Chan Karen M K, Chan Herman K W, Siu Jerry Y L, Pu Dai, Nund Rebecca L, Ward Elizabeth C
Swallowing Research Laboratory, Division of Speech and Hearing Sciences, University of Hong Kong, Pokfulam, Hong Kong.
School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Queensland, Australia.
Laryngoscope. 2019 Jul;129(7):1572-1578. doi: 10.1002/lary.27501. Epub 2018 Oct 4.
OBJECTIVES/HYPOTHESIS: The objectives of the study were to develop a mealtime experience self-assessment questionnaire that was head and neck cancer (HNC) survivors-driven and based on the International Classification of Functioning, Disability and Health (ICF) framework, and to identify common mealtime issues reported by HNC survivors.
Outcomes research.
Mealtime issues reported by HNC survivors in prior research was synthesized and classified using the ICF framework to develop the content and structure of the Head and Neck Cancer Survivors' Assessment of Mealtimes (HNSAM). A total of 122 HNC survivors completed both HNSAM and M.D. Anderson Dysphagia Inventory (MDADI) to assess for concurrent validity, whereas 51% of participants completed a second HNSAM for test-retest reliability.
The HNSAM scores were significantly correlated with the MDADI scores. Dysphagic participants (n = 45) had significantly higher HNSAM scores than the nondysphagic participants (n = 77). Principal component analysis revealed three factors that matched with the HNSAM subscales. Good internal consistency (Cronbach's α = 0.72-0.96) and test-retest reliability (intraclass correlation = 0.76-0.91) were found. Both dysphagic and nondysphagic participants reported difficulties with saliva-related issues and were not able to enjoy food/drinks that they previously enjoyed.
HNC survivors experience mealtime changes after cancer treatment. These initial validity data support the potential for the HNSAM to help HNC survivors' identify changes to the mealtime experience. Validation of the English version of the tool is now required.
2c Laryngoscope, 129:1572-1578, 2019.
目的/假设：本研究的目的是开发一份由头颈癌（HNC）幸存者主导、基于国际功能、残疾和健康分类（ICF）框架的进餐体验自我评估问卷，并确定HNC幸存者报告的常见进餐问题。
结果研究。
综合先前研究中HNC幸存者报告的进餐问题，并使用ICF框架进行分类，以制定头颈癌幸存者进餐评估（HNSAM）的内容和结构。共有122名HNC幸存者完成了HNSAM和MD安德森吞咽障碍量表（MDADI）以评估同时效度，而51%的参与者完成了第二次HNSAM以评估重测信度。
HNSAM得分与MDADI得分显著相关。吞咽困难的参与者（n = 45）的HNSAM得分显著高于无吞咽困难的参与者（n = 77）。主成分分析揭示了与HNSAM子量表相匹配的三个因素。发现具有良好的内部一致性（Cronbach'sα = 0.72 - 0.96）和重测信度（组内相关系数 = 0.76 - 0.91）。吞咽困难和无吞咽困难的参与者均报告了与唾液相关问题的困难，并且无法享用他们以前喜欢的食物/饮料。
HNC幸存者在癌症治疗后经历进餐变化。这些初步效度数据支持HNSAM有助于HNC幸存者识别进餐体验变化的潜力。现在需要对该工具的英文版本进行验证。
2c《喉镜》，129:1572 - 1578，2019年。
