Table 1.

Main components of Swallowing Intervention Package.

Time of intervention	Type of support provided	Details of support provided
Pretreatment intervention: One-on-one consultation with SLTa (with carer present as desired and appropriate).	Discuss Swallowing Intervention Package folder (or electronic Swallowing Intervention Package if selected); demonstrate swallowing exercises.b	Instruct patient about the importance of practicing swallowing daily. Instruct the patient about how to do swallowing exercises including a demonstration. Increase patient motivation to complete swallowing exercises. Help patient plan swallowing exercises and overcome barriers. Help patient to set long-term goals.
Weekly review during radiotherapy: Consultation with SLT or clinical nurse specialist as part of usual care.	Reinforce intervention; complete weekly assessment sheet: Monitor symptoms and pain management, and record behavior change techniques used.	Check homework and review goals. Motivate and encourage patient to complete swallowing exercises and diary record sheets. Address any issues which have arisen. Provide additional demonstration of exercises if requested.

^aSLT: speech and language therapist.

^bEffortful swallow, Masako maneuver, Mendelsohn maneuver, Shaker head-lifting maneuver, and jaw exercises.