
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
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
2018
Journal Article
Nurse experiences of medication administration to people with swallowing difficulties living in aged care facilities: a systematic review of qualitative evidence
Forough, Aida Sefidani, Wong, Simon Y. M., Lau, Esther T. L., Santos, Jose Manuel Serrano, Kyle, Greg J., Steadman, Kathryn J., Cichero, Julie A. Y. and Nissen, Lisa M. (2018). Nurse experiences of medication administration to people with swallowing difficulties living in aged care facilities: a systematic review of qualitative evidence. JBI Database of Systematic Reviews and Implementation Reports, 16 (1), 71-86. doi: 10.11124/JBISRIR-2016-003334
2017
Journal Article
Unlocking opportunities in food design for infants, children, and the elderly: understanding milestones in chewing and swallowing across the lifespan for new innovations
Cichero, Julie A. Y. (2017). Unlocking opportunities in food design for infants, children, and the elderly: understanding milestones in chewing and swallowing across the lifespan for new innovations. Journal of Texture Studies, 48 (4), 271-279. doi: 10.1111/jtxs.12236
2017
Journal Article
Nutritional thickeners and their use in the acute setting
Cichero, Julie A. Y. (2017). Nutritional thickeners and their use in the acute setting. British Journal of Nursing, 26 (3), 140-142. doi: 10.12968/bjon.2017.26.3.140
2017
Journal Article
Nurses' experiences of medication administration to people with swallowing difficulties in aged care facilities: a systematic review protocol
Forough, Aida S., Wong, Simon Y. M., Lau, Esther T. L., Santos, Jose Manuel Serrano, Kyle, Greg J., Steadman, Kathryn J., Cichero, Julie A. Y. and Nissen, Lisa M. (2017). Nurses' experiences of medication administration to people with swallowing difficulties in aged care facilities: a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 15 (4), 932-941. doi: 10.11124/JBISRIR-2016-003102
2016
Journal Article
Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI framework
Cichero, Julie A. Y., Lam, Peter, Steele, Catriona M., Hanson, Ben, Chen, Jianshe, Dantas, Roberto O., Duivestein, Janice, Kayashita, Jun, Lecko, Caroline, Murray, Joseph, Pillay, Mershen, Riquelme, Luis and Stanschus, Soenke (2016). Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI framework. Dysphagia, 32 (2), 1-22. doi: 10.1007/s00455-016-9758-y
2016
Journal Article
In vitro digestion of infant formulations with hydrolysed and non-hydrolysed proteins from dairy and soybean
Nguyen, Thao T. P., Bhandari, Bhesh, Cichero, Julie and Prakash, Sangeeta (2016). In vitro digestion of infant formulations with hydrolysed and non-hydrolysed proteins from dairy and soybean. Food and Function, 7 (12), 4908-4919. doi: 10.1039/C6FO01240J
2016
Journal Article
Adjustment of food textural properties for elderly patients
Cichero, J. A. Y. (2016). Adjustment of food textural properties for elderly patients. Journal of Texture Studies, 47 (4), 277-283. doi: 10.1111/jtxs.12200
2016
Journal Article
Oral medication delivery in impaired swallowing: thickening liquid medications for safe swallowing alters dissolution characteristics
Manrique, Yady J., Sparkes, Arron M., Cichero, Julie A.Y., Stokes, Jason R., Nissen, Lisa M. and Steadman, Kathryn J. (2016). Oral medication delivery in impaired swallowing: thickening liquid medications for safe swallowing alters dissolution characteristics. Drug Development and Industrial Pharmacy, 42 (9), 1537-1544. doi: 10.3109/03639045.2016.1151033
2016
Journal Article
Introducing solid foods using baby-led weaning vs. spoon-feeding: a focus on oral development, nutrient intake and quality of research to bring balance to the debate
Cichero, J.A.Y. (2016). Introducing solid foods using baby-led weaning vs. spoon-feeding: a focus on oral development, nutrient intake and quality of research to bring balance to the debate. Nutrition Bulletin, 41 (1), 72-77. doi: 10.1111/nbu.12191
2016
Journal Article
"A day in the life of the fluid bolus": an introduction to fluid mechanics of the oropharyngeal phase of swallowing with particular focus on dysphagia
Burbidge, Adam S. , Cichero, Julie A. Y. , Engmann, Jan and Steele, Catriona M. (2016). "A day in the life of the fluid bolus": an introduction to fluid mechanics of the oropharyngeal phase of swallowing with particular focus on dysphagia. Applied Rheology, 26 (6) 64525, 8-17. doi: 10.3933/APPLRHEOL-26-64525
2015
Journal Article
Rheological characterisation of thickened milk components (protein, lactose and minerals)
Hadde, E.K, Nicholson, T.M, Cichero, J.A.Y and Deblauwe, C (2015). Rheological characterisation of thickened milk components (protein, lactose and minerals). Journal of Food Engineering, 166 8211, 263-267. doi: 10.1016/j.jfoodeng.2015.06.016
2015
Journal Article
A comprehensive review on in vitro digestion of infant formula
Nguyen, Thao, Bhandari, Bhesh, Cichero, Julie and Prakash, Sangeeta (2015). A comprehensive review on in vitro digestion of infant formula. Food Research International, 76 (Part 3), 373-386. doi: 10.1016/j.foodres.2015.07.016
2015
Journal Article
Gastro intestinal digestion of dairy and soy proteins in infant formulas: an in vitro study
Nguyen, Thao T. P., Bhandari, Bhesh, Cichero, Julie and Prakash, Sangeeta (2015). Gastro intestinal digestion of dairy and soy proteins in infant formulas: an in vitro study. Food Research International, 76 (Part 3), 348-358. doi: 10.1016/j.foodres.2015.07.030
2015
Journal Article
Viscosity of thickened fluids that relate to the Australian National Standards
Hadde, Enrico Karsten, Cichero, Julie Ann Yvette and Nicholson, Timothy Michael (2015). Viscosity of thickened fluids that relate to the Australian National Standards. International Journal of Speech-Language Pathology, 18 (4), 402-410. doi: 10.3109/17549507.2015.1081289
2015
Journal Article
The Influence of Food Texture and Liquid Consistency Modification on Swallowing Physiology and Function: A Systematic Review [Dysphagia, 10.1007/s00455-014-9578-x]
Steele, Catriona M., Alsanei, Woroud Abdulrahman, Ayanikalath, Sona, Barbon, Carly E. A., Chen, Jianshe, Cichero, Julie A. Y., Coutts, Kim, Dantas, Roberto O., Duivestein, Janice, Giosa, Lidia, Hanson, Ben, Lam, Peter, Lecko, Caroline, Leigh, Chelsea, Nagy, Ahmed, Namasivayam, Ashwini M., Nascimento, Weslania V., Odendaal, Inge, Smith, Christina H. and Wang, Helen (2015). The Influence of Food Texture and Liquid Consistency Modification on Swallowing Physiology and Function: A Systematic Review [Dysphagia, 10.1007/s00455-014-9578-x]. Dysphagia, 30 (2), 272-273. doi: 10.1007/s00455-015-9603-8
2015
Journal Article
Prevalence of swallowing difficulties and medication modification in customers of community pharmacy
Lau, Esther T. L., Steadman, Kathryn J., Mak, Marilyn, Cichero, Julie A. Y. and Nissen, Lisa M. (2015). Prevalence of swallowing difficulties and medication modification in customers of community pharmacy. Journal of Pharmacy Practice and Research, 45 (1), 18-23. doi: 10.1002/jppr.1052
2015
Journal Article
Rheological characterisation of thickened fluids under different temperature, pH and fat contents
Hadde, Enrico Karsten, Nicholson, Timothy Michael and Cichero, Julie Ann Yvette (2015). Rheological characterisation of thickened fluids under different temperature, pH and fat contents. Nutrition and Food Science, 45 (2), 270-285. doi: 10.1108/NFS-06-2014-0053
2015
Book Chapter
Texture-modified meals for hospital patients
Cichero, J. A.Y. (2015). Texture-modified meals for hospital patients. Modifying food texture: volume 2: sensory analysis, consumer requirements and preferences. (pp. 135-162) edited by Jianshe Chen and Andrew Rosenthal. Amsterdam, The Netherlands: Elsevier. doi: 10.1016/B978-1-78242-334-8.00006-7
2014
Journal Article
The influence of food texture and liquid consistency modification on swallowing physiology and function: a systematic review
Steele, Catriona M., Alsanei, Woroud Abdulrahman, Ayanikalath, Sona, Barbon, Carly E. A., Chen, Jianshe, Cichero, Julie A. Y., Coutts, Kim, Dantas, Roberto O., Duivestein, Janice, Giosa, Lidia, Hanson, Ben, Lam, Peter, Lecko, Caroline, Leigh, Chelsea, Nagy, Ahmed, Namasivayam, Ashwini M., Nascimento, Weslania V., Odendaal, Inge, Smith, Christina H. and Wang, Helen (2014). The influence of food texture and liquid consistency modification on swallowing physiology and function: a systematic review. Dysphagia, 30 (1), 2-26. doi: 10.1007/s00455-014-9578-x
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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