
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
2014
Journal Article
Implications of changing the amount of thickener in thickened infant formula for infants with dysphagia
September, Cindy, Nicholson, Timothy M. and Cichero, Julie A. Y. (2014). Implications of changing the amount of thickener in thickened infant formula for infants with dysphagia. Dysphagia, 29 (4), 432-437. doi: 10.1007/s00455-014-9523-z
2014
Journal Article
Pharmacist, general practitioner, and nurse perceptions, experiences, and knowledge of medication dosage form modification
Nguyen, Thi-My-Uyen, Lau, Esther T. L., Steadman, Kathryn J., Cichero, Julie A.Y., Dingle, Kaeleen and Nissen, Lisa M. (2014). Pharmacist, general practitioner, and nurse perceptions, experiences, and knowledge of medication dosage form modification. Integrated Pharmacy Research and Practice, 3, 1-9. doi: 10.2147/IPRP.S53797
2014
Journal Article
Crushed tablets: does the administration of food vehicles and thickened fluids to aid medication swallowing alter drug release?
Manrique, Yady J., Lee, Danielle J., Islam, Faiza, Nissen, Lisa M., Cichero, Julie A. Y., Stokes, Jason R. and Steadman, Kathryn J. (2014). Crushed tablets: does the administration of food vehicles and thickened fluids to aid medication swallowing alter drug release?. Journal of Pharmacy and Pharmaceutical Sciences, 17 (2), 207-219. doi: 10.18433/J39W3V
2014
Journal Article
Physiological factors related to aspiration risk: A systematic review
Steele, Catriona M. and Cichero, Julie A. Y. (2014). Physiological factors related to aspiration risk: A systematic review. Dysphagia, 29 (3), 295-304. doi: 10.1007/s00455-014-9516-y
2013
Journal Article
The Need for International Terminology and Definitions for Texture-Modified Foods and Thickened Liquids Used in Dysphagia Management: Foundations of a Global Initiative
Cichero, Julie A. Y., Steele, Catriona, Duivestein, Janice, Clavé, Pere, Chen, Jianshe, Kayashita, Jun, Dantas, Roberto, Lecko, Caroline, Speyer, Renee, Lam, Peter and Murray, Joseph (2013). The Need for International Terminology and Definitions for Texture-Modified Foods and Thickened Liquids Used in Dysphagia Management: Foundations of a Global Initiative. Current Physical Medicine and Rehabilitation Reports, 1 (4), 280-291. doi: 10.1007/s40141-013-0024-z
2013
Journal Article
Thickened milk for the management of feeding and swallowing issues in infants: a call for interdisciplinary professional guidelines
Cichero, Julie A. Y., Nicholson, Timothy M. and September, Cindy (2013). Thickened milk for the management of feeding and swallowing issues in infants: a call for interdisciplinary professional guidelines. Journal of Human Lactation, 29 (2), 132-135. doi: 10.1177/0890334413480561
2012
Journal Article
Screening for aspiration risk
Steele, Catriona M. and Cichero, Julie A. Y. (2012). Screening for aspiration risk. Journal of Trauma and Acute Care Surgery, 73 (1), 292-293. doi: 10.1097/TA.0b013e3182598d34
2012
Journal Article
Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources
Cichero, Julie A. Y. and Altman, Kenneth W. (2012). Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources. Nestle Nutrition Institute Workshop Series, 72, 1-11.
2012
Conference Publication
Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources
Cichero, Julie A.Y. and Altman, Kenneth W. (2012). Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources. 72nd Nestle-Nutrition-Institute Workshop on Stepping Stones to Living Well with Dysphagia, Mataro, Spain, 5-6 May 2011. Basel, Switzerland: Karger. doi: 10.1159/000339974
2012
Book
Stepping stones to living well with dysphagia
Julie Cichero and Pere Clavé eds. (2012). Stepping stones to living well with dysphagia. Nestlé Nutrition Institute Workshop Series, Basel, Switzerland: Karger.
2011
Journal Article
Liquid barium is not representative of infant formula: characterisation of rheological and material properties
Cichero, Julie, Nicholson, Timothy and Dodrill, Pamela (2011). Liquid barium is not representative of infant formula: characterisation of rheological and material properties. Dysphagia, 26 (3), 264-271. doi: 10.1007/s00455-010-9303-3
2011
Journal Article
Challenges and considerations in the management of patients with dysphagia
Cichero, Julie A. Y. (2011). Challenges and considerations in the management of patients with dysphagia. Nestlé Health Science, 8 (3), 2-9.
2009
Book
More peas please: Solutions for feeding fussy eaters.
Di Prima, Kate and Cichero, Julie (2009). More peas please: Solutions for feeding fussy eaters.. Crows Nest, N.S.W., Australia: Allen & Unwin.
2009
Conference Publication
Rheological characterization of fluids used for the management of dysphagia
Nicholson, T. M., Samelor, A. V. and Cichero, J. A. (2009). Rheological characterization of fluids used for the management of dysphagia. 5th Australian-Korean Rheology Conference, Sydney, Australia, 1 - 4 November 2009.
2009
Conference Publication
Rheology and dysphagia: A partnership out of Pandora's box
Cichero, Julie Ann Yvette (2009). Rheology and dysphagia: A partnership out of Pandora's box. Dysphagia Research Society, 17th Annual meeting, New Orleans, USA, 4-7 March, 2009.
2008
Journal Article
Rheological characterization of food thickeners marketed in Australia in various media for the management of dysphagia. III. Fruit juice as a dispersing medium
Sopade, P. A., Halley, P. J., Cichero, J. A. Y., Ward, L. C., Liu, J. and Varliveli, S. (2008). Rheological characterization of food thickeners marketed in Australia in various media for the management of dysphagia. III. Fruit juice as a dispersing medium. Journal of Food Engineering, 86 (4), 604-615. doi: 10.1016/j.jfoodeng.2007.11.013
2008
Journal Article
A question of rheological control
Steele, Catriona M. and Cichero, Julie A. Y. (2008). A question of rheological control. Dysphagia, 23 (2), 199-201. doi: 10.1007/s00455-007-9105-4
2008
Journal Article
Rheological characterisation of food thickeners marketed in Australia in various media for the management of dysphagia. II. Milk as a dispersing medium
Sopade, P. A., Halley, P. J., Cichero, J. A. Y., Ward, L. C., Hui, L. S. and Teo, K. H. (2008). Rheological characterisation of food thickeners marketed in Australia in various media for the management of dysphagia. II. Milk as a dispersing medium. Journal of Food Engineering, 84 (4), 553-562. doi: 10.1016/j.jfoodeng.2007.06.024
2008
Conference Publication
Rheology of a guar gum-based food thickener in water, cordial, fruit juice and milk for the management of dysphagia
Sopade, P. A., Halley, P. J., Cichero, J. and Ward, L. C. (2008). Rheology of a guar gum-based food thickener in water, cordial, fruit juice and milk for the management of dysphagia. 3rd Australian-Korean Rheology Conference held in Cairns, Australia., Cairns, Australia, July 2005. Australian Society of Rheology.
2008
Conference Publication
Thickening infant formulas : Effect of thickening agent and standing time on viscosity
Dodrill, P., Wells, H., Auster, E., Zigenfutz, S. and Cichero, J. (2008). Thickening infant formulas : Effect of thickening agent and standing time on viscosity. Reflecting Connections, the second conference to be jointly hosted by the New Zealand Speech-Language Therapists Association and Speech Pathology Australia., Auckland, 25 - 29th May,2008.
Funding
Past funding
Supervision
Availability
- Dr Julie Cichero is:
- Available for supervision
Before you email them, read our advice on how to contact a supervisor.
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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