Modified Foods and Fluids Terminology
Speech Pathology Australia (the Association) supports members to use current Australian standards for modified foods and fluids while working towards the implementation of the International Dysphagia Diet Standardisation Initiative framework on 1 May 2019.
External Statement re IDDSI in Australia
The International Dysphagia Diet Standardisation Initiative (IDDSI) is an international, multi-disciplinary group of volunteers who have been collaborating since 2012 to develop standardised terminology for texture modified foods and thickened liquids for people with dysphagia. Dr Julie Cichero is an Australian speech pathologist who is co-director of the IDDSI board. The final IDDSI framework was released on 12 September 2015.
A stakeholder forum was held on 9 November 2016, at which time the consensus view was to adopt the new IDDSI framework in Australia. The Boards of Speech Pathology Australia and The Dietitians Association of Australia subsequently ratified implementation of the framework, as it was agreed that there will be many benefits to implementing the framework in Australia including the opportunity to advance application of international research on dysphagia.
An Australian IDDSI Steering Committee was established in December 2016 with representatives from the Associations, food service and industry. The steering committee will undertake work to communicate with stakeholders, develop Australian specific resources and guide the implementation of the framework in Australia.
For further information about the adoption of the IDDSI framework in Australia contact Dr Julie Cichero, the Australian IDDSI Project Officer, the Association's Senior Advisor, Ethics and Professional Issues or Natalie Stapleton at Dietitians Association of Australia.
The Australian Timeframe for Implementation
Aware - 1 December 2016
- Build awareness across facilities/sectors to all impacted clinicians, professional associations and their boards, industry, administrators, government, supply chain and support staff
- Communicate who, what, where, when, why and how impacted.
Prepare - 1 January 2018
- Assess processes and protocols that may need to change
- Approve product changes, prepare materials/inventory/computer management
- Train clinicians, stakeholders and all staff.
Adopt - 1 May 2019
- Introduce new IDDSI system to commercially ready to use, pre-packaged goods and at facility level and in food service chain
- Transition and integration.
For further information about the adoption of the IDDSI framework in Australia contact the Association's Senior Advisor, Ethics and Professional Issues or Natalie Stapleton at Dietitians Association of Australia.
Current Australian Standards
The Australian standardised definitions and terminology for texture modified foods and fluids provide terms for and descriptions of food and fluids modified for individuals with dysphagia in Australia. The standards were developed through a consultation process with speech pathologists and dietitians across Australia, by Speech Pathology Australia (the Association) and the Dietitians Association of Australia (DAA). The standards were launched in 2007 and published in a Supplement of the DAA's official journal, Nutrition and Dietetics.
Speech Pathology Australia supports the use of these standards by all speech pathologists across Australia.
Following the launch in 2007, the standards were communicated to key stakeholders through a number of avenues including posters, media releases and education sessions. Members can access a PowerPoint presentation for education sessions that can be used within individual workplaces for education purposes.
Speech Pathology Australia extends thanks to all those who contributed to this important project.
As published in Supplement of the DAA's official journal, Nutrition and Dietetics, page 64.
Dietitians Association of Australia and The Speech Pathology Association of Australia Limited (2007). Texture-modified food and thickened fluids as used for individuals with dysphagia: Australian standardised labels and definitions. Nutrition & Dietetics 64 (Suppl.2): 553-576.
The standards have also been outlined in an A3-size educational poster (Australian Standards for Texture Modified Foods and Fluids).
Evaluation of the uptake of the Australian Standards
A project was undertaken in 2010 to evaluate the uptake and implementation of the Standards in a variety of settings across Australia. View the Final Report of the Evaluation of the uptake of the Australian Standardised Terminology and Definitions for Texture Modified Foods and Fluids .
Evaluation of the uptake of the Terminology for Modified Foods and Fluids
In 2010, Speech Pathology Australia and the Dietitians Association of Australia undertook a project to investigate the uptake and the implementation of the Australian Standardised Terminology and Definitions for Texture Modified Food and Fluids, otherwise known as the Standards.
Sarah Jukes and Michelle O’Rourke, both speech pathologists, were assisted to complete the review by a multidisciplinary reference group comprising representatives from speech pathology, dietetics, nursing and food services management.
The project evaluated the uptake and implementation of the Standards in a variety of settings across Australia to determine the barriers and enablers to successful implementation and to provide recommendations for extending the penetration of the Standards and to provide guidance on future resource development. Sixty-five per cent of respondents, across all stakeholder groups, indicated they used the Standards in their workplace.
Recommendations were provided to both Associations for extending the depth and breadth of the penetration of the Standards, and the development of resources to support further engagement with key stakeholders. View the Final Report on the Evaluation of the uptake of the Australian Standardised Terminology and Definitions for Texture Modified Foods and Fluids .