Free Water Protocol for Swallowing Disorders
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether drinking plain water, instead of thickened liquids, can improve the quality of life for individuals with swallowing difficulties after a stroke or injury. The researchers aim to determine if this approach, known as the Free Water Protocol, enhances patient satisfaction and maintains oral health without increasing pneumonia risk. Participants will either follow standard care with thickened liquids or try the new protocol with plain water. Ideal candidates have experienced a stroke or trauma, currently require thickened liquids, and can manage their own airway independently. As an unphased trial, this study provides a unique opportunity to contribute to innovative care strategies that could enhance the quality of life for many.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that the Free Water Protocol is safe for swallowing disorders?
Research has shown that the Free Water Protocol (FWP) is generally well-tolerated by individuals with swallowing difficulties. In past studies, the FWP improved hydration, quality of life, and swallowing ability without significantly increasing lung issues like aspiration pneumonia. Aspiration pneumonia occurs when food or liquid accidentally enters the lungs instead of the stomach.
A review of rehabilitation studies, including those involving stroke patients, found no major increase in lung problems from using the FWP. One study demonstrated that allowing patients to drink plain water can be safely done during rehabilitation if certain guidelines are followed.
Overall, these findings suggest that the FWP is safe for individuals with swallowing difficulties, provided proper care is taken.12345Why are researchers excited about this trial?
Researchers are excited about the Free Water Protocol for swallowing disorders because it challenges the standard approach of using only thickened liquids for patients with swallowing difficulties. The protocol allows patients to drink plain, un-thickened water, provided they wait 30 minutes after meals or medication and complete specific oral care. This method could improve hydration and quality of life for patients while maintaining safety, offering a potentially significant improvement over the restrictive nature of current care options.
What evidence suggests that the Free Water Protocol is effective for swallowing disorders?
Research has shown that the Free Water Protocol (FWP), which participants in this trial may receive, can improve hydration, quality of life related to swallowing, and overall swallowing ability in people with swallowing problems. One study found that FWP safely improved these areas without increasing the risk of aspiration pneumonia, a lung infection from inhaling food or drink. Another review confirmed that using FWP did not lead to more cases of aspiration, making it a safer way for patients to stay hydrated. While some evidence is mixed, many findings suggest that FWP can benefit those with swallowing difficulties.14678
Are You a Good Fit for This Trial?
This trial is for individuals with swallowing disorders or oropharyngeal dysphagia. The eligibility criteria are not fully listed, but typically would include specific diagnostic criteria and health status requirements.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive the Free Water Protocol, allowing access to plain water under specific conditions
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Free Water Protocol
Find a Clinic Near You
Who Is Running the Clinical Trial?
Poudre Valley Health System
Lead Sponsor