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Generating Items for a Novel Bedside Dysphagia Screening Tool Post Acute Pediatric Stroke
Victoria Sherman1,2, Mahendranath Moharir3, Deryk S Beal4,5,6
1Speech-Language Pathology, University of Toronto, 160- 500 University Avenue, Toronto, ON, M5G 1V7, Canada. Victoria.currie@mail.utoronto.ca.
Dysphagia
|June 14, 2022
Summary
Developing a bedside dysphagia screening tool for pediatric stroke is crucial. Expert consensus identified key items like face symmetry, salivary control, alertness, and choking for this essential pediatric stroke assessment.
Area of Science:
- Neurology
- Pediatrics
- Speech-Language Pathology
Background:
- Bedside dysphagia assessment protocols are underdeveloped for acute pediatric stroke.
- A validated screening tool is needed for early detection and intervention in children.
Purpose of the Study:
- To identify expert-validated, feasible items for a bedside dysphagia screening tool in acute pediatric stroke.
- To inform the development of a reliable screening instrument for this population.
Main Methods:
- A two-phase study involving literature review, expert consultation, and an online survey.
- Expert consensus (I-CVI > 0.78) was used to determine item relevance and feasibility for bedside administration.
Main Results:
- Four items demonstrated excellent content validity: face symmetry (0.89), salivary control (0.95), alertness (0.89), and choking (0.84).
- A majority of surveyed speech-language pathologists supported swallowing trials, particularly with thin liquids via teaspoon or open cup.
Conclusions:
- Candidate items for a pediatric stroke dysphagia screening tool have been identified with strong content validity.
- Further research is needed to assess the psychometric properties of these items for clinical use.
