Serel Arslan Selen, Demir Numan, Karaduman Aynur Ayşe, Belafsky Peter Charles
a Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences , Hacettepe University , Ankara , Turkey.
b Department of Otolaryngology Head and Neck Surgery, Davis School of Medicine , University of California , Sacramento , CA , USA.
Disabil Rehabil. 2018 Aug;40(17):2088-2092. doi: 10.1080/09638288.2017.1323235. Epub 2017 May 5.
To develop and evaluate the psychometric properties of the Pediatric version of the caregiver administered Eating Assessment Tool.
The study included developmental phase and reported content, criterion validity, internal consistency and test-retest reliability of the Pediatric Eating Assessment Tool. Literature review and the original Eating Assessment Tool were used for line-item generation. Expert consensus assessed the items for content validity over two Delphi rounds. Fifty-one healthy children to obtain normative data and 138 children with cerebral palsy to evaluate test-retest reliability, internal consistency, and criterion validity were included. The Penetration-Aspiration Scale was used to assess criterion validity.
All items were found to be necessary. Content validity index was 0.91. The mean score of Pediatric Eating Assessment Tool for healthy children and children with cerebral palsy was 0.26 ± 1.83 and 19.5 ± 11, respectively. The internal consistency was high with Cronbach's alpha =0.87 for test and retest. An excellent correlation between the Pediatric Eating Assessment Tool and Penetration-Aspiration score for liquid and pudding swallowing was found (p < 0.001, r = 0.77; p < 0.001, r = 0.83, respectively). A score >4 demonstrated a sensitivity of 91.3% and specificity of 98.8% to predict penetration/aspiration.
The Pediatric Eating Assessment Tool was shown to be a valid and reliable tool to determine penetration/aspiration risk in children. Implications for rehabilitation The pediatric eating assessment tool: a new dyphagia-specific outcome survey for children. The Pediatric Version of the Eating Assessment Tool is a dysphagia specific, parent report outcome instrument to determine penetration/aspiration risk in children. The Pediatric Version of the Eating Assessment Tool has good internal consistency, test-retest reliability and criterion-based validity. The Pediatric Version of the Eating Assessment Tool may be utilized as a clinical instrument to assess the need for further instrumental evaluation of swallowing function in children.
开发并评估由照料者实施的儿童版饮食评估工具的心理测量特性。
该研究包括儿童饮食评估工具的开发阶段，并报告了其内容、效标效度、内部一致性和重测信度。通过文献综述和原始饮食评估工具生成条目。专家共识通过两轮德尔菲法评估条目内容效度。纳入51名健康儿童以获取常模数据，138名脑瘫儿童以评估重测信度、内部一致性和效标效度。采用渗透-误吸量表评估效标效度。
所有条目均被认为是必要的。内容效度指数为0.91。健康儿童和脑瘫儿童的儿童饮食评估工具平均得分分别为0.26±1.83和19.5±11。重测时Cronbach's α系数为0.87，内部一致性较高。儿童饮食评估工具与液体和布丁吞咽的渗透-误吸评分之间存在良好的相关性（分别为p<0.001，r=0.77；p<0.001，r=0.83）。得分>4时，预测渗透/误吸的敏感性为91.3%，特异性为98.8%。
儿童饮食评估工具被证明是确定儿童渗透/误吸风险的有效且可靠的工具。康复意义 儿童饮食评估工具：一种新的儿童吞咽障碍特异性结局调查。儿童版饮食评估工具是一种吞咽障碍特异性的、家长报告的结局工具，用于确定儿童的渗透/误吸风险。儿童版饮食评估工具具有良好的内部一致性、重测信度和基于效标的效度。儿童版饮食评估工具可作为一种临床工具，用于评估儿童是否需要进一步进行吞咽功能的仪器评估。
