Hansen Tina, Rasmussen Sophia Alberte Fisker, Fabricius Jesper, Grove Linda-Maria Delgado, Simpelaere Ingeborg
Department of Occupational and Physical Therapy, Physical Medicine & Rehabilitation Research - Copenhagen (PMR-C), Copenhagen University Hospital, Amager and Hvidovre, Hvidovre, Denmark.
Department of Clinical Medicine, Hammel Neurorehabilitation Centre and University Research Clinic, Aarhus University, Hammel, Denmark.
Disabil Rehabil. 2023 Feb 15:1-15. doi: 10.1080/09638288.2023.2178033.
To update a previous review of psychometric properties of performance-based outcome measurement instruments (PerFOMs) for task performance in the context of meal activity of older adults (≥65 years) with suspected oropharyngeal dysphagia (OD).
Systematic searches were conducted in PubMed, CINAHL, EMBASE, SCOPUS, and Web of Science. Studies on PerFOMs that covers items reflecting skills in the pre-oral, oral, and pharyngeal stages of ingestion during meals were included. Two review authors independently screened, extracted, and evaluated the methodological rigour and quality of the reported psychometric properties in the included studies using the guidelines of the COnsensus-based Standards for the Selection of health Measurement INstruments (COSMIN).
Twenty-three articles featuring nine original PerFOMs and five translated versions were included. PerFOM development and content validity were rated with inadequate or doubtful methodological quality across all studies. The quality of the evidence across the additional psychometric properties of the PerFOMs was very low for two, ranged from very low to moderate for six, and from very low to high for five.
There is limited evidence of the psychometric properties of available PerFOMs for measuring task performance during meals in older adults with OD, and further validation is warranted.Implication for rehabilitationAssessing the mealtime performance of older adults with oropharyngeal dysphagia (OD) provides important information.Performance-based outcome measurement instruments (PerFOMs) need to be valid and reliable.Clinicians need to be careful when choosing PerFOMs to assess the mealtime performance of older adults with OD as there is insufficient evidence on the quality of available instruments.Established guidelines and standards should be used when developing and investigating psychometric properties of PerFOMs assessing mealtime performance of older adults with OD.
更新之前关于基于表现的结局测量工具（PerFOMs）在疑似口咽吞咽困难（OD）的老年人（≥65岁）进餐活动中任务表现方面心理测量特性的综述。
在PubMed、CINAHL、EMBASE、SCOPUS和Web of Science中进行系统检索。纳入关于PerFOMs的研究，这些研究涵盖反映进餐时摄入前口腔、口腔和咽部阶段技能的项目。两位综述作者使用基于共识的健康测量工具选择标准（COSMIN）指南，独立筛选、提取并评估纳入研究中报告的心理测量特性的方法严谨性和质量。
纳入了23篇文章，其中有9种原始的PerFOMs和5种翻译版本。在所有研究中，PerFOMs的开发和内容效度在方法质量方面被评为不足或存疑。PerFOMs其他心理测量特性的证据质量，两项为极低，六项从极低到中等，五项从极低到高。
对于测量OD老年患者进餐时任务表现的现有PerFOMs的心理测量特性，证据有限，需要进一步验证。康复意义评估口咽吞咽困难（OD）老年患者的进餐表现可提供重要信息。基于表现的结局测量工具（PerFOMs）需要有效且可靠。临床医生在选择PerFOMs评估OD老年患者进餐表现时需谨慎，因为现有工具质量的证据不足。在开发和研究评估OD老年患者进餐表现的PerFOMs的心理测量特性时，应使用既定指南和标准。
