Validation of the Swedish translation of eating assessment tool (S-EAT-10)

Abstract

Conclusion The Swedish Eating Assessment Tool (S-EAT-10) is a reliable and valid self-administered tool in assessment of dysphagia in adult Swedish patients with high internal consistency, reliability, and discriminative validity. The normative data show that a score of 3 or more is abnormal. S-EAT-10 is recommended to be used in preliminary diagnostics of dysphagia. Objective To translate and adapt the EAT-10 for use in the Swedish patient population, and to present norms and measures of discriminative validity and reliability of a Swedish version of the Eating Assessment Tool-10 (S-EAT-10). Methods Prospective consecutive clinical study. In total, 134 community-dwelling adult respondents/controls without dysphagia completed the S-EAT-10, as did 119 patients referred for fiberendoscopic evaluation of swallowing at Karolinska University Hospital, Stockholm, Sweden. Patient vs control status was used as the criterion for discriminative validity assessment by logistic regression analysis. Results The mean S-EAT-10 score was 0.2 (range = 0-3) for controls and 18 (range = 0-38) for patients. Based on a cut-off score of ≥ 3 which was considered to be reflective of abnormalities, sensitivity was 98.5% and specificity 94.1%. Internal consistency reliability was high (Cronbach's alpha = 0.88), as was test-re-test reliability (ICC = 0.90).

Dysphagia is associated with functional decline during acute‐care hospitalization of older patients

“…For example, the EAT-10 was designed specially to address the clinical need for a self-administered, rapid and simple questionnaire for assessing the difficulty swallowing symptoms, which gives nurses the opportunity to check difficulty eating and evaluate the need for dysphagia treatment on the day of admission, and to re-examine patients before they are discharged. Furthermore, the EAT-10 has been confirmed to have excellent internal consistency, testretest reproducibility and criterion-based validity 28 and has been translated into several languages while maintaining reliability and validity. [21][22][23][24][25] Thus, this tool might be useful for screening among older acute-care patients.…”

“…The sensitivity and specificity of an EAT‐10 score of 3 or more for the presence of dysphagia, confirmed by videofluoroscopy, were 0.85 and 0.82, respectively . The EAT‐10 is a validated dysphagia screening tool with high reproducibility and has been translated into Japanese, Spanish, Italian, Portuguese and Swedish while maintaining reliability and validity.…”

Validation of the Hebrew Version of the Eating Assessment Tool-10 (H-EAT-10)

“…While many of these screening questionnaires exhibit high internal consistency and test-retest reliability, the EAT-10 has gained the most widespread popularity due to its ease of use both in administering and scoring the questionnaire. This is evidenced by the translation and validation of the EAT-10 into Spanish [17], Portuguese (Brazilian and European) [18, 19], Italian [20], Arabic [21], Turkish [22], and Swedish [23]. …”

Dysphagia and related toxicity in patients with head and neck cancer receiving helical intensity modulated radiotherapy +/- chemotherapy: Implications for speech pathology management

“…However, this is to be expected given the nature of screening tools and the EAT-10 has been found to have a lower specificity and higher sensitivity (Cheney, Siddiqui, Litts, Kuhn, & Belafsky, 2015;Rofes, Arreola, Mukherjee, & Clavé, 2014). Whilst not initially developed as a screening tool, the EAT-10 has been widely used for this purpose due its simple quick administration and sufficient sensitivity and specificity (Möller, Safa, & Östberg, 2016). Whilst there are limited published studies evaluating the use of the EAT-10 specifically in the HNC population, a recent study (Arrese, Carrau, & Plowman, 2017) found correlations between EAT-10 scores and swallowing pathophysiology and penetration aspiration scores for patients pre-treatment to 1-year post HNC treatment.…”