دورية أكاديمية
Cross-cultural adaptation and validation of the Italian version of the dysphagia handicap index (I-DHI)
| العنوان: | Cross-cultural adaptation and validation of the Italian version of the dysphagia handicap index (I-DHI) |
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| المؤلفون: | Daniela Ginocchio, Aurora Ninfa, Nicole Pizzorni, Christian Lunetta, Valeria Ada Sansone, Antonio Schindler |
| المساهمون: | D. Ginocchio, A. Ninfa, N. Pizzorni, C. Lunetta, V.A.M. Sansone, A. Schindler |
| بيانات النشر: | Springer |
| سنة النشر: | 2021 |
| المجموعة: | The University of Milan: Archivio Istituzionale della Ricerca (AIR) |
| مصطلحات موضوعية: | deglutition disorder, dysphagia, health-related quality of life, self-assessment, fiberoptic endoscopic evaluation of swallowing, Settore MED/31 - Otorinolaringoiatria, Settore MED/48 -Scienze Infermie.e Tecniche Neuro-Psichiatriche e Riabilitattive |
| الوصف: | The Dysphagia Handicap Index (DHI) is a valid Health-related Quality of Life (HRQOL) questionnaire for patients with oropharyngeal dysphagia (OD) of heterogeneous etiologies. The study aimed at crossculturally translating and adapting the DHI into Italian (I-DHI) and analyzing I-DHI reliability, validity, and interpretability. The I-DHI was developed according to Beaton et al. 5-stage process and completed by 75 adult OD patients and 166 healthy adults. Twenty-six patients filled out the I-DHI twice, 2 weeks apart, for test–retest reliability purposes. Sixty-two patients completed the Italian-Swallowing Quality of Life Questionnaire (I-SWAL-QoL) for criterion validity analysis. Construct validity was tested comparing I-DHI scores among patients with different instrumentally assessed and self-rated OD severity, comparing patients and healthy participants and testing Spearman’s correlations among I-DHI subscales. I-DHI interpretability was assessed and normative data were generated. Participants autonomously completed the I-DHI in maximum 10 min. Reliability proved satisfactory for all I-DHI subscales (internal consistency: α > .76; test–retest reliability: intraclass correlation coefficient > .96, k = .81). Mild to moderate correlations (− .26 ≤ ρ ≤ − .72) were found between I-DHI and I-SWAL-QoL subscales. Construct validity proved satisfactory as (i) moderate to strong correlations (.51 ≤ ρ ≤ .90) were found among I-DHI subscales; (ii) patients with more severe instrumentally or self-assessed OD reported higher I-DHI scores (p < .05); and (iii) OD patients scored higher at I-DHI compared to healthy participants (p < .05). Interpretability analyses revealed a floor effect for the Emotional subscale only and higher I-DHI scores (p < .05) for healthy participants > 65 years. In conclusion, the I-DHI is a reliable and valid HRQOL tool for Italian adults with OD. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/34581857; info:eu-repo/semantics/altIdentifier/wos/WOS:000701632300001; journal:DYSPHAGIA; http://hdl.handle.net/2434/870706Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85115826120 |
| DOI: | 10.1007/s00455-021-10369-2 |
| الإتاحة: | https://doi.org/10.1007/s00455-021-10369-2Test http://hdl.handle.net/2434/870706Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.A7ED48B1 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00455-021-10369-2 |
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