Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Dysphagia. 2022 Dec;37(6):1511-1518. doi: 10.1007/s00455-021-10405-1. Epub 2022 Feb 7.
The eating assessment tool (EAT-10) is a self-reported questionnaire to assess the patient's perception of swallowing difficulties. The aim of this study was to cross-culturally adapt and determine validity and reliability of the Persian version of the EAT-10 (P-EAT-10) in patients with oropharyngeal dysphagia. The EAT-10 was translated into Persian language and cross-culturally adapted. One hundred patients with dysphagia (mean age ± SD = 44.44 ± 14.69 years) participated. The test-retest reliability (time interval = 7 days) was assessed in 50 patients. Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and smallest detectable change (SDC) were analyzed. The Persian version of functional oral intake scale (FOIS-P) was also recorded to assess construct validity. One hundred healthy subjects completed the P-EAT-10 for clinical validity. Factor analysis was performed to determine the P-EAT-10 structure. There were no missing responses and floor or ceiling effects. Internal consistency was high (Cronbach's α 0.91). Item-total correlations exceeded acceptable standard of 0.3 for the all items (0.62-0.83). The test-retest reliability was excellent [(ICC) 0.96]. The SEM and SDC were 2.61 and 7.23, respectively. Construct validity was confirmed by a significant correlation between the P-EAT-10 and FOIS-P scores (r = 0.84). Clinical validity was supported by a significant discrimination between patients and healthy subjects (t = 29.97, P < 0.001). Factor analysis indicated 2 components for the P-EAT-10. The P-EAT-10 is a valid and reliable tool and can be used in clinic and research for the assessment of oropharyngeal dysphagia in Persian-speaking patients.
进食评估工具（EAT-10）是一种自我报告问卷，用于评估患者对吞咽困难的感知。本研究的目的是跨文化适应并确定波斯语版 EAT-10（P-EAT-10）在口咽吞咽困难患者中的有效性和可靠性。EAT-10 被翻译成波斯语并进行了跨文化适应。100 名吞咽困难患者（平均年龄 ± 标准差=44.44 ± 14.69 岁）参与了研究。50 名患者评估了测试-重测信度（时间间隔=7 天）。分析了组内相关系数（ICC）、测量标准误差（SEM）和最小可检测变化（SDC）。还记录了功能性口腔摄入量表（FOIS-P）的波斯语版本以评估结构效度。100 名健康受试者完成了 P-EAT-10 以评估临床效度。进行了因子分析以确定 P-EAT-10 的结构。没有缺失反应和地板或天花板效应。内部一致性很高（Cronbach's α 0.91）。所有项目的项目-总分相关性均超过可接受标准的 0.3（0.62-0.83）。测试-重测信度极好[ICC 0.96]。SEM 和 SDC 分别为 2.61 和 7.23。P-EAT-10 与 FOIS-P 评分之间的显著相关性证实了结构效度（r=0.84）。患者和健康受试者之间的显著差异支持了临床效度（t=29.97，P<0.001）。因子分析表明 P-EAT-10 有 2 个分量表。P-EAT-10 是一种有效且可靠的工具，可在诊所和研究中用于评估讲波斯语的患者的口咽吞咽困难。
