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Chewing is the process of making the food taken into the mouth as a bolus with rhythmic, coordinated, and sequential movements. To normal chewing function oral and perioral sensory integrity; adequate lip closure and intraoral pressure; intraoral bolus transport; normal structure and coordination of lips, palate, tongue, jaw joint, chewing muscles should be ensured. Problems that occur in bolus formation starting from taking food into the mouth are called chewing problems.
The underlying cause of the chewing problem can be very diverse. The chewing problem can be seen in genetic, neuromuscular, gastrointestinal pediatric diseases as well as cognitive, behavioral problems or in healthy children. Many different health professionals take part in the rehabilitation of the chewing problem, but the family is at the center of the rehabilitation. For this reason, the level of knowledge, experience, and approach of the family is very important.
The aim of this study is to determine the swallowing-chewing problem knowledge levels, experiences and approaches of the caregivers of the child with chewing problems.
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| Measure | Description | Time Frame |
|---|---|---|
| chewing awareness | A one-to-one interview will be held with the caregivers in a quiet room, accompanied by a voice recorder. During interview; caregivers perspective, experiences and knowledge of the child's chewing and swallowing problem will be ask. The interviews will continue for a minimum of 20 minutes until sufficient data is collected for thematic analysis. 15 participants will be included in the study. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Chewing Function | Karaduman Chewing Performance Scale (KCPS) developed by developed by Arslan et al., chewing function is classified at 5 different levels between 0 - 4 (Level 0= normal chewing function, Level 4= The child cannot bite and chew). | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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Being a primary caregiver of oral feding children, followed about cheming and swallowimg problem more than 6 months.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sena N Begen, MSc | Contact | +905380929826 | sena.begen@atilim.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Selen Serel Arslan, assoc. prof. | Hacettepe University Faculty of Physical Therapy and Rehabilitation Ankara, TURKEY | Study Director |
| Sena N Begen, MSc | Atilim University, Facultyof Health Sciences Department of Physiotherapy and Rehabilitation |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28393655 | Background | Serel Arslan S, Inal O, Demir N, Olmez MS, Karaduman AA. Chewing side preference is associated with hemispheric laterality in healthy adults. Somatosens Mot Res. 2017 Jun;34(2):92-95. doi: 10.1080/08990220.2017.1308923. Epub 2017 Apr 10. | |
| 29727486 | Background | Serel Arslan S, Aydin G, Alemdaroglu I, Tunca Yilmaz O, Karaduman AA. Reliability and validity of the Karaduman Chewing Performance Scale in paediatric neuromuscular diseases: A system for classification of chewing disorders. J Oral Rehabil. 2018 Jul;45(7):526-531. doi: 10.1111/joor.12642. Epub 2018 May 20. |
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For a qualitative content analysis, The thematic analysis process involved multiple distinct phases as described by Braun and Clarke: the stages of familiarizing yourself with your data, generating initial codes, searching for themes, reviewing themes, defining and naming themes, producing the report (1). First, all interviews will be transcribed. A researcher will check the manuscripts, correct ıf there any mistake and make them anonymous. After the codes are determined. 2 researchers will come together at weekly meetings to discuss and develop themes. This approach will continue until no new information becomes available (theoretical saturation).
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| Background | Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. 2006;3(2):77-101. |