Adherence of Primary Caregiver To Post Stroke Dysphagia Recommendations In Pakistan


  • Rimsha Shakeel Department of Speech Language Pathology, School of Allied Health Science, Children Hospital, Lahore Pakistan
  • Nazia Mumtaz Department of speech Language Pathology, Riphah International University, Lahore Pakistan
  • Ghulam Saqulain Department of Otolaryngology, Capital Hospital, CDA, Islamabad Pakistan
  • Maryam Shakeel Department of Medicine, Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Nadeem Ahmad Department of Rehabilitation, Armed forces Institute of Rehabilitation Medicine/National University of Medical Sciences (NUMS) Rawalpindi Pakistan



Caregivers, Dysphagia, Oropharyngeal, Stroke


Objective: To find the adherence of primary caregivers to post-stroke dysphagia recommendations in Pakistan.

Study Design: Cross-sectional study

Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine, Rawalpindi Pakistan, from Jun 2019 to April 2020.

Methodology: We recruited 92 primary caregivers of either gender aged ≥ 18 years, assisting stroke patients with dysphagia in feeding and activities of daily living. Caregivers of cases with multiple disabilities, those not aware of dysphagia recommendations and those not involved in the implementation of dysphagia recommendations were excluded. Caregiver Mealtime and Dysphagia Questionnaire (CMDQ) were used for data collection.

Results: Out of 92 Caregivers 17(18.48%) were non-compliant while 75(82%) reported significant compliance to dysphagia
recommendations with mean scores of 3.11±0.48 and 1.98±0.51, respectively. In addition, the significant difference between scores of compliant and non-compliant groups was noted for the domains of Quality, Avoidance and Disagreement (p<0.001).

Conclusion: Most primary caregivers were compliant and adhered to the dysphagia recommendation of stroke in Pakistan


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How to Cite

Shakeel, R., Mumtaz, N., Saqulain, G., Shakeel, M., & Ahmad, N. (2024). Adherence of Primary Caregiver To Post Stroke Dysphagia Recommendations In Pakistan. Pakistan Armed Forces Medical Journal, 74(1), 183–187.



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