
Overview
Background
Julie Cichero, PhD is a clinician (SLP), researcher and research professional with more than 25 years clinical and research experience into eating, drinking and swallowing problems (dysphagia). She has made significant contributions to the evidence base for standardised terminology for texture modified food and thick liquids, diagnostic use of swallow-respiratory sounds, characterisation of thick fluids and complexities associated with medication management in dysphagia. Recognised nationally and internationally, Julie is a consultant to professional societies, government organisations, academia, boards and healthcare organisations. As Foundation Co-Chair of IDDSI (Global) for a decade, Julie co-led development of the IDDSI Framework, an initiative to reduce food-related choking risk in vulnerable populations. The IDDSI Framework is used in more than 50 countries around the world.
Availability
- Dr Julie Cichero is:
- Available for supervision
- Media expert
Fields of research
Qualifications
- Bachelor of Arts, The University of Queensland
- Bachelor (Honours) of Speech Therapy, The University of Queensland
- Doctor of Philosophy, The University of Queensland
Research interests
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IDDSI including thickened liquids and texture modified foods
Measurement and standardisation of names and definitions for texture modified foods and thickened liquids used for individuals with dysphagia (feeding and swallowing problems). IDDSI Framework application
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Tablet / medication swallowing
Reasons for tablet swallowing difficulty in healthy individuals and those with swallowing problems (dysphagia) as a result of stroke, progressive neurological disease, head injury, head and neck cancer treatment or other conditions
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Dysphagia screening
Nurse screening for dysphagia in hospital and aged care settings
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Cervical auscultation
Analysis of swallow-respiratory sounds in individuals with swallowing disorders. Cervical auscultation training of clinicians
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Fussy eating
Reasons for fussy eating in toddlers, children, adolescents and adults
Research impacts
Julie works collaboratively with multidisciplinary teams to address the complex issues of eating, drinking and swallowing issues (dysphagia). For a decade, Julie was Co-Chair of IDDSI, an international initiative to reduce food-related choking risk in vulnerable populations across the lifespan. The IDDSI Framework is a volunteer initiative that is being rolled out in more than 50 countries around the world, supported by organisations such as the UK’s NHS Improvement, the International Confederation of Dietetic Associations, the National Foundation of Swallowing Disorders and more than 18 professional associations. In 2016, the IDDSI Board was given the award for Outstanding International contribution by the American Speech-Language Hearing Association. In 2022, SNOMED International and IDDSI signed an agreement to incorporate the IDDSI Frameowrk 2.0 into SNOMED CT to enable use in electronic medical records globally. In Australia, Julie was Speech Pathology Australia’s representative to the 2021 working party and Congress of the Australian Department of Health and Maggie Beer Foundation to improve nutrition and the dining experience in aged care in Australia, and one of the speakers at the invitation only event. In addition to food/drink related swallowing problems, Julie works collaboratively with pharmacists to address the challenges of providing medication to people with swallowing problems. She has contributed to the Society of Hospital Pharmacist's 'Don't Rush to Crush' Handbook since its inception and with updates.
Works
Search Professor Julie Cichero’s works on UQ eSpace
Featured
2013
Journal Article
Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety
Cichero, Julie A. Y. (2013). Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety. Nutrition Journal, 12 (1) 54, 54.1-54.8. doi: 10.1186/1475-2891-12-54
Featured
2012
Journal Article
Evaluation of the uptake of the Australian standardized terminology and definitions for texture modified foods and fluids
Jukes, Sarah, Cichero, Julie A. Y., Haines, Terrence, Wilson, Christina, Paul, Kate and O'Rourke, Michelle (2012). Evaluation of the uptake of the Australian standardized terminology and definitions for texture modified foods and fluids. International Journal of Speech-Language Pathology, 14 (3), 214-225. doi: 10.3109/17549507.2012.667440
2025
Journal Article
Does using oral medication lubricants to swallow whole or crushed tablets alter drug absorption in vivo? A randomised, single-dose crossover bioequivalence study in healthy adults
Malouh, Marwa A., Cichero, Julie A. Y., Reuter, Stephanie E., Weng, Min-Tz, Lau, Esther T. L., Nissen, Lisa M. and Steadman, Kathryn J. (2025). Does using oral medication lubricants to swallow whole or crushed tablets alter drug absorption in vivo? A randomised, single-dose crossover bioequivalence study in healthy adults. Journal of Drug Delivery Science and Technology, 104 106552, 106552-104. doi: 10.1016/j.jddst.2024.106552
2024
Journal Article
Medication lubricants for oral delivery of drugs: oral processing reduces thickness, changes characteristics, and improves dissolution profile
Malouh, Marwa A., Cichero, Julie A. Y., Sun, Yu, Lau, Esther T. L., Nissen, Lisa M. and Steadman, Kathryn J. (2024). Medication lubricants for oral delivery of drugs: oral processing reduces thickness, changes characteristics, and improves dissolution profile. Pharmaceutics, 16 (3) 417. doi: 10.3390/pharmaceutics16030417
2023
Journal Article
The prevalence and perceived effectiveness of using a medication‐swallowing lubricant in aged care facilities across Australia
Malouh, Marwa A., Sefidani Forough, Aida, Cichero, Julie A. Y., Lau, Esther T. L., Nissen, Lisa M. and Steadman, Kathryn J. (2023). The prevalence and perceived effectiveness of using a medication‐swallowing lubricant in aged care facilities across Australia. Aging medicine, 6 (3), 239-244. doi: 10.1002/agm2.12261
2022
Journal Article
Swallowing safety of oral liquid medications: assessment using the International Dysphagia Diet Standardisation Initiative framework
Steadman, Kathryn J., Weng, Min‐Tz, Malouh, Marwa A., Symons, Keli and Cichero, Julie A. Y. (2022). Swallowing safety of oral liquid medications: assessment using the International Dysphagia Diet Standardisation Initiative framework. Journal of Pharmacy Practice and Research, 52 (4), 283-293. doi: 10.1002/jppr.1818
2022
Journal Article
Dysphagia management: does structured training improve the validity and reliability of cervical auscultation?
Bergström, Liza and Cichero, Julie A. Y. (2022). Dysphagia management: does structured training improve the validity and reliability of cervical auscultation?. International Journal of Speech-Language Pathology, 24 (1), 77-87. doi: 10.1080/17549507.2021.1953592
2021
Journal Article
A difficult pill to swallow: an investigation of the factors associated with medication swallowing difficulties
Radhakrishnan, Chandramouli, Sefidani Forough, Aida, Cichero, Julie A. Y., Smyth, Heather E., Raidhan, Aisha, Nissen, Lisa M. and Steadman, Kathryn J. (2021). A difficult pill to swallow: an investigation of the factors associated with medication swallowing difficulties. Patient Preference and Adherence, Volume 15, 29-40. doi: 10.2147/ppa.s277238
2020
Journal Article
Are medication swallowing lubricants suitable for use in dysphagia? Consistency, viscosity, texture, and application of the International Dysphagia Diet Standardization Initiative (IDDSI) Framework
Malouh, Marwa A., Cichero, Julie A.Y., Manrique, Yady J., Crino, Lucia, Lau, Esther T. L., Nissen, Lisa M. and Steadman, Kathryn J. (2020). Are medication swallowing lubricants suitable for use in dysphagia? Consistency, viscosity, texture, and application of the International Dysphagia Diet Standardization Initiative (IDDSI) Framework. Pharmaceutics, 12 (10) 924, 1-18. doi: 10.3390/pharmaceutics12100924
2020
Journal Article
Factors affecting Australian aged care facility workers in administering oral medication to residents with swallowing difficulties
Sefidani Forough, Aida, Lau, Esther T. L., Steadman, Kathryn J., Kyle, Greg J., Cichero, Julie A. Y., Serrano Santos, Jose Manuel and Nissen, Lisa M. (2020). Factors affecting Australian aged care facility workers in administering oral medication to residents with swallowing difficulties. Research in Nursing and Health, 43 (4) nur.22042, 419-430. doi: 10.1002/nur.22042
2020
Journal Article
Factors that affect health-care workers’ practices of medication administration to aged care residents with swallowing difficulties: an Australia-wide survey study
Sefidani Forough, Aida, Lau, Esther T. L., Steadman, Kathryn J., Kyle, Greg J., Cichero, Julie A. Y., Serrano Santos, Jose Manuel and Nissen, Lisa M. (2020). Factors that affect health-care workers’ practices of medication administration to aged care residents with swallowing difficulties: an Australia-wide survey study. Australasian Journal on Ageing, 40 (1) ajag.12856, e79-e86. doi: 10.1111/ajag.12856
2019
Journal Article
The importance of extensional rheology in bolus control during swallowing
Hadde, Enrico Karsten, Cichero, Julie Ann Yvette, Zhao, Shaofeng, Chen, Wei and Chen, Jianshe (2019). The importance of extensional rheology in bolus control during swallowing. Scientific Reports, 9 (1) 16106, 16106. doi: 10.1038/s41598-019-52269-4
2019
Journal Article
Release of updated International Dysphagia Diet Standardisation Initiative Framework (IDDSI 2.0)
Cichero, Julie A. Y., Lam, Peter T. L., Chen, Jianshe, Dantas, Roberto O., Duivestein, Janice, Hanson, Ben, Kayashita, Jun, Pillay, Mershen, Riquelme, Luis F., Steele, Catriona M. and Vanderwegen, Jan (2019). Release of updated International Dysphagia Diet Standardisation Initiative Framework (IDDSI 2.0). Journal of Texture Studies, 51 (1) jtxs.12481, 195-196. doi: 10.1111/jtxs.12481
2019
Journal Article
Evaluating chewing function: Expanding the dysphagia field using food oral processing and the IDDSI framework
Cichero, Julie A. Y. (2019). Evaluating chewing function: Expanding the dysphagia field using food oral processing and the IDDSI framework. Journal of Texture Studies, 51 (1) jtxs.12462, 56-66. doi: 10.1111/jtxs.12462
2019
Journal Article
Evaluation of thickened fluids used in dysphagia management using extensional rheology
Hadde, E. K., Nicholson, T. M. and Cichero, J. A.Y. (2019). Evaluation of thickened fluids used in dysphagia management using extensional rheology. Dysphagia, 35 (2), 242-252. doi: 10.1007/s00455-019-10012-1
2018
Journal Article
Age-related changes to eating and swallowing impact frailty: aspiration, choking risk, modified food texture and autonomy of choice
Cichero, Julie 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) 69, 69. doi: 10.3390/geriatrics3040069
2018
Journal Article
Fluid Testing Methods Recommended by IDDSI
Hanson, Ben, Steele, Catriona M., Lam, Peter and Cichero, Julie A. Y. (2018). Fluid Testing Methods Recommended by IDDSI. Dysphagia, 34 (5), 716-717. doi: 10.1007/s00455-018-9957-9
2018
Journal Article
A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow
Forough, Aida Sefidani, Lau, Esther T. L., Steadman, Kathryn J., Cichero, Julie A. Y., Kyle, Greg J., Santos, Jose Manuel Serrano and Nissen, Lisa M. (2018). A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow. Patient Preference and Adherence, 12, 1337-1346. doi: 10.2147/PPA.S164406
2018
Journal Article
Dosage form modification and oral drug delivery in older people
Lau, Esther T. L., Steadman, Kathryn J., Cichero, Julie A. Y. and Nissen, Lisa M. (2018). Dosage form modification and oral drug delivery in older people. Advanced Drug Delivery Reviews, 135, 75-84. doi: 10.1016/j.addr.2018.04.012
2018
Journal Article
In vitro lipolysis of dairy and soy based infant formula
Nguyen, Thao T.P., Bhandari, Bhesh, Cichero, Julie and Prakash, Sangeeta (2018). In vitro lipolysis of dairy and soy based infant formula. Food Research International, 106, 696-705. doi: 10.1016/j.foodres.2018.01.003
Funding
Past funding
Supervision
Availability
- Dr Julie Cichero is:
- Available for supervision
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Supervision history
Completed supervision
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2024
Doctor Philosophy
Oral medication lubricants as vehicles to aid administration of oral dosage forms: investigations into their safety and their influence on drug dissolution profile in vitro and absorption in vivo.
Associate Advisor
Other advisors: Professor Lisa Nissen, Dr Esther Lau, Associate Professor Kathryn Steadman
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2017
Doctor Philosophy
Understanding the rheological parameters of thickened fluids for dysphagia sufferers
Associate Advisor
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2017
Doctor Philosophy
Digestibility and structural changes of ingredients in infant formulae during the gastrointestinal digestion
Associate Advisor
Other advisors: Professor Bhesh Bhandari, Associate Professor Sangeeta Prakash
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2016
Doctor Philosophy
Oral medication dose form alteration: Patient factors and the effects of adding thickened fluids
Associate Advisor
Other advisors: Professor Lisa Nissen, Associate Professor Kathryn Steadman
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2015
Doctor Philosophy
Understanding the mechanism of drug delivery from thickened fluids to aid swallowing of medications
Associate Advisor
Other advisors: Professor Lisa Nissen, Associate Professor Kathryn Steadman, Professor Jason Stokes
Media
Enquiries
Contact Dr Julie Cichero directly for media enquiries about:
- Chewing disorders
- dysphagia
- eating with risk aged care/disability
- food choking risk
- Fussy eaters
- IDDSI
- Swallowing disorders
- Texture modified food
- thick liquids
- Trouble swallowing tablets/medicine
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