| Autor: |
Cordier R; Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne NE7 7XA, UK.; Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth 6102, Australia.; Department of Health & Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town 7935, South Africa., Speyer R; Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth 6102, Australia.; Department Special Needs Education, University of Oslo, 0318 Oslo, Norway.; Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Centre, 1233 Leiden, The Netherlands., Langmore S; Department of Otolaryngology Head-Neck Surgery, Boston University School of Medicine, Boston, MA 02118, USA., Denman D; Department of Linguistics, Macquarie University, Sydney 2109, Australia., Swan K; Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth 6102, Australia.; St John of God Midland Public and Private Hospitals, St John of God Health Care, Perth 6056, Australia.; Department of Allied Health, The School of Medical and Health Sciences, Edith Cowan University, Perth 6027, Australia., Farneti D; Audiologic Phoniatric Service, Otorhinolaryngology Department, Infermi Hospital, AUSL Romagna, 47900 Rimini, Italy. |
| Abstrakt: |
Visuoperceptual evaluation of fiberoptic endoscopic evaluation of swallowing (FEES) is a commonly used assessment in dysphagia or swallowing disorders. Currently, no international consensus exists regarding which visuoperceptual measures to use for the analysis of FEES recordings. Moreover, existing visuoperceptual FEES measures are limited by poor and incomplete psychometric data, identifying an urgent need for developing a visuoperceptual measure to interpret FEES recordings. Following the COSMIN group's (COnsensus-based Standards for the selection of health Measurement INstruments) psychometric taxonomy and guidelines, this study aimed to establish the content validity of a new visuoperceptual FEES (V-FEES) measure in adults with oropharyngeal dysphagia. Using the Delphi technique, international consensus was achieved among dysphagia experts across 21 countries, resulting in a new prototype measure for V-FEES, comprising 30 items, 8 function testing items (i.e., specific tasks performed by patients while observing and rating items), and 36 unique operationalisations (i.e., defining items into measurable factors that could be measured empirically using visuoperceptual observation). This study supports good content validity for V-FEES, including participants' feedback on the relevance, comprehensiveness, and comprehensibility of the included items. Future studies will continue the instrument development process and determine the remaining psychometric properties using both the classic test theory (CTT) and item response theory (IRT) models. |
