Nogueira Dália Santos, Ferreira Pedro Lopes, Reis Elizabeth Azevedo, Lopes Inês Sousa
Department of Speech and Language Therapy, Escola Superior de Saude de Alcoitão & Lisbon University Institute, Cascais, Portugal.
Department of Quantitative Methods, University of Coimbra, Coimbra, Portugal.
Dysphagia. 2015 Oct;30(5):511-20. doi: 10.1007/s00455-015-9630-5. Epub 2015 Jun 16.
The purpose of this study was to evaluate the validity and the reliability of the European Portuguese version of the EAT-10 (P-EAT-10). This research was conducted in three phases: (i) cultural and linguistic adaptation; (ii) feasibility and reliability test; and (iii) validity tests. The final sample was formed by a cohort of 520 subjects. The P-EAT-10 index was compared for socio-demographic and clinic variables. It was also compared for both dysphagic and non-dysphagic groups as well as for the results of the 3Oz wst. Lastly, the P-EAT-10 scores were correlated with the EuroQol Group Portuguese EQ-5D index. The Cronbach's α obtained for the P-EAT-10 scale was 0.952 and it remained excellent even if any item was deleted. The item-total and the intraclass correlation coefficients were very good. The P-EAT-10 mean of the non-dysphagic cohort was 0.56 and that of the dysphagic cohort was 14.26, the mean comparison between the 3Oz wst groups and the P-EAT-10 scores were significant. A significant higher perception of QoL was also found among the non-dysphagic subjects. P-EAT-10 is a valid and reliable measure that may be used to document dysphagia which makes it useful both for screening in clinical practice and in research.
本研究的目的是评估欧洲葡萄牙语版EAT-10(P-EAT-10)的有效性和可靠性。本研究分三个阶段进行:(i)文化和语言适应性调整;(ii)可行性和可靠性测试;(iii)有效性测试。最终样本由520名受试者组成。对P-EAT-10指数进行了社会人口统计学和临床变量的比较。还对吞咽困难组和非吞咽困难组以及3盎司水吞咽试验的结果进行了比较。最后,将P-EAT-10得分与欧洲生活质量研究组葡萄牙语EQ-5D指数进行了相关性分析。P-EAT-10量表的Cronbach's α系数为0.952,即使删除任何一个项目,该系数仍保持优异。项目总分相关系数和组内相关系数都非常好。非吞咽困难队列的P-EAT-10平均值为0.56,吞咽困难队列的平均值为14.26,3盎司水吞咽试验组与P-EAT-10得分之间的平均比较具有显著性。在非吞咽困难受试者中也发现了对生活质量的显著更高认知。P-EAT-10是一种有效且可靠的测量方法,可用于记录吞咽困难,这使其在临床实践和研究中的筛查中都很有用。