Sterbini Arianna, Marroni Patrizia, Servadio Annamaria, Rossi Giulia, Berardi Anna, Simeon Rachele, Galeoto Giovanni
School of Speech and Language Therapy, University of Rome Tor Vergata, 00133 Rome, Italy.
Department of Health Professions, University of Rome Tor Vergata, 00133 Rome, Italy.
Brain Sci. 2024 Sep 5;14(9):900. doi: 10.3390/brainsci14090900.
The aim of this cross-sectional study was to translate, culturally adapt, and evaluate the psychometric properties of the Italian version of the Mann Assessment of Swallowing Ability (MASA) in post-stroke individuals. The original MASA scale was translated and culturally adapted from English to Italian following the international guidelines. The internal consistency and test-retest reliability of the MASA-IT were assessed, and its concurrent validity was examined through Pearson correlation coefficients with the Italian versions of two established gold standard scales for dysphagia assessment: the Dysphagia Outcome Severity Scale (DOSS) and the De Pippo Test-Three Oz Water Swallow. The MASA-IT was administered to 78 participants. The items demonstrated excellent internal consistency, with Cronbach's alpha ranging between 0.86 and 0.89. The interclass correlation coefficient was 0.98 for inter-rater reliability and 0.99 for intra-rater reliability, indicating high reproducibility. Regarding concurrent validity, the MASA-IT showed a strong direct correlation with the DOSS scale (r = 0.949, = 0.01) and an inverse correlation with the De Pippo Test (r = -0.783, = 0.01), confirming its good concurrent validity. The Italian version of the Mann Assessment of Swallowing Ability (MASA-IT) is a reliable and valid tool for assessing swallowing ability in post-stroke patients. Its strong psychometric properties make it well suited for clinical use in Italy.
这项横断面研究的目的是翻译、进行文化调适并评估意大利语版吞咽能力曼氏评估量表（MASA）在中风后个体中的心理测量特性。原始的MASA量表按照国际指南从英语翻译并进行文化调适为意大利语。评估了MASA-IT的内部一致性和重测信度，并通过与两个已确立的吞咽困难评估金标准量表的意大利语版（吞咽困难结果严重程度量表（DOSS）和德皮波三杯3盎司水吞咽测试）的皮尔逊相关系数来检验其同时效度。对78名参与者施测了MASA-IT。各项目显示出极佳的内部一致性，克朗巴哈系数在0.86至0.89之间。组间相关系数对于评分者间信度为0.98，对于评分者内信度为0.99，表明具有高再现性。关于同时效度，MASA-IT与DOSS量表呈强正相关（r = 0.949，P = 0.01），与德皮波测试呈负相关（r = -0.783，P = 0.01），证实了其良好的同时效度。意大利语版吞咽能力曼氏评估量表（MASA-IT）是评估中风后患者吞咽能力的可靠且有效的工具。其强大的心理测量特性使其非常适合在意大利临床使用。
