Introduction: Research shows that there are greater health disparities for culturally and linguistically diverse (CALD) populations. Swallowing is intrinsically linked with eating and mealtimes, and thus has cultural considerations. The assessment and management of dysphagia in Australia follow practices derived from evidence drawn from white populations, and there is a need for these practices to be culturally responsive to CALD individuals to ensure optimal outcomes. In this scoping review we aimed to explore the current and emerging research on swallowing assessment and management for CALD individuals with dysphagia, including how this is understood, the nature of practice and what gaps exist in knowledge and practice. Methods: This scoping review followed the guidelines of Arksey & O'Malley (2005) and recommendations of Levac et al (2010). A comprehensive search for published and grey literature was conducted in PubMed, Embase, CINAHL, MEDLINE, Scopus and PsycINFO and Google Scholar. Data screening and extraction was conducted independently by two individuals. The review considered all study designs excluding review studies. Results: 60 papers were included for data extraction and analysis. The literature was dominated by articles discussing assessment, particularly translations of assessment tools. Within literature pertaining to managing dysphagia with CALD individuals, the main themes identified were acculturation, cultural capabilities and the role of shared decision making. These themes identified how assessment and management of dysphagia is conceptualised by CALD individuals and their families and how acculturative adjustments intersect with swallowing difficulties, as well as culturally responsive practices and shared decision-making approaches required by practitioners. Gaps in current knowledge and practices were identified, including a lack of practice guidance for speech pathologist. Conclusion: The findings from this scoping review identify the gaps and emerging trends in dysphagia management with CALD populations, highlighting that how speech pathology practice responds to CALD populations with swallowing needs is under-developed.

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