Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta, 2C3. 57 Walter MacKenzie Center, Edmonton, AB, T6H0R3, Canada.
Department of Otolaryngology-Head and Neck Surgery, King Saud University, Riyadh, Saudi Arabia.
J Otolaryngol Head Neck Surg. 2021 Dec 4;50(1):68. doi: 10.1186/s40463-021-00549-3.
There has been increasing interest in the management of oropharyngeal swallowing dysfunction (SwD). Its prevalence, particularly in otherwise healthy infants and toddlers (OHITs), is underappreciated. As the standard diagnostic tests are either invasive or scarce, valid parent-reported outcome (PRO) questionnaires could play a pivotal role in the understanding and managing SwD in this group. This article reviewed the literature on PRO questionnaires pertaining to SwD in OHITs.
A librarian searched Prospero, Cochrane Library, Embase, Medline, PsycINFO, HaPI, CINAHL, and SCOPUS until February 2021 using the MeSH terms for deglutition and screening methods.
Questionnaires that examined disease-specific or eating and feeding concerns or difficulties were excluded. Two reviewers independently identified PRO questionnaires for SwD that were used in OHITs and extracted the author names, publication year, questionnaire name, the studied population, and the reported psychometric assessments. A quality assessment was performed based on consensus-based standards for the selection of health measurement instruments (COSMIN) and updated criteria for good measurement properties.
Of the 3488 screened articles, we identified only two questionnaires, the pediatric version of the Eating Assessment Tool (PEDI-EAT-10) and the PRO questionnaire for Swallowing Dysfunction in OHITs. The PEDI-EAT-10 authors assessed the validity and reliability on children with cerebral palsy. However, concerns were identified regarding the developmental process and the internal structure validity. The PRO questionnaire for SwD in OHITs meets criteria but has not yet been validated in the population of interest nor its psychometric properties assessed.
Two instruments were identified. The PED-EAT-10 exhibits methodological flaws, while Edmonton PRO questionnaire for SwD in OHITs awaits construct validation and could fill the current knowledge gap.
人们对口咽吞咽功能障碍（SwD）的管理越来越感兴趣。其在其他健康婴儿和幼儿（OHIT）中的患病率，特别是在这一人群中的患病率，尚未得到充分认识。由于标准诊断测试要么具有侵入性，要么稀缺，有效的家长报告结局（PRO）问卷可以在理解和管理这组人群的 SwD 中发挥关键作用。本文综述了与 OHIT 中 SwD 相关的 PRO 问卷的文献。
一名图书管理员使用吞咽和筛查方法的 MeSH 术语，在 2021 年 2 月前在 Prospero、Cochrane 图书馆、Embase、Medline、PsycINFO、HaPI、CINAHL 和 SCOPUS 中进行了搜索。
排除了检查疾病特异性或进食和喂养问题或困难的问卷。两名审查员独立确定了用于 OHIT 的 SwD 的 PRO 问卷，并提取了作者姓名、出版年份、问卷名称、研究人群以及报告的心理测量评估。根据健康测量仪器选择的共识标准（COSMIN）和良好测量特性的更新标准进行了质量评估。
在筛选出的 3488 篇文章中，我们仅确定了两个问卷，即小儿进食评估工具（PEDI-EAT-10）和 OHIT 吞咽障碍 PRO 问卷。PEDI-EAT-10 的作者评估了脑瘫儿童的有效性和可靠性。然而，人们对发育过程和内部结构有效性表示关注。OHIT 吞咽障碍 PRO 问卷符合标准，但尚未在目标人群中进行验证，也未评估其心理测量特性。
确定了两种工具。PED-EAT-10 存在方法学缺陷，而 Edmonton OHIT 吞咽障碍 PRO 问卷有待结构验证，可能会填补当前知识空白。
