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The Mealtime Assessment Scale (MAS): Part 2 - Preliminary Psychometric Analysis
Nicole Pizzorni1,2, Debora Valentini3, Marco Gilardone3
1Department of Biomedical and Clinical Sciences "L. Sacco," Università degli Studi di Milano, Milan, Italy, nicole.pizzorni@virgilio.it.
The Mealtime Assessment Scale (MAS) shows preliminary validity for assessing swallowing efficacy and safety. While reliable for efficacy, further validation is needed for the safety subscale in dysphagia patients.
Area of Science:
- Clinical assessment tools
- Swallowing disorders
- Dysphagia diagnostics
Background:
- The Mealtime Assessment Scale (MAS) was developed to evaluate swallowing safety and effectiveness during meals.
- Accurate assessment tools are crucial for managing patients with dysphagia.
Purpose of the Study:
- To perform a preliminary validation of the Mealtime Assessment Scale (MAS).
- Investigate internal consistency, inter-rater agreement, concurrent validity, known-group validity, and responsiveness of the MAS.
Main Methods:
- MAS was administered to 100 individuals without dysphagia and 100 with dysphagia.
- Inter-rater agreement was assessed by two clinicians evaluating 50 subjects.
- Concurrent validity was determined by correlating MAS with MASA and ASHA NOMS scales.
- Known-group validity compared MAS scores between the two groups.
Main Results:
- Internal consistency and responsiveness were confirmed for the efficacy component, but not for safety.
- High inter-rater agreement was observed for all MAS items (average deviation index <0.66).
- MAS demonstrated strong correlations with MASA and ASHA NOMS, and significant differences between patient groups.
Conclusions:
- Preliminary evidence supports the validity and reliability of the MAS for swallowing assessment.
- The internal consistency and responsiveness of the safety subscale require further investigation.
- Additional studies are necessary to fully validate the MAS instrument.
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