Department of Occupational Therapy 53P1, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev, Denmark.
Disabil Rehabil. 2011;33(21-22):1931-40. doi: 10.3109/09638288.2011.553706. Epub 2011 Feb 3.
This review aims to identify psychometrically robust assessment tools suitable for measuring elderly dysphagic patients' performance in eating for use in clinical practice and research.
Electronic databases, related citations and references were searched to identify assessment tools integrating the complexity of the eating process. Papers were selected according to criteria defined a priori. Data were extracted regarding characteristics of the assessment tools and the evidence of reliability, validity and responsiveness. Quality appraisal was undertaken using developed criteria concerning the study design, the statistics used for the psychometric evaluation and the reported values.
Eight of fourteen identified assessment tools met the inclusion criteria. Three assessment tools were specific to dementia, two were specific to stroke and three targeted a range of neurological and geriatric conditions. The rigor of the assessment tools' psychometric properties varied from no evidence available to excellent evidence. Only two assessment tools were rated adequate to excellent.
'The Minimal Eating Observation Form-Version II' to be used for screening and 'The McGill Ingestive Skills Assessment' to be used for treatment planning and monitoring appeared to be psychometrically robust for clinical practice and research. However, further research on their psychometric properties is needed.
本综述旨在确定在临床实践和研究中用于测量老年吞咽困难患者进食表现的具有良好心理测量学特性的评估工具。
通过电子数据库、相关引文和参考文献检索，以确定整合进食过程复杂性的评估工具。根据预先定义的标准选择论文。提取关于评估工具的特征以及可靠性、有效性和反应性的证据。使用针对研究设计、用于心理测量评估的统计学和报告值的既定标准进行质量评估。
确定的 14 种评估工具中有 8 种符合纳入标准。有 3 种评估工具是专门针对痴呆症的，2 种是专门针对中风的，还有 3 种针对一系列神经和老年疾病。评估工具的心理测量特性的严谨性从无证据到有极好的证据不等。只有两种评估工具被评为足够好到极好。
“简化进食观察表-第二版”可用于筛查，“麦吉尔摄食技能评估”可用于治疗计划和监测，似乎具有良好的心理测量学特性，可用于临床实践和研究。但是，需要进一步研究它们的心理测量学特性。
