International Dysphagia Diet Standardization Initiative

In recent years, a number of countries have worked to develop dysphagia diet standards at regional or national levels. Unfortunately all these standards use different terminology, labels, numbers and levels which adds to the confusion for individuals and caregivers as well as health professionals and researchers. Individuals with dysphagia who are on a modified texture diet may find that their diet may be called one thing in hospital, which may be different in the rehabilitation facility or may be different from the label used in another province or even country. The development of international standards will address this particular issue.

The International Dysphagia Diet Standardization Initiative created global standardized terminology and definitions for texture-modified foods and thickened liquids to improve the safety and care for individuals with dysphagia, a swallowing disorder, which affects an estimated 560 million people worldwide. Learn more about the IDDSI Framework.

The Academy of Nutrition and Dietetics and the American Speech-Language-Hearing Association together support May 1, 2019, as the official launch date for IDDSI implementation in the United States. The announcement was made at the 2018 Food and Nutrition Conference and Expo in Washington D.C.

Recognizing that total IDDSI implementation will take time and effort, the Academy and ASHA are fully committed to supporting its members during their transition. Members are encouraged to frequently check with the Academy and ASHA for additional education opportunities and resources.

2017 FNCE Session on IDDSI
Listen to a session recording from FNCE® 2017 titled "International Dysphagia Standardization Initiative (IDDSI): USA and Global Readiness" delivered by IDDSI Co-Chair Peter Lam, RD and board member Dr. Luis Riquelme SLP. This activity is free and approved for 1.5 CPEU.

Nutrition Care Manual
The Nutrition Care Manual "Diet Manual" has been updated to reflect the IDDSI framework and is a great resource to help with your facility’s transition. Note: A subscription is required to view the "Diet Manual" and other sections of the Nutrition Care Manual.

IDDSI.org
The IDDSI website provides information on the framework, testing methods, FAQ and implementation resources. The site also produces a monthly newsletter containing the latest news in the IDDSI community.