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.

Statement regarding the implementation of the International Dysphagia Diet Standardisation Initiative (IDDSI) January 2019

Key stakeholders from Australian and New Zealand professional associations and industry bodies agreed at a forum in 2016 that the IDDSI framework should be adopted in Australia and New Zealand. Implementation of the international framework is best practice for professionals and will support safety in the management of dysphagia.

The Australian implementation date is set for 1 May 2019. Implementation of the IDDSI framework in Australia is voluntary, as was implementation of the Australian Standards in 2007.

The following organisations are proud to offer continued support of adoption of the IDDSI framework in Australia:

  • Dietitians Association of Australia
  • Institute of Hospitality in HealthCare
  • Speech Pathology Australia.

The Dietitians Association of Australia (DAA) is the national peak body for dietetic and nutrition professionals, representing more than 6,500 members. DAA and its members both research and deliver evidence-based information on food and nutrition locally, nationally and internationally. Accredited Practising Dietitians (APDs) are university-qualified professionals that undertake ongoing training and education programs to ensure that they are your most up-to-date and credible source of nutrition information. They translate scientific health and nutrition information into practical advice.

The Institute of Hospitality in HealthCare (IHHC) is recognised as the peak body for support service professionals employed int the Health and Aged Care Industry. Membership is open to managers and supervisors working across the support services spectrum with the highest percentage being directly involved in foodservice. Dedicated to improving the professionalism and quality of support services in our Industry, the IHHC has actively sought to ensure members are fully conversant with changes that directly impact on the health and well-being of their patients and residents.

Speech Pathology Australia is the national peak body for speech pathologists in Australia, representing over 9000 members. Speech pathologists are university trained allied health professionals with expertise in the diagnosis, assessment, and treatment of speech, language and communication disorders, and swallowing disabilities.

The Australian Timeframe for Implementation

MONITOR

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 email Dr Julie Cichero, the Australian IDDIS Project Officer or the Association's Manager, 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.

Published Standards

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 .

Poster

The standards have also been outlined in an A3-size educational poster This graphic is associated with the hyperlink that precedes it and indicates the document is in PDF. (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 This graphic is associated with the hyperlink that precedes it and indicates the document is in PDF..

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 of the Evaluation of the uptake of the Australian Standardised Terminology and Definitions for Texture Modified Foods and Fluids This graphic is associated with the hyperlink that precedes it and indicates the document is in PDF..