A Visuoperceptual Measure for Videofluoroscopic Swallow Studies (VMV): A Pilot Study of Validity and Reliability in Adults with Dysphagia

被引:5
作者
Swan, Katina [1 ]
Speyer, Renee [1 ,2 ,3 ]
Scharitzer, Martina [4 ]
Farneti, Daniele [5 ]
Brown, Ted [6 ]
Cordier, Reinie [1 ,7 ]
机构
[1] Curtin Univ, Fac Hlth Sci, Curtin Sch Allied Hlth, Bentley, WA 6102, Australia
[2] Univ Oslo, Dept Special Needs Educ, N-0315 Oslo, Norway
[3] Leiden Univ Med Ctr, Dept Otorhinolaryngol & Head & Neck Surg, NL-2333 ZA Leiden, Netherlands
[4] Med Univ Vienna, Dept Biomed Imaging & Image Guided Therapy, Waehringer Guertel 18-20, A-1090 Vienna, Austria
[5] Infermi Hosp Rimni, Audiol Phoniatr Serv, I-47900 Rimini, Italy
[6] Monash Univ, Fac Med Nursing & Hlth Sci, Dept Occupat Therapy, Peninsula Campus, Frankston, Vic 3199, Australia
[7] Northumbria Univ, Dept Social Work Educ & Commun Wellbeing, Newcastle Upon Tyne NE7 7YT, Tyne & Wear, England
关键词
classic test theory; dysphagia; measure; psychometrics; videofluoroscopic swallow studies; VMV; ITEM RESPONSE THEORY; ENDOSCOPIC EVALUATION; SYSTEMATIC REVIEWS; PHARYNGEAL; HISTORY; SCALE; KAPPA;
D O I
10.3390/jcm11030724
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The visuoperceptual measure for videofluoroscopic swallow studies (VMV) is a new measure for analysing the recordings from videofluoroscopic swallow studies (VFSS). This study evaluated the reliability and validity of the pilot version of the VMV using classical test theory (CTT) analysis, informed by the consensus-based standards for the selection of health measurement instruments (COSMIN) guidelines. Forty participants, diagnosed with oropharyngeal dysphagia by fibreoptic endoscopic evaluation of swallowing, were recruited. The VFSS and administration of bolus textures and volumes were conducted according to a standardised protocol. Recordings of the VFSS were rated by three blinded raters: a speech-language pathologist, a radiologist and a phoniatrician. Inter- and intra-rater reliability was assessed with a weighted kappa and resulted in 0.889 and 0.944 overall, respectively. Structural validity was determined using exploratory factor analyses, which found four and five factor solutions. Internal consistency was evaluated with Cronbach's alpha coefficients, which found all but one factor scoring within an acceptable range (>0.70 and <0.95). Hypothesis testing for construct validity found the expected correlations between the severity of dysphagia and the VMV's performance, and found no impact of gender on measure performance. These results suggest that the VMV has potential as a reliable and valid measure for VFSS. Further validation with a larger sample is required, and validation using an item response theory paradigm approach is recommended.
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页数:16
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共 40 条
[1]   User's guide to correlation coefficients [J].
Akoglu, Haldun .
TURKISH JOURNAL OF EMERGENCY MEDICINE, 2018, 18 (03) :91-93
[2]  
Anunciacao L., 2018, J REATTACH THERAPY D, V1, P44, DOI DOI 10.26407/2018JRTDD.1.6
[3]  
Belafsky P.C., 2014, CLIN GUIDE SWALLOWIN, DOI 10.1007/978-1-4939-1109-7_7
[4]   Preliminary Investigation of the Effect of Pulse Rate on Judgments of Swallowing Impairment and Treatment Recommendations [J].
Bonilha, Heather Shaw ;
Blair, Julie ;
Carnes, Brittni ;
Huda, Walter ;
Humphries, Kate ;
McGrattan, Katlyn ;
Michel, Yvonne ;
Martin-Harris, Bonnie .
DYSPHAGIA, 2013, 28 (04) :528-538
[5]   The Modified Barium Swallow and the Functional Endoscopic Evaluation of Swallowing [J].
Brady, Susan ;
Donzelli, Joseph .
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, 2013, 46 (06) :1009-+
[6]   Effects of Age, Gender, Bolus Condition, Viscosity, and Volume on Pharyngeal and Upper Esophageal Sphincter Pressure and Temporal Measurements During Swallowing [J].
Butler, Susan G. ;
Stuart, Andrew ;
Castell, Donald ;
Russell, Gregory B. ;
Koch, Kenneth ;
Kemp, Shannon .
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, 2009, 52 (01) :240-253
[7]  
Clavé P, 2012, NESTLE NUTR WORKS SE, V72, P57, DOI 10.1159/000339986
[9]   Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients [J].
Crary, MA ;
Mann, GDC ;
Groher, ME .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2005, 86 (08) :1516-1520
[10]   Effects of Verbal Cueing on Respiratory-Swallow Patterning, Lung Volume Initiation, and Swallow Apnea Duration in Parkinson's Disease [J].
Curtis, James A. ;
Troche, Michelle S. .
DYSPHAGIA, 2020, 35 (03) :460-470