Evidence map›Paper›PMID 41569281›Full record

ArticleAge and ageing2026

Healthcare professionals' experiences and thoughts on eating and drinking with acknowledged risks in older adults: a comparison of Japan and the UK.

Yuki Yoshimatsu, Marianne Markowski, David Graeme Smithard, Dharinee Hansjee, Tadayuki Hashimoto, Hiroyuki Nagano, Ryan Essex

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Yuki YoshimatsuGuy's and St Thomas' Hospitals NHS Foundation Trust, Ageing and Health, London, England, United Kingdom of Great Britain and Northern Ireland.ORCID 0000-0003-0913-3507
Marianne MarkowskiUniversity of Greenwich, The Institute for Lifecourse Development, Centre for Chronic Illness and Ageing, School of Human Sciences, London, England, United Kingdom of Great Britain and Northern Ireland.
David Graeme SmithardLewisham and Greenwich NHS Trust, Elderly Care, Queen Elizabeth Hospital, London, England, United Kingdom of Great Britain and Northern Ireland.ORCID 0000-0001-6863-3099
Dharinee HansjeeUniversity of Greenwich, Speech and Language Therapy, School of Health Sciences, London, England, United Kingdom of Great Britain and Northern Ireland.
Tadayuki HashimotoOsaka Medical and Pharmaceutical University, Department of General Medicine, Takatsuki, Osaka, Japan.
Hiroyuki NaganoKyoto University, Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto, Kyoto Prefecture, Japan.ORCID 0000-0002-7109-6172
Ryan EssexUniversity of Greenwich, The Institute for Lifecourse Development, Centre for Chronic Illness and Ageing, School of Human Sciences, London, England, United Kingdom of Great Britain and Northern Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOlder adults are commonly restricted of oral intake due to concerns of aspiration. Eating and drinking with acknowledged risks (EDAR) is an alternative pathway that facilitates comfort, dignity and autonomy. However, EDAR decision-making is difficult, with guidance only existing in the UK, and support not readily available. This study was the third in a mixed-methods project aiming to understand how to develop EDAR further whilst providing clinicians with optimal support. This study aimed to reveal the factors that shape confidence in healthcare professionals regarding EDAR decision-making.

methodsWe performed a survey regarding the experiences of healthcare professionals in Japan and the UK with EDAR in older adults. We developed the survey based on themes extracted from our previous qualitative study.

resultsThere were 1452 responses (1058 Japanese, 394 UK). Confidence towards EDAR was higher in UK-based respondents (β = 2.358, SE = 0.137, P < .001), with greater years of experience (β = 0.028 per year, SE = 0.005, P < .001), higher rate of clinical work related to EDAR (β = 0.341, SE = 0.022, P < .001), a more involved role in the decision-making, and being clinicians who are not doctors. Similar results were observed regarding likeliness to support EDAR, likeliness to acknowledge perceived benefits, and lower levels of difficulty in undertaking EDAR. Framework (such as guidelines/protocols) and education were ranked to be most beneficial in both countries.

conclusionsConfidence towards EDAR-decision making was shaped through multiple internal and external factors. Acknowledging these allows us to identify areas in need and provide culturally adapted support, leading to improved experiences in patients, families and healthcare professionals.

Indexed as

Attitude of Health PersonnelDrinkingEatingHealth Knowledge, Attitudes, PracticeHealth PersonnelAgedAge FactorsFemaleHumansJapanMaleMiddle AgedRisk AssessmentRisk FactorsUnited Kingdomaspirationchokingcomfort feedingdeglutition disordersmodified dietolder peoplepneumonia

Identifiers

PMID41569281
PMCPMC12825297

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.