Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale
Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale
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DOI：
10.1016/j.apmr.2018.01.012
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发表时间：
2018-05-01
影响因子：
4.3
通讯作者：
Riquelme, Luis F.
中科院分区：
文献类型：
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作者：
Steele, Catriona M.;Namasivayam-MacDonald, Ashwini M.;Riquelme, Luis F.
目的：评估国际吞咽困难饮食标准化倡议功能饮食量表的共识效度、评价者间信度和标准效度。该功能结果量表旨在反映口咽部吞咽困难的严重程度，以推荐给患者的饮食结构限制程度为代表。设计：受试者对16例临床病例分配国际吞咽困难饮食标准化倡议功能饮食量表评分。共识有效性是根据作者参考小组确定的参考分数来衡量的。评价者之间的可靠性是在整个数据集的四分位数子集上进行测量的。标准的有效性与功能性口服摄入量量表(FOIS)的分数进行了评估，这些分数是由调查受访者针对相同的病例情景分配的。地点：基于网络的调查。参与者：来自29个国家的受访者(N=170)。干预：不适用。主要结果测量：共识效度(百分比一致性和Kendall tau)、标准效度(Spearman等级相关)和评价者间信度(Kendall一致性和组内系数)。结果：国际吞咽困难饮食标准化倡议功能性饮食量表显示出很强的共识效度、标准效度和评价者间信度。涉及纯液体饮食、非口服喂养过渡或试验饮食治疗进展的情景显示出最差的共识，这表明需要明确指示如何对这些情况进行评分。国际吞咽困难饮食标准化倡议功能饮食量表显示，对饮食中的具体变化比FOIS更敏感。大多数(70%)受访者表示对实施国际吞咽困难饮食标准化倡议功能饮食量表表示热情。结论：这项初步验证研究表明，国际吞咽困难饮食标准化倡议功能饮食量表具有较强的共识和标准效度，临床医生可以可靠地使用该量表来了解吞咽困难患者的饮食结构限制和进展。(C)2021年提交人。由爱思唯尔公司代表美国康复医学大会出版。这是一篇由licensc(http://creativecommons.org/licenses/by/4.0/).在CC下的开放获取文章
Objective: To assess consensual validity, interrater reliability, and criterion validity of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale, a new functional outcome scale intended to capture the severity of oropharyngeal dysphagia, as represented by the degree of diet texture restriction recommended for the patient.Design: Participants assigned International Dysphagia Diet Standardisation Initiative Functional Diet Scale scores to 16 clinical cases. Consensual validity was measured against reference scores determined by an author reference panel. Interrater reliability was measured overall and across quartile subsets of the dataset. Criterion validity was evaluated versus Functional Oral Intake Scale (FOIS) scores assigned by survey respondents to the same case scenarios. Feedback was requested regarding ease and likelihood of use.Setting: Web-based survey.Participants: Respondents (N=170) from 29 countries.Interventions: Not applicable.Main Outcome Measures: Consensual validity (percent agreement and Kendall tau), criterion validity (Spearman rank correlation), and interrater reliability (Kendall concordance and intraclass coefficients).Results: The International Dysphagia Diet Standardisation Initiative Functional Diet Scale showed strong consensual validity, criterion validity, and interrater reliability. Scenarios involving liquid-only diets, transition from nonoral feeding, or trial diet advances in therapy showed the poorest consensus, indicating a need for clear instructions on how to score these situations. The International Dysphagia Diet Standardisation Initiative Functional Diet Scale showed greater sensitivity than the FOIS to specific changes in diet. Most (>70%) respondents indicated enthusiasm for implementing the International Dysphagia Diet Standardisation Initiative Functional Diet Scale.Conclusions: This initial validation study suggests that the International Dysphagia Diet Standardisation Initiative Functional Diet Scale has strong consensual and criterion validity and can be used reliably by clinicians to capture diet texture restriction and progression in people with dysphagia. (C) 2021 The Authors. Published by Elsevier Inc. on behalf of The American Congress of Rehabilitation Medicine. This is an open access article under the CC BY licensc (http://creativecommons.org/licenses/by/4.0/).