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Validation and Cultural Adaptation of an Arabic Version of Pediatric Eating Assessment Tool (Pedi-EAT-10Arabic)
Sally M Adel1, Alaa H Gaafar2, Nader Fasseeh3
1Phoniatrics Unit, Oto-Rhino-Laryngology Department, Faculty of Medicine, Alexandria University, Champollion Street, Alexandria Main University Hospital, El Sultan Hussein, Egypt. DrSallyAdel@alexmed.edu.eg.
Insights
The Arabic version of the Pediatric Eating Assessment Tool (Pedi-EAT-10) is a reliable and valid screening tool for identifying children at high risk of swallowing difficulties (dysphagia). It accurately correlates with instrumental assessments, aiding in early detection and intervention.
Area of Science:
- Pediatric Otolaryngology
- Swallowing Disorders
- Clinical Assessment Tools
Background:
- Pediatric dysphagia poses significant health risks, including aspiration and malnutrition.
- Accurate and accessible screening tools are crucial for early detection in children.
- The Pediatric Eating Assessment Tool (Pedi-EAT-10) is a validated instrument for assessing dysphagia risk.
Purpose of the Study:
- To translate and validate the Arabic version of the Pedi-EAT-10 (Pedi-EAT-10Arabic).
- To assess the reliability and validity of Pedi-EAT-10Arabic in a pediatric population.
- To correlate Pedi-EAT-10Arabic scores with objective swallowing assessments like FEES.
Main Methods:
- Cross-sectional study of 202 children with dysphagia and healthy controls.
- Translation and cultural adaptation of the Pedi-EAT-10 into Arabic.
- Test-retest reliability assessed in 100 participants over 2 weeks.
- Validity confirmed by comparing scores between patient and control groups.
- Correlation with pharyngeal residue and aspiration on Fiber Optic Endoscopic Evaluation of Swallowing (FEES).
Main Results:
- Pedi-EAT-10Arabic demonstrated high internal consistency (Cronbach's alpha 0.986) and excellent test-retest reliability (ICC = 0.968).
- Dysphagia patients scored significantly higher than healthy controls (Median 27 vs. 0, P < 0.001).
- Strong positive correlation found between Pedi-EAT-10Arabic scores and Penetration-Aspiration Scale (PAS) scores (r = 0.803, P < 0.001).
- Receiver Operating Characteristic (ROC) analysis showed high discriminatory capacity for aspiration (AUC = 0.92).
Conclusions:
- Pedi-EAT-10Arabic is a valid and reliable tool for screening pediatric dysphagia.
- The tool aids in identifying children requiring further instrumental swallowing assessments.
- This validated Arabic version expands access to effective dysphagia screening in Arabic-speaking populations.
Abstract:
Pediatric eating assessment tool (Pedi-EAT-10Arabic) is a validated and reliable caregiver administered outcome instrument designed for detection of children at high risk of penetration/aspiration. The objective of this study is to translate and validate the Arabic version of Pedi-EAT-10 and to correlate its results with pharyngeal residue and aspiration on fiber optic endoscopic examination of swallowing (FEES). A cross-sectional study including 202 children selected randomly from those attending the swallowing clinic in phoniatrics unit, Otorhinolaryngology department (ORL) at main university hospital between February 2019 and October 2020 complaining of dysphagia. For test-retest reliability, one hundred caregivers refilled the Pedi-EAT-10Arabic after a 2-week period following their first visit. Validity was established by comparing the scores of dysphagia patients to healthy controls. Internal consistency of Pedi-EAT-10Arabic was high (Cronbach's alpha 0.986). Intra class correlation showed excellent test-retest reliability (r = 0.968). The median Pedi-EAT 10Arabic score was significantly higher in dysphagia group compared to healthy controls. (Median 27 IQR 21-34 for cases compared to median zero IQR 0-2 points for healthy controls, P less than 0.001). A strong correlation was found between Pedi-EAT 10Arabic scores and PAS scores with Spearman's correlation coefficient r = 0.803 and P < 0.001. The ROC for evaluating the discriminatory capacity of Pedi-EAT 10 for aspiration showed an AUC of 0.92 (95% CI of 0.89 to 0.96). Conclusion: Pedi-EAT 10Arabic was found to be a valid and reliable screening tool for further instrumental assessment of risk of dysphagia in pediatric population.
