{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T15:50:35Z","timestamp":1775231435399,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the effects of swallowing instructional methods and content on instructional compliance among patients with Parkinson's disease (PD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Overall, 59 of the 317 patients with PD who underwent a videofluoroscopic examination of swallowing (VF) and completed the Japanese version of the Dysphagia Handicap Index (DHI\u2010J) within 45 days before and after VF were analyzed. Based on records of compliance with alternative strategies from the time of instruction to 6 months, patients were classified into the compliance (CP) and noncompliance (NCP) groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The NCP and CP groups included 31 (52.5%) and 28 (47.5%) patients, respectively. No significant differences in self\u2010reported severity or DHI score were identified, and quality of life (QOL) and awareness did not influence compliance. The CP group had more patients who received instruction using swallowing charts or handouts than the NCP group. More patients lived with family members. The NCP group had significantly higher DHI\u2010Physical (P) and DHI\u2010Total scores and lower QOL post\u2010instruction reassessment (Post) than pre\u2010instruction reassessment (Pre). Conversely, the CP group had significantly lower DHI\u2010P, DHI\u2010Emotional, and DHI\u2010Total scores and higher QOL in Post than in Pre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>When teaching swallowing with alternative strategies for dysphagia, using visual elements rather than verbal instructional elements alone is beneficial for improving compliance with instructional content. Compliance with swallowing instructions can maintain and improve QOL after the intervention. Patients living with family members demonstrated better compliance, likely due to meals provided by family members, along with advice and cooperation influencing compliance with the guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70039","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T02:08:37Z","timestamp":1750730917000},"page":"177-188","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Compliance With Swallowing Instruction and Quality of Life in Patients With Parkinson's Disease: A Retrospective Assessment of Instructional Methods to Maintain and Improve Quality of Life"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4798-4727","authenticated-orcid":false,"given":"Keigo","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Rehabilitation National Center of Neurology and Psychiatry Kodaira Tokyo Japan"},{"name":"Graduate School of Medical Sciences Kitasato University Sagamihara Kanagawa Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiyuki","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Deparment of Neurology National Center of Neurology and Psychiatry Kodaira Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takatoshi","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation National Center of Neurology and Psychiatry Kodaira Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Deparment of Neurology National Center of Neurology and Psychiatry Kodaira Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Murakami","sequence":"additional","affiliation":[{"name":"Graduate School of Medical Sciences Kitasato University Sagamihara Kanagawa Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Sano","sequence":"additional","affiliation":[{"name":"Graduate School of Medical Sciences Kitasato University Sagamihara Kanagawa Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation National Center of Neurology and Psychiatry Kodaira Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.1000527"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2012.11.007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17114104"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9779-6"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-018-1043-3"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.14802\/jmd.19048"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnme.2013.05.003"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-015-0990-y"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afv194"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1044\/2016_JSLHR-S-16-0022"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26424"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004550010012"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-011-9336-2"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S126052"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-013-9511-8"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9758-y"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13233"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1044\/2014_JSLHR-S-13-0188"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-019-10063-4"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-019-1499-8"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2008\/013)"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-11-9"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1044\/sasd16.3.20"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/pl00022912"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpgi.1999.277.1.G219"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-003-0032-8"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.33588\/rn.5311.2011126"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/028418518602700612"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1044\/2015_AJSLP-15-0004"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2008\/013)"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2021.120008"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/00222895.2013.878303"},{"key":"e_1_2_12_36_1","volume-title":"A multilevel approach to the study of motor control and learning","author":"Rose D. J.","year":"2006"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-010-9319-8"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-160X-3-26"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1159\/000525634"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2012.10.004"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638281003734359"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0044357"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-021-10739-8"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2023.2215488"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2009.08.034"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10648-019-09461-9"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2008\/025)"}],"container-title":["World Journal of Otorhinolaryngology - Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70039","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjo2.70039","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T14:59:30Z","timestamp":1775228370000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjo2.70039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,23]]},"references-count":46,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/wjo2.70039"],"URL":"https:\/\/doi.org\/10.1002\/wjo2.70039","archive":["Portico"],"relation":{},"ISSN":["2095-8811","2589-1081"],"issn-type":[{"value":"2095-8811","type":"print"},{"value":"2589-1081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,23]]},"assertion":[{"value":"2024-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}