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Dr Julie Cichero
Dr

Julie Cichero

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0421 929 333

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

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

  • 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

  • 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

  • Dysphagia screening

    Nurse screening for dysphagia in hospital and aged care settings

  • Cervical auscultation

    Analysis of swallow-respiratory sounds in individuals with swallowing disorders. Cervical auscultation training of clinicians

  • 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

86 works between 1997 and 2024

1 - 20 of 86 works

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

Thickening agents used for dysphagia management: effect on bioavailability of water, medication and feelings of satiety

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

Evaluation of the uptake of the Australian standardized terminology and definitions for texture modified foods and fluids

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) ARTN 417, 417. doi: 10.3390/pharmaceutics16030417

Medication Lubricants for Oral Delivery of Drugs: Oral Processing Reduces Thickness, Changes Characteristics, and Improves Dissolution Profile

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

The prevalence and perceived effectiveness of using a medication‐swallowing lubricant in aged care facilities across Australia

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

Swallowing safety of oral liquid medications: assessment using the International Dysphagia Diet Standardisation Initiative framework

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

Dysphagia management: does structured training improve the validity and reliability of cervical auscultation?

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

A difficult pill to swallow: an investigation of the factors associated with medication swallowing difficulties

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

Are medication swallowing lubricants suitable for use in dysphagia? Consistency, viscosity, texture, and application of the International Dysphagia Diet Standardization Initiative (IDDSI) Framework

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

Factors affecting Australian aged care facility workers in administering oral medication to residents with swallowing difficulties

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

Factors that affect health-care workers’ practices of medication administration to aged care residents with swallowing difficulties: an Australia-wide survey study

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

The importance of extensional rheology in bolus control during swallowing

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

Release of updated International Dysphagia Diet Standardisation Initiative Framework (IDDSI 2.0)

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

Evaluation of thickened fluids used in dysphagia management using extensional rheology

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

Evaluating chewing function: Expanding the dysphagia field using food oral processing and the IDDSI framework

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

Age-related changes to eating and swallowing impact frailty: aspiration, choking risk, modified food texture and autonomy of choice

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

Fluid Testing Methods Recommended by IDDSI

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

A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow

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

Dosage form modification and oral drug delivery in older people

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

In vitro lipolysis of dairy and soy based infant formula

2018

Journal Article

Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale

Steele, Catriona M., Namasivayam-MacDonald, Ashwini M., Guida, Brittany T., Cichero, Julie A. Y., Duivestein, Janice, Hanson, Ben, Lam, Peter and Riquelme, Luis F. (2018). Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale. Archives of Physical Medicine and Rehabilitation, 99 (5), 934-944. doi: 10.1016/j.apmr.2018.01.012

Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale

Funding

Past funding

  • 2005 - 2006
    Pharyngeal electromyography and electromagnetic articulography in the diagnosis of swallowing dysfunction in adults post-traumatic brain injury
    Centre of Nat. Res. on Disability & Rehab Medicine
    Open grant
  • 2005
    Texture-modified Foods for Individuals with Swallowing Disorders
    UQ FirstLink Scheme
    Open grant
  • 2004 - 2005
    Cervical Auscultation Under The Microscope: Improving Swallowing Outcomes by Earlier Identification
    UQ New Staff Research Start-Up Fund
    Open grant

Supervision

Availability

Dr Julie Cichero is:
Available for supervision

Before you email them, read our advice on how to contact a supervisor.

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

Need help?

For help with finding experts, story ideas and media enquiries, contact our Media team:

communications@uq.edu.au