Validity and Reliability of a Turkish Version of MD Anderson Inventory Dysphagia Inventory

Dysphagia Clinical Trial

Official title:

Validity and Reliability of a Turkish Version of MD Anderson Dysphagia Inventory for Neurogenic Patients

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06197451
• Other study ID #: 187765
• Status: Recruiting
• Start date: December 19, 2023
• Est. completion date: May 19, 2024

Study information

• Verified date: January 2024
• Source: Gazi University
• Contact: Muserrefe Nur Keles, PhD
• Phone: 5426622464
• Email: muserrefkeles19[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to M.D. Validity of the Turkish version of the Anderson Dysphagia Inventory for the Turkish population, reliability, and cultural adaptation.

Description:

Oropharyngeal dysphagia (OD) is a common finding in patients with neurogenic disorders.

Swallowing disorder can be acute or chronic in nature. For example, acute OD is observed in patients after stroke, head trauma, neurosurgical intervention, or in patients with Guillain-Barré syndrome. Chronic OD may develop in patients who do not recover after a stroke. Degenerative OD, Parkinson's disease, amyotrophic lateral sclerosis, myasthenia gravis, Huntington's disease, myotonic dystrophy type 1 and multiple sclerosis It is seen in patients with progressive neurological diseases. The prevalence of OD in neurogenic patients varies from 3% to 50% in stroke patients and up to almost 100% in patients with Huntington's disease. The OD can lead to weight loss, malnutrition, social isolation, aspiration pneumonia, and reduced health-related quality of life (QoL). Some studies have reported that dysphagia-specific QoL is weakly associated with OD severity measured using, among other things, fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopy of swallowing (VFS). Therefore, dysphagia-specific QoL questionnaires used alongside these instrumental assessments add value by providing insight into patients' perception of OD, which can be taken into account in the treatment plan. There are dysphagia-specific quality-of-life questionnaires that are actively used today: Swallowing Quality of Life Questionnaire (SWAL-QOL, 44 items), Swallowing Disability Index (30 items), Dysphagia Handicap Index (25 items) and M.D. Anderson Dysphagia Inventory (MDADI, 20 items). Multidisciplinary dysphagia clinics in our country mostly focus on the head and neck. It is visited by patients with OD of oncological or neurological origin.The M. D. Anderson dysphagia inventory is an easier inventory to perform since it has a smaller number of questions and contains more standard questions compared to other currently used questionnaires. Other questionnaires, such as the SWAL-QOL-TR and the Swallowing Disability Index, are longer than the MDADI and take more time to complete. The purpose of this study is M.D. Validity of the Turkish version of the Anderson Dysphagia Inventory for the Turkish population, reliability and cultural adaptation.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 170
• Est. completion date: May 19, 2024
• Est. primary completion date: February 19, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 85 Years

Eligibility

Inclusion Criteria:

Group 1:

• Diagnosed with neurologic disorder

• Able to speak, read, understand and write in Turkish

• History of dysphagia during 6 months

Group 2:

• Able to speak, read, understand and write in Turkish

• Healthy adults

Exclusion Criteria:

• Mini Mental State Examination score below 23 points

• History of head and neck cancer (HNC),

• Age below 18 or above 85 years.

Related Conditions & MeSH terms

• Deglutition Disorders
• Dysphagia
• Nervous System Diseases
• Neurologic Disorder

Intervention

Other:
• Turkish Version of M. D. Anderson Dysphagia Inventory
Turkish Validation and Cultural Adaptation of M. D. Anderson Dysphagia Inventory in Neurologic Patients

Locations

Country	Name	City	State
Turkey	Gazi University, Faculty of Health and Sciences, Department of Physiotherapy and Rehabilitation Recruiting Ankara, Turkey, 06500	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Gazi University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Subject Demographics and Medical History	The median values of age and ratio of gender in all groups. Medical Diagnoses.	Baseline
Primary	Turkish Version of M. D. Anderson Dysphagia Inventory	The M.D Anderson Dysphagia Inventory is a self-administered, psychometrically validated dysphagia-specific questionnaire for cancer patients that is designed to assess the impact of dysphagia on health-related quality of life . Like the original English version, the validated Turkish translation of the M.D. Anderson Dysphagia Inventory consists of 20 items pooled in 4 subscales: the global scale; (1 item); the functional scale (5 items); the physical scale (8 items); and the emotional scale (6 items)The global question was scored individually, and the mean score of each subscale (emotional, physical, and functional) was multiplied by 20 to obtain a total score with a range from zero (extremely low functioning) to 100 (high functioning). A higher M. D. Anderson Dysphagia Inventory score is indicative of better day-to-day functioning and quality of life.	Baseline
Primary	Turkish Version of M. D. Anderson Dysphagia Inventory	The M.D Anderson Dysphagia Inventory is a self-administered, psychometrically validated dysphagia-specific questionnaire for cancer patients that is designed to assess the impact of dysphagia on health-related quality of life . Like the original English version, the validated Turkish translation of the M.D. Anderson Dysphagia Inventory consists of 20 items pooled in 4 subscales: the global scale; (1 item); the functional scale (5 items); the physical scale (8 items); and the emotional scale (6 items)The global question was scored individually, and the mean score of each subscale (emotional, physical, and functional) was multiplied by 20 to obtain a total score with a range from zero (extremely low functioning) to 100 (high functioning). A higher M. D. Anderson Dysphagia Inventory score is indicative of better day-to-day functioning and quality of life.	Two weeks
Secondary	The Swallowing Quality-of-Life Questionnaire	The Swallowing Quality-of-Life Questionnaire was designed to evaluate the impact of dysphagia on health-related quality of life in dysphagic patients. It consists of 44 items divided among 11 domains: general burden (2 items); food selection (2 items); eating duration (2 items); eating desire (3 items); fear of eating (4 items); sleep (2 items); fatigue (3 items); communication (2 items); mental health (5 items); social functioning (5 items); and frequency of symptoms (14 items). Each item is scored on a 5-point scale: the higher the score, the better the swallow-related quality of life. Completion of the questionnaire takes 15-30 min. The Turkish version of the Swallowing Quality of Life is considered the gold standard for determining dysphagia specific quality of life in patients with dysphagia.	Baseline