Measuring mealtime performance in older adults with suspected oropharyngeal dysphagia: an updated systematic review of psychometric properties

Hansen, Tina; Rasmussen, Sophia Alberte Fisker; Fabricius, J; Grove, Linda-Maria Delgado; Simpelaere, Ingeborg

doi:10.1080/09638288.2023.2178033

Disability and Rehabilitation

2023

DOI: 10.1080/09638288.2023.2178033

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Measuring mealtime performance in older adults with suspected oropharyngeal dysphagia: an updated systematic review of psychometric properties

Tina Hansen

Sophia Alberte Fisker Rasmussen

J Fabricius

et al.

Abstract: Psychometric propertiesResults: 9,573,420 #4 "instrumentation"[MeSH Subheading] OR "methods"[MeSH Subheading] OR "psychometrics"[MeSH Terms] OR "psychometr"[Title/Abstract] OR "clinimetr"[Text Word] OR "clinometr"[Text Word] OR "outcome assessment, health care"[MeSH Terms] OR "outcome assessment"[Title/Abstract] OR "outcome measure"[Text Word] OR "observer variation"[MeSH Terms] OR "observer variation"[Title/Abstract] OR "Health Status Indicators"[MeSH Terms] OR "reproducibility of results"[MeSH Terms] OR … Show more

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2024

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Cited by 2 publications

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Convergent and discriminant validity of the Minimal Eating Observation Form – version II: a cross-sectional study

Westergren,

Smithard,

Westergaard

et al. 2024

BMC Geriatr

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Background The Minimal Eating Observation Form – Version II (MEOF-II) is a brief and easy to use screening tool for eating difficulties, that is psychometrically robust. The aim of this study was to explore convergent (measuring similar constructs) and discriminant (measuring somewhat different constructs) validity of the MEOF-II to other validated dysphagia specific, activity and participation related instruments. Methods In this cross-sectional study, participants (n = 100, mean age 72, n = 42 women), diagnosed with either chronic pulmonary disease, Parkinson´s disease, Multiple Sclerosis, or stroke were recruited from rehabilitation centres. Patient-reported outcomes and clinical-rated assessments, capturing eating ability in general and swallowing in specific, included: The Dysphagia Handicap Index (DHI), the 4-question test (4QT), the Minimal Eating Observation Form – II, the Volume – Viscosity Swallow Test (V-VST), Flexible Endoscopic Evaluation of Swallowing (FEES) documented according to the Penetration-Aspiration Scale (PAS). Type of oral intake was documented using the Functional Oral Intake Scale (FOIS). Activities in daily living was assessed with Barthel index (BI). Spearman’s correlation coefficient was used to analyze associations. The MEOF-II total score was hypothesised to have moderate correlations (r ≥ 0.3) with the other assessments, besides with PAS and FOIS (weak correlations, r < 0.3). Results In total 78 participants had any type of eating difficulties (MEOF-II), 69 reported dysphagia (4QT), 62 had dysphagia according to V-VST, 29 showed evidence of penetration/aspiration (PAS), and 31 participants had decreased oral intake ability (FOIS). The MEOF-II total score had moderate correlations with DHI, BI, 4QT, V-VST volume, and weak correlations with V-VST dysphagia and viscosity, PAS, and FOIS. Comparing a prior hypothesised correlation strengths against empirical findings showed that 83% of the hypothesised correlations were correct. Conclusions The MEOF-II is a holistic and objective screening tool that can indicate the need for further assessment and corresponds well with the persons’ subjective experiences. MEOF-II does not specifically assess the risk for penetration/aspiration.

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Convergent and discriminant validity of the Minimal Eating Observation Form – version II: a cross-sectional study

Westergren,

Smithard,

Westergaard

et al. 2024

BMC Geriatr

View full text Add to dashboard Cite

show abstract

Task-Based Eating and Drinking Interventions in Animal Models: A Narrative Review of Functional Improvements and Neuromuscular Adaptations in Age-Related Dysphagia

Hansen,

Staal,

Rauhe Harreby

et al. 2024

Geriatrics

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Background/Objectives: Age-related dysphagia involves sarcopenia and nervous system changes affecting ingestion. The ACT-ING program, a novel task-based occupational therapy intervention, has been developed to improve strength, endurance, and ingestive skills using real-world eating and drinking tasks for older adults with age-related dysphagia. This narrative review evaluates the outcomes and neuromuscular adaptations of task-based eating and drinking interventions in aging animal models to inform potential refinements of the ACT-ING program and interpret results from an ongoing proof-of-concept study. Methods: Publications were obtained from PubMed, SCOPUS, CINAHL, and EMBASE, and selected following the PRISMA guideline. Thirteen randomized trials investigated a task-based fluid-licking intervention in rats, combining strength, endurance, and skill training. Results: Results suggested benefits in improving muscle strength, endurance, and swallowing skills in terms of quantity and speed. Although neuromuscular adaptations were less conclusive, the intervention appeared to induce cortical plasticity and increase fatigue-resistant muscle fibers in the involved muscles. Conclusions: While these findings are promising, methodological concerns and potential biases were identified. Therefore, further research is necessary to refine the ACT-ING program, including both clinical studies in humans and preclinical studies in aging animal models that clearly define interventions targeting all aspects of ingestion-related skills within a motor learning and strength training framework.

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Measuring mealtime performance in older adults with suspected oropharyngeal dysphagia: an updated systematic review of psychometric properties

Cited by 2 publications

References 50 publications

Convergent and discriminant validity of the Minimal Eating Observation Form – version II: a cross-sectional study

Convergent and discriminant validity of the Minimal Eating Observation Form – version II: a cross-sectional study

Task-Based Eating and Drinking Interventions in Animal Models: A Narrative Review of Functional Improvements and Neuromuscular Adaptations in Age-Related Dysphagia

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