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Introduction: Safe and appropriate nutrition is important for child development. Children with a developmental disability often present with eating and swallowing problems. Reliable clinical assessment is essential for the process of effective management and therapeutic treatment of children with disabilities. The study aimed to evaluate inter-raterreliability of the Slovenian translation of a standardized screening tool for assessment of eating and swallowing disorders the Dysphagia Disorder Survey (DDS). Methods: After parental consensus, the children were recorded during feeding or eating an usual meal. We assessed the recordings by using the second part of the DDS. In the analysis of inter-rater reliability, we compared the assessments from three speech therapists. Results: We evaluated 30 children with developmental neurological disorder, aged 2 to 17 years, who have had difficulty in feeding and swallowing. Statistical analysis of the assessment results revealed high inter-rater reliability of the total score (ICC = 0.964) and of the majority of individual items (ICCs between 0.629 and 0.932). Conclusions: The results of our study indicate that the Slovenian translation of the DDS is a reliable tool. We believe that the instrument is appropriate for assessment of eating disorders and swallowing in children with developmental neurological disorder in clinical practice. Izhodišča: Primerno in varno prehranjevanje je pomembno za razvoj otroka. Otroci z motnjo v razvoju imajo pogosto težave pri hranjenju in požiranju. Zanesljiva klinična ocena stanja je podlaga za učinkovito vodenje in terapevtsko obravnavo otrok z motnjami pri hranjenju in požiranju. V študiji smo želeli preveriti zanesljivost med ocenjevalci pri uporabi v slovenščino prevedenega standardiziranega presejalnega testa za oceno motnje hranjenja in požiranja pri otrocih z razvojno nevrološko motnjo. Metode: Otroke smo po privolitvi staršev posneli med hranjenjem in nato ocenili potek hranjenja s testom za oceno motenj hranjenja in požiranja (angl. Dysphagia Disorder Survey, DDS). Pri analizi zanesljivosti med ocenjevalci smo primerjali rezultate ocen drugega dela presejalnega testa treh ocenjevalcev, logopedinj. Rezuzltati: Ocenili smo 30 otrok, starih od dve do 17 let, z razvojno nevrološko motnjo, ki so imeli težave pri hranjenju in požiranju. Statistična analiza rezultatov ocenjevanja je pokazala visoko zanesljivost pri skupnem dosežku otrok (ICC = 0,964) in pri večini posameznih postavk testa (ICC med 0,629 in 0,932). Zaključki: Rezultati študije so pokazali, da je standardizirani presejalni test za oceno motnje hranjenja tudi po prevodu v slovenščino zanesljiv. Menimo, da je DDS primeren za ocenjevanje motenj hranjenja in požiranja pri otrocih z razvojno nevrološko motnjo v klinični praksi. |
