Validation and Cultural Adaptation of an Arabic Version of Pediatric Eating Assessment Tool (Pedi-EAT-10Arabic)

Abstract

Pediatric eating assessment tool (Pedi-EAT-10Arabic) is a validated and reliable caregiver administered outcome instrument designed for detection of children at high risk of penetration/aspiration. The objective of this study is to translate and validate the Arabic version of Pedi-EAT-10 and to correlate its results with pharyngeal residue and aspiration on fiber optic endoscopic examination of swallowing (FEES). A cross-sectional study including 202 children selected randomly from those attending the swallowing clinic in phoniatrics unit, Otorhinolaryngology department (ORL) at main university hospital between February 2019 and October 2020 complaining of dysphagia. For test–retest reliability, one hundred caregivers refilled the Pedi-EAT-10Arabic after a 2-week period following their first visit. Validity was established by comparing the scores of dysphagia patients to healthy controls. Internal consistency of Pedi-EAT-10Arabic was high (Cronbach's alpha 0.986). Intra class correlation showed excellent test–retest reliability (r = 0.968). The median Pedi-EAT 10Arabic score was significantly higher in dysphagia group compared to healthy controls. (Median 27 IQR 21–34 for cases compared to median zero IQR 0–2 points for healthy controls, P less than 0.001). A strong correlation was found between Pedi-EAT 10Arabic scores and PAS scores with Spearman's correlation coefficient r = 0.803 and P < 0.001. The ROC for evaluating the discriminatory capacity of Pedi-EAT 10 for aspiration showed an AUC of 0.92 (95% CI of 0.89 to 0.96). Conclusion: Pedi-EAT 10Arabic was found to be a valid and reliable screening tool for further instrumental assessment of risk of dysphagia in pediatric population.

Validation and cross‐cultural adaptation of the Italian version of the paediatric eating assessment tool (I‐PEDI‐EAT‐10) in genetic syndromes

“…With respect to psychometric measures, the I-PEDI-EAT-10 showed an adequate level of internal consistency (Cronbach's α = 0.89), in line with that reported in the original study ) (α = 0.87) and in the Arabic version (Adel et al, 2022) (α = 0.98). Specifically, in the Adel et al, Cronbach's α ranged from 0.961 to 0.967.…”

“…Additionally, test–retest reliability analysis demonstrated a strong temporal stability (Pearson r = 0.99; Spearman r = 0.96), computed after double measurement at two different times. Results were similar among the original scale (intraclass correlation coefficient (ICC) = 0.93–0.98) and its translated version (ICC = 0.97–1) (Adel et al., 2022; Murray Hurtado et al., 2023; Serel Arslan et al., 2018).…”

“…Similar results were obtained by Serel Arslan et al in the original article (19.5 ± 11 versus 0.26 ± 1.83) . A statistically significative difference was also found in the median score of patients and normative samples in the Adel et al study (27 versus 0) (Adel et al, 2022).…”

“…The original source of the PEDI‐EAT‐10, developed for English speakers, has previously been translated into Arabic (Adel et al., 2022) following the ISPOR Task Force for Translation and Cultural Adaptation guidelines (Wild et al., 2005). and Spanish (Murray Hurtado et al., 2023), though translation guidelines were not referenced.…”

“…Due to its parent‐reporting nature, the PEDI‐EAT‐10 captures the child's typical swallowing function in everyday situations rather than a single point‐of‐time assessment (Serel Arslan et al., 2018). The original English PEDI‐EAT‐10 was validated among children with spastic cerebral palsy (Serel Arslan et al., 2018), and later validated into the Arabic and Spanish languages (Adel et al., 2022; Murray Hurtado et al., 2023), but it still has not been adapted for the Italian‐speaking population.…”