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Volume 9, Issue 2
  • ISSN: 2056-6522
  • E-ISSN: 2056-6530
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Abstract

To improve meals for people with dysphagia, we explored the views of people with dysphagia, their supporters and allied health professionals on a range of food design strategies (e.g. food shaping and food presentation techniques), including 3D food printing. From November 2021 to February 2022, an online survey of (1) adults with dysphagia (n = 30) and (2) supporters of people with dysphagia and allied health professionals (n = 22) was conducted. The survey included multiple choice, Likert scale and open-ended questions. Data was analysed descriptively. Most participants across the two groups had used at least one food design strategy for texture-modified foods and none had used 3D food printing. People with dysphagia were less likely to use food shaping techniques in preparing their texture-modified meals than other respondents. Supporters of people with dysphagia and allied health professionals were more likely than people with dysphagia to use food shaping techniques and to consider that 3D food printing could improve the visual appeal and enjoyment of texture-modified foods. A range of issues impacting the feasibility of 3D food printing were identified. The use of food design strategies for texture-modified foods may increase the food choices and mealtime enjoyment of people with dysphagia. Further research exploring how people with dysphagia and their supporters engage with 3D food printing could identify further influences on their future use of these technologies.

Funding
This study was supported by the:
  • National Health and Medical Research Council (NHMRC) (Award APP1191359)
  • Australian Government Research Training Program Scholarship
  • Australian Research Council (Award DP200101462)
© 2024 The Author(s). Published by Intellect Ltd.
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2026-04-21

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References

  1. 3D APAC (2023), ‘Natural Machines’, https://3dapac.com/tag/natural-machines/. Accessed 16 August 2023.
  2. 3D Sourced (2024), ‘10 best 3D printed food examples – 2023 update’, 20 February, https://www.3dsourced.com/guides/3d-printed-food/. Accessed 15 May 2024.
  3. Ball, S. L., Panter, S. G., Redley, M., Proctor, C. A., Byrne, K., Clare, I. C. H. and Holland, A. J. (2012), ‘The extent and nature of need for mealtime support among adults with intellectual disabilities’, Journal of Intellectual Disability Research, 56:4, pp. 382–401, https://doi.org/10.1111/j.1365-2788.2011.01488.x.
     [Google Scholar]
  4. Braun, V., Clarke, V., Boulton, E., Davey, L. and McEvoy, C. (2021), ‘The online survey as a qualitative research tool’, International Journal of Social Research Methodology, 24:6, pp. 641–54, https://doi.org/10.1080/13645579.2020.1805550.
     [Google Scholar]
  5. Burke-Shyne, S., Gallegos, D. and Williams, T. (2021), ‘3D food printing: Nutrition opportunities and challenges’, British Food Journal, 123:2, pp. 649–63, https://doi.org/10.1108/BFJ-05-2020-0441.
     [Google Scholar]
  6. Cichero, J. A. Y. (2017), ‘Unlocking opportunities in food design for infants, children, and the elderly: Understanding milestones in chewing and swallowing across the lifespan for new innovations’, Journal of Texture Studies, 48:4, pp. 271–79, https://doi.org/10.1111/jtxs.12236.
     [Google Scholar]
  7. Cichero, J. A. Y. (2018), ‘Age-related changes to eating and swallowing impact frailty: Aspiration, choking risk, modified food texture and autonomy of choice’, Geriatrics, 3:4, pp. 1–10, https://doi.org/10.3390/geriatrics3040069.
     [Google Scholar]
  8. Colodny, N. (2005), ‘Dysphagic independent feeders’ justifications for noncompliance with recommendations by a speech-language pathologist’, American Journal of Speech-Language Pathology, 14:1, pp. 61–70, https://doi.org/10.1044/1058-0360(2005/008).
     [Google Scholar]
  9. Dong, H., Wang, P., Yang, Z. and Xu, X. (2023), ‘3D printing based on meat materials: Challenges and opportunities’, Current Research in Food Science, 6, pp. 1–10, https://doi.org/10.1016/j.crfs.2022.100423.
     [Google Scholar]
  10. Eldh, A., Årestedt, C. and Berterö, C. (2020), ‘Quotations in qualitative studies: Reflections on constituents, custom, and purpose’, International Journal of Qualitative Methods, 19, pp. 1–6, https://doi.org/10.1177/1609406920969268.
     [Google Scholar]
  11. Emmel, N. (2013), ‘Theoretical sampling’, in J. Seaman (ed.), Sampling and Choosing Cases in Qualitative Research: A Realist Approach, London: SAGE Publications, pp. 11–32.
     [Google Scholar]
  12. Ettinger, L., Keller, H. H. and Duizer, L. M. (2014),  ‘A comparison of liking of pureed food between two groups of older adults’, Journal of Nutrition in Gerontology and Geriatrics, 33:3, pp. 198–209, https://doi.org/10.1080/21551197.2014.927305.
     [Google Scholar]
  13. Flsun 3D (2023), ‘Flsun Q5’, flsun, https://store.flsun3d.com/collections/3d-printers/products/flsun-q5. Accessed 6 December 2023.
     [Google Scholar]
  14. Garand, K. L. F., McCullough, G., Crary, M., Arvedson, J. C. and Dodrill, P. (2020), ‘Assessment across the life span: The clinical swallow evaluation’, American Journal of Speech-Language Pathology, 29:2S, pp. 919–33, https://doi.org/10.1044/2020_AJSLP-19-00063.
     [Google Scholar]
  15. Godoi, F. C., Prakash, S. and Bhandari, B. R. (2016), ‘3D printing technologies applied for food design: Status and prospects’, Journal of Food Engineering, 179, June, pp. 44–54, https://doi.org/10.1016/j.jfoodeng.2016.01.025.
     [Google Scholar]
  16. Groher, M. and Crary, M. (2016), Dysphagia: Clinical Management in Adults and Children, St Louis, MO: Elsevier Health Sciences.
     [Google Scholar]
  17. Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N. and Conde, J. G. (2009), ‘Research electronic data capture (REDCap): A metadata-driven methodology and workflow process for providing translational research informatics support’, Journal of Biomedical Informatics, 42:2, pp. 377–81, https://doi.org/10.1016/j.jbi.2008.08.010.
     [Google Scholar]
  18. Hemsley, B., Dann, S., Reddacliff, C., Smith, R., Given, F., Gay, V., Leong, T. W., Josserand, E., Skellern, K., Bull, C., Palmer, S. and Balandin, S. (2024), ‘Views on the usability, design, and future possibilities of a 3D food printer for people with dysphagia: Outcomes of an immersive experience’, Disability and Rehabilitation: Assistive Technology, 19:3, pp. 527–36, https://doi.org/10.1080/17483107.2022.2131914.
     [Google Scholar]
  19. Hemsley, B., Palmer, S., Kouzani, A., Adams, S. and Balandin, S. (2019a), ‘Review informing the design of 3D food printing for people with swallowing disorders: Constructive, conceptual and empirical problems’, in T. Bui (ed.), HICSS 52 Proceedings of the 52nd Annual Hawaii International Conference on System Sciences, University of Hawai’i, Manoa, Honolulu, HI, 8 January, Hawaii International Conference On System Sciences, pp. 5735–44.
     [Google Scholar]
  20. Hemsley, B., Steel, J., Sheppard, J. J., Malandraki, G. A., Bryant, L. and Balandin, S. (2019b), ‘Dying for a meal: An integrative review of characteristics of choking incidents and recommendations to prevent fatal and nonfatal choking across populations’, American Journal of Speech-Language Pathology, 28:3, pp. 1283–97, https://doi.org/10.1044/2018_AJSLP-18-0150.
     [Google Scholar]
  21. International Dysphagia Diet Standardization Initiative (IDDSI) (2019), The IDDSI Framework, The International Dysphagia Diet Standardization Initiative, https://iddsi.org/Framework. Accessed 16 August 2023.
     [Google Scholar]
  22. Jayaprakash, S., Paasi, J., Pennanen, K., Ituarte, I. F., Lille, M., Partanen, J. and Sozer, N. (2020), ‘Techno-economic prospects and desirability of 3D food printing: Perspectives of industrial experts, researchers and consumers’, Foods, 9:12, online first, https://doi.org/10.3390/foods9121725.
     [Google Scholar]
  23. Keller, H., Chambers, L., Niezgoda, H. and Duizer, L. (2012), ‘Issues associated with the use of modified texture foods’, The Journal of Nutrition, Health & Aging, 16:3, pp. 195–200, https://doi.org/10.1007/s12603-011-0160-z.
     [Google Scholar]
  24. Lin, S. C., Lin, K. H., Tsai, Y. C. and Chiu, E. C. (2021), ‘Effects of a food preparation program on dietary well-being for stroke patients with dysphagia: A pilot study’, Medicine (Baltimore), 100:25, pp. 1–6, https://doi.org/10.1097/MD.0000000000026479.
     [Google Scholar]
  25. Lyons, R., McAllister, L., Carroll, C., Hersh, D. and Skeat, J. (eds) (2022), Diving Deep into Qualitative Data Analysis in Communication Disorders Research, Croydon: J & R Press.
     [Google Scholar]
  26. Natural Machines (2021), ‘Oncofood: 3D food printing with Foodini’, YouTube, 11 January, https://www.youtube.com/watch?app=desktop&v=xVPzatIyucE. Accessed 16 August 2023.
  27. Nielsen, J. (1994), ‘Enhancing the explanatory power of usability heuristics’, Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, Boston, MA: Association for Computing Machinery, pp. 152–58, https://dl.acm.org/doi/10.1145/191666.191729. Accessed 15 May 2024.
     [Google Scholar]
  28. O’Cathain, A., Murphy, E. and Nicholl, J. (2008), ‘The quality of mixed methods studies in health services research’, Journal of Health Services Research and Policy, 13:2, pp. 92–98, https://doi.org/10.1258/jhsrp.2007.007074.
     [Google Scholar]
  29. Painter, V., Le Couteur, D. G. and Waite, L. M. (2017), ‘Texture-modified food and fluids in dementia and residential aged care facilities’, Clinical Interventions in Aging, 12, pp. 1193–203, https://doi.org/10.2147/CIA.S140581.
     [Google Scholar]
  30. Patton, M. Q. (2014), Qualitative Research and Evaluation Methods, Thousand Oaks, CA: Sage Publications.
     [Google Scholar]
  31. Pereira, T., Barrosso, S. and Gil, M. (2021), ‘Food texture design by 3D printing: A review’, Foods, 10:2, pp. 1–26, https://doi.org/10.3390/foods10020320.
     [Google Scholar]
  32. Ricci Maccarini, A., Filippini, A., Padovani, D., Limarzi, M., Loffredo, M. and Casolino, D. (2007), ‘Clinical non-instrumental evaluation of dysphagia’, Acta otorhinolaryngologica Italica, 27:6, pp. 299–305.
     [Google Scholar]
  33. Smith, R., Bryant, L. and Hemsley, B. (2022a), ‘Allied health professionals’ views on the use of 3D food printing to improve the mealtime quality of life for people with dysphagia: Impact, cost, practicality, and potential’, American Journal of Speech-Language Pathology, 31:4, pp. 1868–77, https://doi.org/10.1044/2022_AJSLP-21-00391.
     [Google Scholar]
  34. Smith, R., Bryant, L., Reddacliff, C. and Hemsley, B. (2022b), ‘A review of the impact of food design on the mealtimes of people with swallowing disability who require texture-modified food’, International Journal of Food Design, 7:1, pp. 7–28, https://doi.org/10.1386/ijfd_00034_1.
     [Google Scholar]
  35. Smith, R., Bryant, L. and Hemsley, B. (2023), ‘The true cost of dysphagia on quality of life: The views of adults with swallowing disability’, International Journal of Language & Communication Disorders, 58:2, pp. 451–66, https://doi.org/10.1111/1460-6984.12804.
     [Google Scholar]
  36. Smith, R., Bryant, L. and Hemsley, B. (2024a), ‘“I only eat because I have to—to live”: The impacts of dysphagia on quality of life from the perspectives of people with dysphagia, supporters of people with dysphagia and allied health professionals.’, International Journal of Language and Communication Disorders, May, pp. 1–15, https://doi.org/10.1111/1460-6984.13044.
     [Google Scholar]
  37. Smith, R., Bryant, L. and Hemsley, B. (2024b), ‘Perspectives of people with dysphagia and their supporters on the potential for 3D food printing to improve mealtime-related quality of life’, Disability and Rehabilitation. Assistive Technology, 19:3, pp. 1032–40, https://doi.org/10.1080/17483107.2022.2142681.
     [Google Scholar]
  38. Stahlman, L. B., Garcia, J. M., Chambers, E., Smit, A. B., Hoag, L. and Chambers, D. H. (2001), ‘Perceptual ratings for pureed and molded peaches for individuals with and without impaired swallowing’, Dysphagia, 16:4, pp. 254–62, https://doi.org/10.1007/s00455-001-0084-6.
     [Google Scholar]
  39. Stahlman, L. B., Garcia, J. M., Hakel, M. and Chambers, E. (2000), ‘Comparison ratings of pureed versus molded fruits: Preliminary results’, Dysphagia, 15:1, pp. 2–5, https://doi.org/10.1007/s004559910002.
     [Google Scholar]
  40. Strother, H., Moss, R. and McSweeney, M. B. (2020), ‘Comparison of 3D printed and molded carrots produced with gelatin, guar gum and xanthan gum’, Journal of Texture Studies, 51:6, pp. 852–60, https://doi.org/10.1111/jtxs.12545.
     [Google Scholar]
  41. Verganti, R. (2009), Design-Driven Innovation: Changing the Rules of Competition by Radically Innovating What Things Mean, Boston, MA: Harvard Business Press.
     [Google Scholar]
  42. Wolf, C., Joye, D., Smith, T. and Fu, Y. (eds) (2016), The SAGE Handbook of Survey Methodology, London: SAGE Publications Ltd.
     [Google Scholar]
  43. Wolff, B., Knodel, J. and Sittitrai, W. (1993), ‘Focus groups and surveys as complementary research methods: a case example’, in D. L. Morgan (ed.), Successful Focus Groups: Advancing the State of the Art, London: SAGE Publications, Inc., pp. 118–36, https://doi.org/10.4135/9781483349008.
     [Google Scholar]
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‘It looks better than a bowl of mush’: Views on the use of food design strategies, including 3D food printing, to improve meals for people with dysphagia
International Journal of Food Design 9, 177 (2024); https://doi.org/10.1386/ijfd_00071_1
/content/journals/10.1386/ijfd_00071_1
/content/journals/10.1386/ijfd_00071_1
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  • Article Type: Article
Keyword(s): 3D food printing; adults; dysphagia; quality of life; survey; swallowing; texture-modified food

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