Systematic review of validated parent-reported questionnaires assessing swallowing dysfunction in otherwise healthy infants and toddlers

Journal of Otolaryngology - Head & Neck Surgery

Wendy Johannsen¹  Marghalara Rashid²  Hadi Seikaly³  Hamdy El-Hakim³  Julianna Zenke³  Abdulsalam Baqays⁴  Sandra Campbell⁵ 

[1] Department of Pediatric Speech Language Pathology, Stollery Children’s Hospital, Edmonton, AB, Canada;Department of Pediatrics, University of Alberta, Edmonton, AB, Canada;Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta, 2C3. 57 Walter MacKenzie Center, T6H0R3, Edmonton, AB, Canada;Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta, 2C3. 57 Walter MacKenzie Center, T6H0R3, Edmonton, AB, Canada;Department of Otolaryngology-Head and Neck Surgery, King Saud University, Riyadh, Saudi Arabia;John W. Scott Health Sciences Library, University of Alberta, Edmonton, AB, Canada;

关键词: Swallowing dysfunction;    Dysphagia;    Deglutition;    Otherwise healthy infants and toddlers;    Patient-reported outcomes;    Psychometrics;    Systematic review;   

DOI  :  10.1186/s40463-021-00549-3

来源: Springer

【 摘 要 】

ObjectivesThere has been increasing interest in the management of oropharyngeal swallowing dysfunction (SwD). Its prevalence, particularly in otherwise healthy infants and toddlers (OHITs), is underappreciated. As the standard diagnostic tests are either invasive or scarce, valid parent-reported outcome (PRO) questionnaires could play a pivotal role in the understanding and managing SwD in this group. This article reviewed the literature on PRO questionnaires pertaining to SwD in OHITs.Data sourceA librarian searched Prospero, Cochrane Library, Embase, Medline, PsycINFO, HaPI, CINAHL, and SCOPUS until February 2021 using the MeSH terms for deglutition and screening methods.Review methodQuestionnaires that examined disease-specific or eating and feeding concerns or difficulties were excluded. Two reviewers independently identified PRO questionnaires for SwD that were used in OHITs and extracted the author names, publication year, questionnaire name, the studied population, and the reported psychometric assessments. A quality assessment was performed based on consensus-based standards for the selection of health measurement instruments (COSMIN) and updated criteria for good measurement properties.ResultsOf the 3488 screened articles, we identified only two questionnaires, the pediatric version of the Eating Assessment Tool (PEDI-EAT-10) and the PRO questionnaire for Swallowing Dysfunction in OHITs. The PEDI-EAT-10 authors assessed the validity and reliability on children with cerebral palsy. However, concerns were identified regarding the developmental process and the internal structure validity. The PRO questionnaire for SwD in OHITs meets criteria but has not yet been validated in the population of interest nor its psychometric properties assessed.ConclusionTwo instruments were identified. The PED-EAT-10 exhibits methodological flaws, while Edmonton PRO questionnaire for SwD in OHITs awaits construct validation and could fill the current knowledge gap.

【 授权许可】

CC BY