Department of Physical Medicine and Rehabilitation, University of Health Sciences, Prof Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.
Department of Otorhinolaryngology, Acibadem Maslak Hospital, Istanbul, Turkey.
Am J Speech Lang Pathol. 2022 Jul 12;31(4):1726-1735. doi: 10.1044/2022_AJSLP-21-00268. Epub 2022 May 12.
This study aimed to assess the validity and reliability of the Turkish version of the Sydney Swallow Questionnaire (SSQ-T) and calculate a cutoff value to help clinicians to suspect/predict oropharyngeal dysphagia (OPD).
The original questionnaire was translated into Turkish by two bilingual English Turkish translators. The study included 170 Turkish adult subjects. Half of the participants were patients presenting with OPD, and half were healthy controls. Fiberoptic endoscopic evaluation of swallowing (FEES) was administered to all subjects. Patients were evaluated using the Turkish Penetration Aspiration Scale and the Yale Pharyngeal Residue Severity Rating Scale. Additionally, the final version of the SSQ-T questionnaire and the Turkish Eating Assessment Tool were administered to all subjects.
Internal consistency was high on all questions (Cronbach's α = .974). Test-retest reliability was also high (intraclass correlation coefficient = .975, < .001; 95% confidence interval [.948-.988]). The SSQ-T score range was 0-1,240 for all participants, 57-1,240 for the patients with OPD, and 0-152 for the healthy controls. The cutoff value was 174 with 85.96% sensitivity and 99.12% specificity.
The SSQ-T was demonstrated to be a valid and reliable assessment to assess the self-perceived severity of OPD.
本研究旨在评估土耳其版悉尼吞咽问卷（SSQ-T）的有效性和可靠性，并计算一个截断值以帮助临床医生怀疑/预测口咽吞咽困难（OPD）。
原始问卷由两位双语英语-土耳其语翻译员翻译成土耳其语。该研究纳入了 170 名土耳其成年受试者。其中一半参与者为患有 OPD 的患者，另一半为健康对照组。所有受试者均进行纤维内镜吞咽功能评估（FEES）。患者使用土耳其渗透-吸入量表和耶鲁咽部残留严重程度评分量表进行评估。此外，所有受试者还接受了 SSQ-T 问卷的最终版本和土耳其饮食评估工具的评估。
所有问题的内部一致性均较高（Cronbach's α =.974）。测试-重测信度也较高（组内相关系数=.975，<.001；95%置信区间[.948-.988]）。所有参与者的 SSQ-T 评分范围为 0-1,240，OPD 患者的评分范围为 57-1,240，健康对照组的评分为 0-152。截断值为 174，灵敏度为 85.96%，特异性为 99.12%。
SSQ-T 被证明是一种有效的、可靠的评估方法，可评估 OPD 的自我感知严重程度。
