Reliability and validity of the Standardized swallowing assessment among community-dwelling older adults in China
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.The Standardized Swallowing Assessment (SSA) is reliable and valid for screening oropharyngeal dysphagia (OD) in Chinese older adults. Optimal cutoff values of 21.0 and 28.0 were identified for distinguishing healthy individuals and severity levels.
Area Of Science
- Gerontology
- Clinical Medicine
- Public Health
Background
- Oropharyngeal dysphagia (OD) presents a significant public health challenge, necessitating early detection.
- The Standardized Swallowing Assessment (SSA) is an efficient clinical tool for screening OD.
- Validation of the SSA in Chinese communities is currently lacking.
Purpose Of The Study
- To cross-culturally adapt the SSA for use in Chinese community-dwelling older adults.
- To validate the adapted SSA in this population.
- To determine optimal cutoff values for the SSA in identifying OD and its severity.
Main Methods
- The SSA underwent a 5-stage cross-cultural adaptation process.
- Reliability was assessed via internal consistency (Cronbach's alpha), inter-rater, and test-retest correlations.
- Validity was evaluated using convergent (EAT-10, PAS) and concurrent measures, with ROC analysis for optimal cutoff values.
Main Results
- The adapted SSA demonstrated excellent internal consistency (Cronbach's >0.7), inter-rater reliability (>0.9), and test-retest reliability (>0.8).
- Significant correlations were found between SSA scores and EAT-10 (r>0.5) and PAS (r>0.4), confirming convergent validity.
- Optimal cutoff values were identified as 21.0 for distinguishing OD from healthy individuals (C-index=0.801) and 28.0 for differentiating mild from moderate-to-severe OD (C-index=0.875).
Conclusions
- The Standardized Swallowing Assessment (SSA) is a reliable and valid screening tool for oropharyngeal dysphagia in Chinese community-dwelling older adults.
- The established cutoff values of 21.0 and 28.0 provide practical thresholds for clinical application.
- This validated tool can aid in the early detection and management of OD in the Chinese elderly population.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
...