Psychometric Properties of Questionnaires on Functional Health Status in Oropharyngeal Dysphagia: A Systematic Literature Review

Speyer, Renée; Cordier, Reinie; Kertscher, Berit; Heijnen, Bas J.

doi:10.1155/2014/458678

Cited by 79 publications

(71 citation statements)

References 28 publications

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“…This interpretation would be in line with Speyer et al's (2014) conclusions. The authors studied selected questionnaires on functional health status in oropharyngeal dysphagia (including the EAT-10) using the COSMIN taxonomy of measurement properties for health-related patientreported outcomes (Speyer et al, 2014;Mokkink et al, 2010). They concluded that the methodological quality of the EAT-10 is poor due to a number of weaknesses, namely in the area of internal consistency, reliability, and also content, structural, and criterion validity (Speyer et al, 2014, p. 8).…”

Section: Discussionmentioning

confidence: 99%

Criterion validity of the self-report dysphagia assessment tool EAT-10 among neurological patients

Mandysová¹,

Fialová²,

Ehler³

et al. 2014

Cent Eur J Nurs Midw

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Aim: The aim was to study criterion validity of the Czech version of the Eating Assessment Tool (EAT-10) by comparing it with the Nursing Dysphagia Screening Tool (NDST). Moreover, the aim was to compare three items of the EAT-10 that focused on swallowing liquids (EAT3) and solids (EAT4) and on cough while eating (EAT9) with one item of the NDST, the swallow test (NDST8). Design: The design was cross-sectional. Methods: The sample included 57 hospitalized patients with a neurological condition. Their swallowing function was assessed using the EAT-10 and NDST. The relationship between the dichotomized EAT-10 and NDST and the selected items of both tools was expressed using the association coefficient phi (φ). Results: For all the studied EAT-10 cutoff scores, the relationship between the EAT-10 and NDST was negative; it was the strongest for a cutoff score of 15 (phi =-0.795; p <0.001). In all but one case, the relationship between the three items of the EAT-10 and the NDST8 was negative; it was the strongest for EAT3 (cut-off score of 3; phi =-0.701; p < 0.001). Conclusion: The results do not provide evidence for criterion validity of the EAT-10 using the NDST. Further research is recommended.

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Section: Discussionmentioning

confidence: 99%

Criterion validity of the self-report dysphagia assessment tool EAT-10 among neurological patients

Mandysová¹,

Fialová²,

Ehler³

et al. 2014

Cent Eur J Nurs Midw

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“…4. The EAT-10 [24] is a short 10-item self-administered questionnaire [7]. Although predominantly regarding FHS, it also includes some HR-QoL items [25].…”

Section: Methodsmentioning

confidence: 99%

“…The first set of variables (A) in the logistic regression model was selected on the basis of the literature (including systematic and psychometric reviews on FHS and HR-QoL measures in OD) [7,20,30] and clinical experience. Six subscales of the SWAL-QOL (HR-QoL) were considered of lesser importance due to low correlations with oropharyngeal dysphagia and, therefore, excluded: Communication, Fear, Mental health, Social functioning, Fatigue and Sleep [31].…”

Section: Prediction Modellingmentioning

confidence: 99%

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Prediction of aspiration in dysphagia using logistic regression: oral intake and self-evaluation

Heijnen

Böhringer

Speyer

2019

Eur Arch Otorhinolaryngol

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Objectives Oropharyngeal dysphagia (OD) has a major influence on health in general and health-related quality of life (HR-QoL) in particular. The gold standard assessments for OD, especially for aspiration in OD, are fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopy (VFSS), but not all patients have access to such procedures. Therefore, the current study built a prediction model to forecast aspiration in patients with OD on the basis of common self-evaluation questionnaires and oral intake status. Methods A consecutive series of 111 patients with confirmed diagnosis of OD was measured according to a standardised protocol using the following tools: the Swallowing Quality of Life Questionnaire (SWAL-QOL), the Dysphagia Handicap Index (DHI), two self-report visual analogue scales which measure the Severity and the Impairment of the swallowing problem on everyday social life as experienced by the patient, the Eating Assessment Tool 10 (EAT-10), the Functional Oral Intake Scale (FOIS) and subsequently FEES (the gold standard). Penalised logistic regression was carried out to predict aspiration. The performance of the resulting models was evaluated by constructing receiver operating characteristics (ROC) curves and computing areas under the curve (AUC). Results The final model showed an AUC of 0.92, indicating excellent performance. Conclusion This study shows that it may be possible to accurately predict aspiration in oropharyngeal dysphagia by a noninvasive and non-instrumental assessment protocol including oral intake status and self-report questionnaires on functional health status and HR-QoL.

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“…When using a 'worst rating counts' system, the final quality rating for a measurement property is equivalent to the lowest rating given to any of the items contained in the checklist for that property [25]. As this method impedes the detection of subtle differences in methodological quality between studies, a revised scoring procedure was developed [26][27][28], and this is the method used in this review. Final quality ratings for measurement properties are presented as a percentage using the following formula:…”

Section: Methodsological Quality Assessment Of Studies On Psychometricmentioning

confidence: 99%

Measurement properties of self-report questionnaires on health-related quality of life and functional health status in dysphonia: a systematic review using the COSMIN taxonomy

et al. 2018

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Purpose The current review was conducted to identify all self-report questionnaires on functional health status (FHS) and/ or health-related quality-of-life (HR-QoL) in adult populations with dysphonia (voice problems), and to evaluate the psychometric properties of the retrieved questionnaires. Methods A systematic review was performed in the electronic literature databases PubMed and Embase. The psychometric properties of the questionnaires were determined using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) taxonomy and checklist. Responsiveness was outside the scope of this review and as no agreed 'gold standard' measures are available in the field of FHS and HR-QoL in dysphonia, criterion validity was not assessed. Only questionnaires developed and published in English were included. Results Forty-eight studies reported on the psychometric properties of 15 identified questionnaires. As many psychometric data were missing or resulted from biased study designs or statistical analyses, only preliminary conclusions can be drawn. Based on the current available psychometric evidence in the literature, the Voice Handicap Index seems to be the most promising questionnaire, followed by the Vocal Performance Questionnaire. Conclusions More research is needed to complete missing data on psychometric properties of existing questionnaires in FHS and/or HR-QoL. Further, when developing new questionnaires, the use of item response theory is preferred above classical testing theory, as well as international consensus-based psychometric definitions and criteria to avoid bias in outcome data on measurement properties.

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Psychometric Properties of Questionnaires on Functional Health Status in Oropharyngeal Dysphagia: A Systematic Literature Review

Cited by 79 publications

References 28 publications

Criterion validity of the self-report dysphagia assessment tool EAT-10 among neurological patients

Criterion validity of the self-report dysphagia assessment tool EAT-10 among neurological patients

Prediction of aspiration in dysphagia using logistic regression: oral intake and self-evaluation

Measurement properties of self-report questionnaires on health-related quality of life and functional health status in dysphonia: a systematic review using the COSMIN taxonomy

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