Zaretsky Eugen, Steinbach-Hundt Silke, Pluschinski Petra, Grethel Isabel, Hey Christiane
University hospital of Marburg, Department of Phoniatrics and Paediatric Audiology.
Laryngorhinootologie. 2018 Jul;97(7):480-486. doi: 10.1055/a-0596-7780. Epub 2018 Apr 10.
The assessment of subjective swallowing complaints constitutes an important element in a multidimensional, modern management of head and neck cancer patients suffering from dysphagia. For this purpose, an internationally recognized and validated 10-item questionnaire EAT-10 is used that was developed and validated by Belafski et al. in 2008. The purpose of the present study is the translation of EAT-10 into the German language and its validation for head and neck cancer patients.
After the translation of EAT-10 into German according to the guidelines for the translation of foreign measuring instruments, a validation of gEAT-10 was carried out on the basis of the sample of 210 head and neck cancer patients. The reliability was determined by means of the internal consistency (Cronbach's Alpha) and item-total correlations (Spearman). The construct validity was verified by the uni- and multivariate analyses of the distribution of gEAT-10 total scores depending on gender, age, BMI, tumor stage and localization as well as type of the oncological therapy.
The internal consistency amounted to α = .94, the item-total correlations varied between ρ = .59 and ρ = .85. No significant associations between gEAT-10 total scores and gender as well as age were identified in univariate calculations. Such associations were found for BMI, tumor stage and localization as well as type of the oncological therapy. However, only the tumor stage yielded a significant result in a regression.
The gEAT-10 was shown to be a reliable and construct valid questionnaire for the assessment of subjective swallowing complaints in patients with head and neck cancer.
在对头颈部癌症吞咽困难患者进行多维度现代管理中，主观吞咽不适评估是一个重要因素。为此，采用了由贝拉夫斯基等人于2008年编制并验证的、国际认可且经过验证的包含10个条目的EAT - 10问卷。本研究的目的是将EAT - 10翻译成德语，并对其在头颈部癌症患者中的有效性进行验证。
按照国外测量工具翻译指南将EAT - 10翻译成德语后，基于210名头颈部癌症患者样本对gEAT - 10进行验证。通过内部一致性（克朗巴哈α系数）和项目 - 总分相关性（斯皮尔曼相关性）来确定信度。通过对gEAT - 10总分分布根据性别、年龄、体重指数、肿瘤分期和部位以及肿瘤治疗类型进行单变量和多变量分析来验证结构效度。
内部一致性为α = 0.94，项目 - 总分相关性在ρ = 0.59至ρ = 0.85之间变化。在单变量计算中，未发现gEAT - 10总分与性别以及年龄之间存在显著关联。在体重指数、肿瘤分期和部位以及肿瘤治疗类型方面发现了此类关联。然而，只有肿瘤分期在回归分析中产生了显著结果。
gEAT - 10被证明是一种可靠且具有结构效度的问卷，用于评估头颈部癌症患者的主观吞咽不适。
