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NCT Number: NCT07373028

Simple Swallowing Training Program on Older Individuals in the Community

The goal of this clinical trial is to explore the effects of a simple swallowing training program on the swallowing function, airway protection, nutritional risk, daily choking, quality of life, and mental health of elderly individuals with mild swallowing difficulties residing in the community. The main question it aims to answer is: Does the simple swallowing training program significantly improve participants' swallowing function and safety, as well as their quality of life? Additionally, can daily choking incidents be improved?

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Gaoxin Qu, Suzhou, China

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About this study

The goal of this clinical trial is to explore the effects of a simple swallowing training program on the swallowing function, airway protection, nutritional risk, daily choking, quality of life, and mental health of elderly individuals with mild swallowing difficulties residing in the community. The main question it aims to answer is: Does the simple swallowing training program significantly improve participants' swallowing function and safety, as well as their quality of life? Additionally, can daily choking incidents be improved? Additionally, the investigator will compare the long-term effects of the training with the previous study to see the significance of long-term training.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 60 years or older and living in communities.
  • Speaking Chinese
  • Daily oral feeding.
  • The swallowing risk was detected through the Volume-Viscosity Swallow Test, and mild dysphagia based on Dysphagia Outcome and Severity Scale
  • No history of hospitalization in the past 6 months.
  • No participation in any swallowing-related intervention in the past 6 months.
  • Conscious and able to cooperate with questionnaires and training.

Exclusion criteria

  • Self-reported medical condition precluding exercise.
  • Physical disability.
  • Abnormalities of the oral, pharyngeal, or esophageal structures.
  • Diagnosis of aspiration pneumonia.
  • Presence of a tracheostomy
  • Neuromuscular disorders
  • Cognitive impairment

Treatment and study plan

Simple swallowing training program

Behavioral

The Simple swallowing training program included warm-up and another 11 sections, including Warm-up for 3 min, Neck Activation for 1 min, Nod for 1 min, Lip Closure for 1 min, Cheek Puffing for 1 min, Breathing Exercise for 1 min, Voice Training for 2 min, Swallowing Exercise for 2-3 min, Neck Massage for 1 min, Acupressure for 2 min, Facial Massage for 3 min and Tongue Exercise for 1 min.

Active non-swallowing training

Behavioral

A set of light physical activities that will not affect swallowing function, lasting approximately 15 minutes, similar to the simple swallowing training program and requiring no equipment.

Primary outcomes

  1. Dysphagia Outcome and Severity Scale

    Time frame: day 0 and day 366

    The Dysphagia Outcome and Severity Scale consists of 7 levels, from 1 to 7, based on imaging data. A higher level indicates better swallowing function.

Secondary outcomes

  1. Aspiratory cough

    Time frame: 1 year

    Aspiratory cough is based on self-reporting and recorded via paper or electronic calendars, which are periodically uploaded. Cough is defined as the coughing and discomfort caused by food or water entering the airway for various reasons. The outcomes of choking include relief through actions such as coughing or patting the back, or no relief at all.

  2. Nutrition Risk Screening 2002

    Time frame: day 0, day 183 and day 366

    Nutrition Risk Screening 2002 is a tool used to assess nutritional risk. The total score ranges from 0 to 7, with a score of 3 or higher indicating the presence of nutritional risk.

  3. Dysphagia Handicap Index

    Time frame: day 0, day 31, day 183 and day 366

    Dysphagia Handicap Index is used to assess quality of life. The total score ranges from 0 to 100, with the higher score indicating worse quality of life.

  4. Penetration-Aspiration Scale

    Time frame: day 0 and day 366

    Penetration-Aspiration Scale is used to assess airway protection. The total score ranges from 1 to 8, with the higher score indicating worse airway protection.

  5. Aspiration pneumonia

    Time frame: 1 year

    Participants are monitored for the occurrence of aspiration pneumonia, with the standard being the diagnosis issued by the hospital. It is considered that a participant may experience aspiration pneumonia multiple times within a year. Based on imaging results, aspiration pneumonia resulting from the same incident of aspiration is regarded as the same positive case. Participants or their relatives are required to regularly submit information regarding their pneumonia.

  6. 10-item Eating assessment tool

    Time frame: day 0, day 31, day 183 and day 366

    10-item Eating assessment tool was used to assess subject swallowing ability. The total score ranges from 0 to 40, with the higher score indicating more severe subject swallowing disorders.

Study contacts

Contact information is provided by the study sponsor or research team.

Xi Zeng, PhD

CONTACT

[email protected]

15333828388

Sponsors and collaborators

Lead sponsor

Zeng Changhao

Other

Registry information

Official study title

A Randomized Controlled Trial to Explore the Long-term Effects of a Simple Swallowing Training Program on Older Individuals in the Community

Acronym: SSTP1year

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jan 28, 2026
Registry last updated
Jan 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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