School of Communication Sciences & Disorders, University of Central Florida, Orlando, Florida, USA.
Department of Management, Policy and Community Health, University of Texas Health Science Center, Houston, Texas, USA.
Head Neck. 2021 Mar;43(3):967-976. doi: 10.1002/hed.26573. Epub 2020 Dec 2.
Fear is an under-recognized issue in intervention adherence in head and neck cancer (HNC). We developed and validated a patient reported outcome for swallowing fear in HNC patients.
Items were adapted from the Tampa Scale for Kinesiophobia to swallowing function. A beta version was completed by 51 HNC patients undergoing chemo +/- radiotherapy at baseline and post-treatment. Psychometric and factor structure analyses were applied.
Swallowing Kinesiophobia Scale (SWKS) demonstrated strong face and content validity, internal consistency, and test-retest reliability. Factor analysis revealed three-factors: somatic factor, swallow avoidance, and fear of harm. Factors correlated positively with depression score, worry scale, and anxiety and pain scales. Score differences between patient subgroups (dysphagic vs nondysphagic) confirmed discriminative validity.
The SWKS is a psychometrically valid tool to identify patients with fear of swallowing and swallowing-related movement. It can help identify patients early in treatment who may need additional support.
在头颈部癌症（HNC）的干预依从性中，恐惧是一个未被充分认识的问题。我们开发并验证了一种用于评估 HNC 患者吞咽恐惧的患者报告结局。
项目改编自 Tampa 运动恐惧症量表到吞咽功能。51 名正在接受化疗 +/- 放疗的 HNC 患者在基线和治疗后完成了 beta 版本。应用了心理计量学和因子结构分析。
吞咽运动恐惧症量表（SWKS）表现出很强的表面和内容效度、内部一致性和重测信度。因子分析显示有三个因子：躯体因子、吞咽回避和伤害恐惧。各因子与抑郁评分、担忧量表以及焦虑和疼痛量表呈正相关。患者亚组（吞咽困难与非吞咽困难）之间的评分差异证实了区分效度。
SWKS 是一种具有心理计量学效度的工具，可用于识别有吞咽恐惧和与吞咽相关运动恐惧的患者。它可以帮助在治疗早期识别可能需要额外支持的患者。
