines/protocols) and education were ranked to be most beneficial in both countries. Conclusions Confidence towards EDAR-decision making was shaped through multiple internal and external factors. Acknowledging these allows us to identify areas in need and provide culturally adapted support, leading to improved experiences in patients, families and healthcare professionals. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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