
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
2006
Book Chapter
Improving swallowing function: Compensation
Cichero, J A Y (2006). Improving swallowing function: Compensation. Dysphagia: Foundation, Theory and Practice. (pp. 319-341) edited by J. Cichero and B. Murdoch. Chichester, UK: John Wiley & Sons.
2003
Journal Article
What happens after the swallow? Introducing the glottal release sound
Cichero, JAY and Murdoch, B. E. (2003). What happens after the swallow? Introducing the glottal release sound. Journal of Medical Speech-language Pathology, 11 (1), 31-41.
2002
Journal Article
Detection of swallowing sounds: Methodology revisited
Cichero, J. A. Y. and Murdoch, B. E. (2002). Detection of swallowing sounds: Methodology revisited. Dysphagia, 17 (1), 40-49. doi: 10.1007/s00455-001-0100-X
2002
Journal Article
What We Don't Know Could Hurt Us: A Single Center Study of Batch-to-Batch Variability of Dietary Fluids and Matched Videofluoroscopy Fluids
Christoffersen, C., Sargent, A. L., Halley, P. J., Murdoch, B. and Cichero, J. A. Y. (2002). What We Don't Know Could Hurt Us: A Single Center Study of Batch-to-Batch Variability of Dietary Fluids and Matched Videofluoroscopy Fluids. Journal of Medical Speech-Language Pathology, 10 (3), 159-171.
2002
Journal Article
Acoustic signature of the normal swallow: Characterization by age, gender, and bolus volume
Cichero, Julie A. Y. and Murdoch, Bruce E. (2002). Acoustic signature of the normal swallow: Characterization by age, gender, and bolus volume. Annals of Otology Rhinology And Laryngology, 111 (7), 623-632. doi: 10.1177/000348940211100710
2000
Journal Article
How thick is thick? Multicenter study of the rheological and material property characteristics of mealtime fluids and videofluoroscopy fluids
Cichero, J., Jackson, O., Halley, P. J. and Murdoch, B. E. (2000). How thick is thick? Multicenter study of the rheological and material property characteristics of mealtime fluids and videofluoroscopy fluids. Dysphagia, 15 (4), 188-200. doi: 10.1007/s004550000027
2000
Journal Article
Which one of these is not like the others? An inter-hospital study of the viscosity of thickened fluids
Cichero, Julie A. Y., Jackson, Oliver, Halley, Peter J. and Murdoch, Bruce E. (2000). Which one of these is not like the others? An inter-hospital study of the viscosity of thickened fluids. Journal of Speech Language And Hearing Research, 43 (2), 537-547. doi: 10.1044/jslhr.4302.537
1998
Journal Article
The physiologic cause of swallowing sounds: Answers from heart sounds and vocal tract acoustics
Cichero, JAY and Murdoch, BE (1998). The physiologic cause of swallowing sounds: Answers from heart sounds and vocal tract acoustics. Dysphagia, 13 (1), 39-52. doi: 10.1007/PL00009548
1997
Journal Article
Fluids used during videofluoroscopy are more viscous and dense than their meal-time counterparts: Implications for dysphagic assessment
Cichero, J. A. Y., Halley, P. J., Hay, G. and Murdoch, B. E. (1997). Fluids used during videofluoroscopy are more viscous and dense than their meal-time counterparts: Implications for dysphagic assessment. Journal of Medical Speech-language Pathology, 5 (3), 203-215.
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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