Content Validity Testing of a Nurse-Led Pediatric Dysphagia Screening Tool for Acute and Critical Care Settings Using eDelphi Methodology
View abstract on PubMed
Summary
This summary is machine-generated.A new screening tool, the Children's Oral Feeding Screener (COFS), was developed for hospitalized children with oropharyngeal dysphagia. Content validity was established through an eDelphi study involving international speech pathologists.
Area Of Science
- Pediatric healthcare
- Clinical assessment tools
- Swallowing disorders
Background
- Pediatric oropharyngeal dysphagia screening tools are lacking in acute/critical care.
- Existing tools lack psychometric validation and reliability.
- This gap impacts timely diagnosis and intervention for hospitalized children.
Purpose Of The Study
- Establish content validity for the Children's Oral Feeding Screener (COFS).
- Develop a novel, nurse-led screening tool for pediatric acute and critical care settings.
- Address the need for reliable dysphagia screening in hospitalized children aged 0-16 years.
Main Methods
- Two-round eDelphi study using Qualtrics.
- Multidisciplinary steering group guided tool development and consensus.
- International speech pathologists (n=50, 41 in R2) rated items on clinical presentations, oral trials, and dysphagia signs.
Main Results
- Content validity achieved for COFS items based on >75% consensus.
- Final COFS includes 8 clinical presentations, 3 oral trial elements, and 14 dysphagia signs.
- Panelist feedback refined COFS headings and layout.
Conclusions
- Content validity established for the COFS tool's core components.
- Further research needed on COFS construct validity, sensitivity, specificity, and feasibility.
- COFS has potential to improve dysphagia screening in pediatric acute/critical care.
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