Clinical Usefulness of the Korean Version of the Dysphagia Handicap Index: Reliability, Validity, and Role as a Screening Test

Kim, Tae Yeon; Park, Dougho; Lee, Sang-Eok; Kim, Byung Hee; Son, Seok Il; Choi, Seong Hee

doi:10.1007/s00455-021-10262-y

Cited by 8 publications

(10 citation statements)

References 26 publications

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“…The DHI is a PRO measure of HRQOL for adults with OD, developed for English-speaking populations and to date adapted into Arabic [ 30 ], Persian [ 31 , 32 ], Japanese [ 33 ], Hebrew [ 34 ], Kannada [ 35 ], and Korean [ 36 ]. In compliance with these previous validation studies, the I-DHI resulted in a 25-item tool, easy to apply in clinical practice since all the participants managed to complete the questionnaire autonomously in no more than 10 min.…”

Section: Discussionmentioning

confidence: 99%

“…Consistently with authors’ hypotheses and with the Hebrew validation study [ 34 ], I-DHI was mild to moderate associated with OD severity measured on FEES and only weakly with swallowing safety. Among the previous DHI validation studies, the English [ 11 ], Japanese [ 33 ], Hebrew [ 34 ] Kannada [ 35 ], and Korean [ 36 ] investigated the possible relations between DHI and instrumental assessment of OD. All the aforementioned studies used VFSS for the assessment of swallowing performance, with the unique exception of Shapira-Galitz et al [ 34 ], which performed FEES examinations scoring swallowing safety with PAS.…”

Section: Discussionmentioning

confidence: 99%

“…The DHI has attracted growing attention in the international literature, presenting overall satisfactory psychometric properties [ 9 ]. Besides its original English version, it has been crossculturally validated into Arabic [ 30 ], Persian [ 31 , 32 ], Japanese [ 33 ], Hebrew [ 34 ], Kannada [ 35 ], and Korean [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

“…All the DHI validation studies [11,[30][31][32][33][34][35][36], except for the DHI Persian one [31,32], investigated clinical validity reporting satisfactory findings. Similarly, the significantly higher I-DHI scores reported by OD patients compared to healthy participants adequately reflect the impact of OD on patients' HRQOL.…”

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confidence: 99%

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Cross-Cultural Adaptation and Validation of the Italian Version of the Dysphagia Handicap Index (I-DHI)

et al. 2021

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The Dysphagia Handicap Index (DHI) is a valid Health-related Quality of Life (HRQOL) questionnaire for patients with oropharyngeal dysphagia (OD) of heterogeneous etiologies. The study aimed at crossculturally translating and adapting the DHI into Italian (I-DHI) and analyzing I-DHI reliability, validity, and interpretability. The I-DHI was developed according to Beaton et al. 5-stage process and completed by 75 adult OD patients and 166 healthy adults. Twenty-six patients filled out the I-DHI twice, 2 weeks apart, for test–retest reliability purposes. Sixty-two patients completed the Italian-Swallowing Quality of Life Questionnaire (I-SWAL-QoL) for criterion validity analysis. Construct validity was tested comparing I-DHI scores among patients with different instrumentally assessed and self-rated OD severity, comparing patients and healthy participants and testing Spearman’s correlations among I-DHI subscales. I-DHI interpretability was assessed and normative data were generated. Participants autonomously completed the I-DHI in maximum 10 min. Reliability proved satisfactory for all I-DHI subscales (internal consistency: α > .76; test–retest reliability: intraclass correlation coefficient > .96, k = .81). Mild to moderate correlations (− .26 ≤ ρ ≤ − .72) were found between I-DHI and I-SWAL-QoL subscales. Construct validity proved satisfactory as (i) moderate to strong correlations (.51 ≤ ρ ≤ .90) were found among I-DHI subscales; (ii) patients with more severe instrumentally or self-assessed OD reported higher I-DHI scores (p < .05); and (iii) OD patients scored higher at I-DHI compared to healthy participants (p < .05). Interpretability analyses revealed a floor effect for the Emotional subscale only and higher I-DHI scores (p < .05) for healthy participants > 65 years. In conclusion, the I-DHI is a reliable and valid HRQOL tool for Italian adults with OD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Cross-Cultural Adaptation and Validation of the Italian Version of the Dysphagia Handicap Index (I-DHI)

et al. 2021

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“…노화 과정에서 삼킴 기능의 저하는 탈수(dehydration), 영양결핍 (malnutrition) 혹은 흡인성 폐렴(aspiration pneneumonia) 등의 합 병증 없이 단순히 삼킴 기능만 저하되어 있는 경우가 많은데 이는 당장 치료나 중재가 필요한 병적 상태가 아니기 때문에 이를 노인 삼킴장애(presbyphagia)로 정의하고 삼킴장애와 구분하는 것이 필요하다 (Wirth et al, 2016;Kim & Chung, 2016). (Kim, Choi, Lee, & Choi, 2014;Kim et al, 2021;Silbergleit, Schultz, Jacobson, Beardsley, & Johnson, 2012).…”

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Comparisons of Temporal Characteristics of Respiration and Swallowing Coordination between Young and Elderly

Seo¹,

Choi²,

Lee³

et al. 2021

Commun Sci Disord

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Objectives: The relationship between breathing and swallowing is very dynamic during swallowing and these are highly temporally coordinated to protect the airway. The ability to protect airways during swallowing deteriorates with aging. In this study, we attempted to compare the breathing-swallowing pattern and temporal change in the respiration and swallowing coordination between young and elderly adults in Korea.Methods: A total of 80 normal people, including 40 young and 40 elderly people participated in this study. For measurement of breathing and swallowing coordination, Digital Swallowing Workstation<sup>TM</sup> was used during a 5 mL water swallowing task. Temporal parameters related to breathing-swallowing including AS (acoustic start), AP (acoustic peak), AD (acoustic duration), SAS (swallowing apnea or respiration pause start), SAD (swallowing apena duration), sES (submental sEMG start), sEP (submental sEMG peak), sED (submental sEMG duration). Additionally, DHI (Dysphagia Handicap Index) was evaluated for self-assessment of the degree of difficulty swallowing.Results: Older adults displayed delayed swallowing-related acoustic signal measurements, swallowing apnea measurements, surface EMG measurements, and delayed sequential coordination time of swallowing-related structures during swallowing. There were no significant differences according to gender. Furthermore, a significant positive correlation was observed between the total K-DHI scores and as well as swallowing apnea duration in the elderly.Conclusion: In the older population, the different breathing-swallowing pattern from that of young adults may increase the risk of dysphagia. In addition, swallowing delays due to aging can be an indicator of elderly swallowing disorders. Moreover, an increase in apnea time during swallowing may be a phenomenon that appears as a mechanism for airway protection in the elderly. However, the high correlation between apnea time and K-DHI score in the elderly may make it difficult to maintain respiration for a long time during swallowing as the respiratory function decreases due to aging, which may increase the risk of experiencing symptoms such as choking and affect the degree of subjective swallowing disorder. This suggests that even if classified as a normal elderly person without a pathological swallowing disorder, swallowing training is needed to prevent swallowing disorders and to enhance swallowing ability for older people with degraded swallowing-related abilities.

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Associations of Trunk Muscle Mass and Muscle Quality Indicators with Self-Reported Dysphagia in Older Inpatients

et al. 2022

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Clinical Usefulness of the Korean Version of the Dysphagia Handicap Index: Reliability, Validity, and Role as a Screening Test

Cited by 8 publications

References 26 publications

Cross-Cultural Adaptation and Validation of the Italian Version of the Dysphagia Handicap Index (I-DHI)

Cross-Cultural Adaptation and Validation of the Italian Version of the Dysphagia Handicap Index (I-DHI)

Comparisons of Temporal Characteristics of Respiration and Swallowing Coordination between Young and Elderly

Associations of Trunk Muscle Mass and Muscle Quality Indicators with Self-Reported Dysphagia in Older Inpatients

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