ArticleClinical interventions in aging2026
A Mixed-Methods Study on Carers' and Aged-Care Staff's Perception and Appropriate Utilization of Molded Puree in Older Adults.
Article in Clinical interventions in aging, 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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Abstract
Purpose: While molded puree is marketed as a dignified alternative to traditional texture-modified diets for older adults and patients with dementia, the clinical implications of their rapid commercialization remain under-examined. To investigate the knowledge, clinical expectations, and psychosocial drivers regarding molded puree for older adults among community carers and aged-care professionals. Participants and Methods: This concurrent mixed-methods study recruited 164 community carers (public cohort) and 60 aged-care professionals (staff cohort) who work in non-governmental residential aged-care networks in Hong Kong SAR. Quantitative data were collected via cross-sectional surveys evaluating self-rated knowledge, swallow safety perceptions, and clinical expectations on consumption of molded puree in older adults. Qualitative data were obtained through semi-structured, in-depth interviews with a purposive sub-sample of 12 community carers to explore underlying behavioral drivers. Quantitative differences were analyzed using Mann-Whitney U and Chi-Square tests, while qualitative data underwent thematic analysis. Results: Self-rated knowledge about molded puree was significantly lower in the public cohort compared to professional staff ( Conclusion: A significant knowledge-perception gap exists between the general public and healthcare professionals. While molded puree offers substantial psychosocial benefits, the prevalence of the puree equivalence fallacy underscores a potential risk for vulnerable older adults. Clinical interventions should prioritize evidence-based swallow safety and standardized screening over aesthetic appeal.
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