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Updated: Jul 14, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Validation of the Mayo Dysphagia Questionnaire
A B M Grudell1, J A Alexander, F B Enders
1Division of Gastroenterology, Mayo CLinic, Rochester, MN 55905, USA.
The Mayo Dysphagia Questionnaire (MDQ) is a new, validated tool for measuring esophageal dysphagia symptoms. It demonstrates excellent validity and reliability for assessing swallowing difficulties.
Area of Science:
- Gastroenterology
- Clinical Assessment Tools
- Swallowing Disorders
Background:
- Existing instruments inadequately measure esophageal dysphagia.
- A validated questionnaire for esophageal dysphagia attributes was unavailable.
Purpose of the Study:
- To construct and validate the Mayo Dysphagia Questionnaire (MDQ).
- To assess the MDQ's content validity, feasibility, concurrent validity, reproducibility, internal consistency, and construct validity.
Main Methods:
- Content validity by esophageal subspecialty gastroenterologists.
- Feasibility testing with outpatients.
- Concurrent validity, reproducibility, internal consistency, and construct validity assessed in 148 patients.
Main Results:
- The MDQ is a concise 27-item instrument, taking ~6 minutes to complete.
- Most validity and reliability metrics (concurrent validity, reproducibility, internal consistency, construct validity) were in the good to excellent range.
- Cronbach's alpha (0.86-0.88) and Spearman rank correlation coefficients (0.87-0.98) indicated excellent internal consistency and construct validity.
Conclusions:
- The Mayo Dysphagia Questionnaire (MDQ) is a reliable and valid instrument for assessing esophageal dysphagia.
- The MDQ provides a concise and effective method for measuring a spectrum of dysphagia attributes.
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