Ekström Linnéa, Sjökvist Wilk Lotta, Finizia Caterina, Tuomi Lisa
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Sci Rep. 2025 Apr 16;15(1):13109. doi: 10.1038/s41598-025-97170-5.
The aim of this study was to validate the Swedish version of Eating Assessment Tool (S-EAT-10) for head and neck cancer patients. The participants (n = 60) had persistent swallowing difficulties 6-36 months after completion of curative radiotherapy. The videofluoroscopic swallowing study was assessed using the Penetration Aspiration Scale and the Yale Pharyngeal Residue Severity Rating Scale modified for videofluoroscopy. Participants completed questionnaires S-EAT-10, M.D. Anderson Dysphagia Inventory (MDADI) and study-specific questions. Internal consistency was excellent and the test-retest reliability was good. Regarding convergent validity, S-EAT-10 showed moderate to strong correlation with the MDADI and no to weak correlation with study-specific questions regarding meal duration and weight change. Regarding criterion validity, there was a weak correlation between S-EAT-10 and instrumental measures. S-EAT-10 showed 85% sensitivity in identifying patients with dysphagia. S-EAT-10 could not discriminate between different degrees of dysphagia. Thus, S-EAT-10 showed sufficient psychometric properties regarding head and neck cancer patients.
本研究旨在验证针对头颈癌患者的瑞典版饮食评估工具（S-EAT-10）。参与者（n = 60）在根治性放疗结束后6至36个月存在持续吞咽困难。使用经改良适用于视频荧光吞咽造影检查的渗透误吸量表和耶鲁咽残留严重程度评分量表对视频荧光吞咽造影检查进行评估。参与者完成了S-EAT-10问卷、MD安德森吞咽困难量表（MDADI）以及特定研究问题。内部一致性极佳，重测信度良好。关于聚合效度，S-EAT-10与MDADI呈中度至强相关性，与关于进餐时长和体重变化的特定研究问题呈无至弱相关性。关于效标效度，S-EAT-10与仪器测量之间存在弱相关性。S-EAT-10在识别吞咽困难患者方面显示出85%的敏感性。S-EAT-10无法区分不同程度的吞咽困难。因此，S-EAT-10对头颈癌患者显示出足够的心理测量学特性。
