Top

Published in:

01-08-2019 | Dysphagia | Original Article

Validation and Reliability of the French Version of the Sydney Swallow Questionnaire

Authors: Nicolas Audag, PT, Msc, Christophe Goubau, MD, PhD, Etienne Danse, MD, PhD, Laure Vandervelde, PT, PhD, Giuseppe Liistro, MD, PhD, Michel Toussaint, PT, PhD, Gregory Reychler, PT, PhD

Published in: Dysphagia | Issue 4/2019

Abstract

Oropharyngeal dysphagia is frequently under-reported and early detection may lead to adapt strategies of rehabilitation and management decisions. The Sydney Swallow Questionnaire (SSQ), a self-reported questionnaire for the detection and quantification of oropharyngeal dysphagia, was previously adapted and validated in other languages but not in French. The purposes of this study were to develop and validate a French version of SSQ (SSQ-f) and to assess its psychometric properties. This SSQ-f, obtained by back-translation and cross-cultural adaptation, was validated in 27 patients with impaired swallowing and 27 healthy controls. After inclusion, patients filled in the SSQ-f and performed a videofluoroscopic swallow study. The penetration aspiration scale (PAS) and Dysphagia outcome and severity scale (DOSS) were assigned to assess construct validity. Sensitivity and specificity of cut-off scores for the SSQ-f were assessed by the receiver operating characteristic (ROC) curves. Moreover, the SSQ-f was repeated after 2 weeks to evaluate its test–retest reliability. The results supported that SSQ-f was considered understandable. Its total score was strongly correlated to the DOSS (r = − 0.873) and to the PAS (r = 0.738). It demonstrated acceptable internal consistency, with Cronbach’s alpha values ranging from 0.744 to 0.956. The test–retest reliability was excellent. According to the ROC curve, cut-off scores of 118.5 or 218.5 were proposed for determining oropharyngeal dysphagia using DOSS as a reference and 755.0, using PAS as reference. No ceiling or floor effects were observed. In conclusion, the SSQ-f is a valid and reliable instrument to measure and detect oropharyngeal dysphagia in French-speaking subjects and can be used in a clinical setting.

Ekberg O. Dysphagia diagnosis and treatment. Medical radiology. Berlin: Springer; 2012.CrossRef

Rommel N, Hamdy S. Oropharyngeal dysphagia: manifestations and diagnosis. Nat Rev Gastroenterol Hepatol. 2016;13(1):49–59. https://doi.org/10.1038/nrgastro.2015.199.CrossRefPubMed

Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngol Head Neck Surg. 2009;140(1):33–6. https://doi.org/10.1016/j.otohns.2008.10.010.CrossRefPubMed

Cabre M, Serra-Prat M, Palomera E, Almirall J, Pallares R, Clave P. Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age Ageing. 2010;39(1):39–45. https://doi.org/10.1093/ageing/afp100.CrossRefPubMed

Logemann JA, Rademaker AW, Pauloski BR, Ohmae Y, Kahrilas PJ. Normal swallowing physiology as viewed by videofluoroscopy and videoendoscopy. Folia Phoniatr Logop. 1998;50(6):311–9.CrossRefPubMed

Khaldoun E, Woisard V, Verin E. Validation in French of the SWAL-QOL scale in patients with oropharyngeal dysphagia. Gastroenterol Clin Biol. 2009;33(3):167–71. https://doi.org/10.1016/j.gcb.2008.12.012.CrossRefPubMed

Logemann JA, Veis S, Colangelo L. A screening procedure for oropharyngeal dysphagia. Dysphagia. 1999;14(1):44–51. https://doi.org/10.1007/pl00009583.CrossRefPubMed

Lindgren S, Janzon L. Prevalence of swallowing complaints and clinical findings among 50-79-year-old men and women in an urban population. Dysphagia. 1991;6(4):187–92.CrossRefPubMed

Willig TN, Paulus J, Lacau Saint Guily J, Beon C, Navarro J. Swallowing problems in neuromuscular disorders. Arch Phys Med Rehabil. 1994;75(11):1175–81.CrossRefPubMed

10.

Toussaint M, Davidson Z, Bouvoie V, Evenepoel N, Haan J, Soudon P. Dysphagia in Duchenne muscular dystrophy: practical recommendations to guide management. Disabil Rehabil. 2016;5:1–11. https://doi.org/10.3109/09638288.2015.1111434.CrossRef

11.

Hill M, Hughes T, Milford C. Treatment for swallowing difficulties (dysphagia) in chronic muscle disease. Cochrane Database Syst Rev. 2004;2:CD004303. https://doi.org/10.1002/14651858.cd004303.pub2.CrossRef

12.

Wallace KL, Middleton S, Cook IJ. Development and validation of a self-report symptom inventory to assess the severity of oral-pharyngeal dysphagia. Gastroenterology. 2000;118(4):678–87.CrossRefPubMed

13.

Etges CL, Scheeren B, Gomes E, Barbosa Lde R. Screening tools for dysphagia: a systematic review. Codas. 2014;26(5):343–9.CrossRefPubMed

14.

Speyer R. Oropharyngeal dysphagia: screening and assessment. Otolaryngol Clin North Am. 2013;46(6):989–1008. https://doi.org/10.1016/j.otc.2013.08.004.CrossRefPubMed

15.

Kertscher B, Speyer R, Palmieri M, Plant C. Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review. Dysphagia. 2014;29(2):204–12. https://doi.org/10.1007/s00455-013-9490-9.CrossRefPubMed

16.

Audag N, Goubau C, Toussaint M, Reychler G. Screening and evaluation tools of dysphagia in children with neuromuscular diseases: a systematic review. Dev Med Child Neurol. 2017;59(6):591–6. https://doi.org/10.1111/dmcn.13354.CrossRefPubMed

17.

Bai F, Ling J, Esoimeme G, Yao L, Wang M, Huang J, Shi A, Cao Z, Chen Y, Tian J, Wang X, Yang K. A systematic review of questionnaires about patient’s values and preferences in clinical practice guidelines. Patient Preference Adherence. 2018;12:2309–23. https://doi.org/10.2147/ppa.S177540.CrossRefPubMedPubMedCentral

18.

Espitalier F, Fanous A, Aviv J, Bassiouny S, Desuter G, Nerurkar N, Postma G, Crevier-Buchman L. International consensus (ICON) on assessment of oropharyngeal dysphagia. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1s):S17–21. https://doi.org/10.1016/j.anorl.2017.12.009.CrossRefPubMed

19.

Yamamoto T, Ikeda K, Usui H, Miyamoto M, Murata M. Validation of the Japanese translation of the Swallowing Disturbance Questionnaire in Parkinson’s disease patients. Qual Life Res. 2012;21(7):1299–303. https://doi.org/10.1007/s11136-011-0041-2.CrossRefPubMed

20.

Schindler A, Mozzanica F, Monzani A, Ceriani E, Atac M, Jukic-Peladic N, Venturini C, Orlandoni P. Reliability and validity of the Italian Eating Assessment Tool. Ann Otol Rhinol Laryngol. 2013;122(11):717–24. https://doi.org/10.1177/000348941312201109.CrossRefPubMed

21.

Sales DS, Alvarenga RM, Vasconcelos CC, Silva RG, Thuler LC. Translation, cross-cultural adaptation and validation of the Portuguese version of the DYMUS questionnaire for the assessment of dysphagia in multiple sclerosis. Springerplus. 2013;2:332. https://doi.org/10.1186/2193-1801-2-332.CrossRefPubMedPubMedCentral

22.

Oda C, Yamamoto T, Fukumoto Y, Nakayama K, Sato M, Murata M, Kobayashi Y. Validation of the Japanese translation of the Dysphagia Handicap Index. Patient Preference Adherence. 2017;11:193–8. https://doi.org/10.2147/ppa.s126052.CrossRefPubMedPubMedCentral

23.

Moller R, Safa S, Ostberg P. Validation of the Swedish translation of eating assessment tool (S-EAT-10). Acta Otolaryngol. 2016;136(7):749–53. https://doi.org/10.3109/00016489.2016.1146411.CrossRefPubMed

24.

Magalhaes Junior HV, Pernambuco Lde A, Souza LB, Ferreira MA, Lima KC. Translation and cross-cultural adaptation of the Northwestern Dysphagia Patient Check Sheet to Brazilian Portuguese. Codas. 2013;25(4):369–74.CrossRefPubMed

25.

Lin LC, Chen MY, Chen YC, Portwood MJ. Psychometrics of a Chinese translation of the swallowing questionnaire. J Adv Nurs. 2001;34(3):296–303.CrossRefPubMed

26.

Kwon CH, Kim YH, Park JH, Oh BM, Han TR. Validity and reliability of the korean version of the MD anderson Dysphagia inventory for head and neck cancer patients. Ann Rehabil Med. 2013;37(4):479–87. https://doi.org/10.5535/arm.2013.37.4.479.CrossRefPubMedPubMedCentral

27.

Hajdu SF, Plaschke CC, Johansen C, Dalton SO, Wessel I. Cross-cultural translation, adaptation and reliability of the Danish M. D. Andeson Dysphagia Inventory (MDADI) in patients with head and neck cancer. Dysphagia. 2017;32(4):472–9. https://doi.org/10.1007/s00455-017-9785-3.CrossRefPubMed

28.

Goncalves MI, Remaili CB, Behlau M. Cross-cultural adaptation of the Brazilian version of the Eating Assessment Tool—EAT-10. Codas. 2013;25(6):601–4. https://doi.org/10.1590/s2317-17822013.05000012.CrossRefPubMed

29.

Ginocchio D, Alfonsi E, Mozzanica F, Accornero AR, Bergonzoni A, Chiarello G, De Luca N, Farneti D, Marilia S, Calcagno P, Turroni V, Schindler A. Cross-cultural adaptation and validation of the Italian version of SWAL-QOL. Dysphagia. 2016;31(5):626–34. https://doi.org/10.1007/s00455-016-9720-z.CrossRefPubMed

30.

Farahat M, Malki KH, Mesallam TA, Bukhari M, Alharethy S. Development of the Arabic Version of Dysphagia Handicap Index (DHI). Dysphagia. 2014;29(4):459–67. https://doi.org/10.1007/s00455-014-9528-7.CrossRefPubMed

31.

Carlsson S, Ryden A, Rudberg I, Bove M, Bergquist H, Finizia C. Validation of the Swedish M. D. Anderson Dysphagia Inventory (MDADI) in patients with head and neck cancer and neurologic swallowing disturbances. Dysphagia. 2012;27(3):361–9. https://doi.org/10.1007/s00455-011-9375-8.CrossRefPubMed

32.

Burgos R, Sarto B, Segurola H, Romagosa A, Puiggros C, Vazquez C, Cardenas G, Barcons N, Araujo K, Perez-Portabella C. Translation and validation of the Spanish version of the EAT-10 (Eating Assessment Tool-10) for the screening of dysphagia. Nutr Hosp. 2012;27(6):2048–54. https://doi.org/10.3305/nh.2012.27.6.6100.CrossRefPubMed

33.

Bauer F, Seiss M, Grassel E, Stelzle F, Klotz M, Rosanowski F. Swallowing-related quality of life in oral cavity cancer. The German version of the Anderson Dysphagia Inventory. Hno. 2010;58(7):692–7. https://doi.org/10.1007/s00106-010-2117-7.CrossRefPubMed

34.

Barzegar-Bafrooei E, Bakhtiary J, Khatoonabadi AR, Fatehi F, Maroufizadeh S, Fathali M. Validation of the Persian version of the dysphagia handicap index in patients with neurological disorders. Iran J Neurol. 2016;15(3):128–32.PubMedPubMedCentral

35.

Woisard V, Bodin S, Puech M. The Voice Handicap Index: impact of the translation in French on the validation. Rev Laryngol Otol Rhinol (Bord). 2004;125(5):307–12.

36.

Speyer R, Cordier R, Kertscher B, Heijnen BJ. Psychometric properties of questionnaires on functional health status in oropharyngeal dysphagia: a systematic literature review. Biomed Res Int. 2014;2014:458678. https://doi.org/10.1155/2014/458678.CrossRefPubMedPubMedCentral

37.

Dwivedi RC, St Rose S, Chisholm EJ, Georgalas C, Bisase B, Amen F, Kerawala CJ, Clarke PM, Nutting CM, Rhys-Evans PH, Harrington KJ, Kazi R. Evaluation of swallowing by Sydney Swallow Questionnaire (SSQ) in oral and oropharyngeal cancer patients treated with primary surgery. Dysphagia. 2012;27(4):491–7. https://doi.org/10.1007/s00455-012-9395-z.CrossRefPubMed

38.

Shaker R, Belafsky PC, Postma GN, Easterling C, SpringerLink (Online service) (2013) Principles of Deglutition A Multidisciplinary Text for Swallowing and its Disorders.

39.

Holland G, Jayasekeran V, Pendleton N, Horan M, Jones M, Hamdy S. Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey. Dis Esophagus. 2011;24(7):476–80. https://doi.org/10.1111/j.1442-2050.2011.01182.x.CrossRefPubMed

40.

Nimmons D, Michou E, Jones M, Pendleton N, Horan M, Hamdy S. A longitudinal study of symptoms of oropharyngeal Dysphagia in an elderly community-dwelling population. Dysphagia. 2016;31(4):560–6. https://doi.org/10.1007/s00455-016-9715-9.CrossRefPubMedPubMedCentral

41.

Archer SK, Garrod R, Hart N, Miller S. Dysphagia in Duchenne muscular dystrophy assessed by validated questionnaire. Int J Lang Commun Disord. 2013;48(2):240–6. https://doi.org/10.1111/j.1460-6984.2012.00197.x.CrossRefPubMed

42.

Szczesniak MM, Maclean J, Zhang T, Liu R, Cook IJ. The normative range for and age and gender effects on the Sydney Swallow Questionnaire (SSQ). Dysphagia. 2014;29(5):535–8. https://doi.org/10.1007/s00455-014-9541-x.CrossRefPubMed

43.

Quon H, Hui X, Cheng Z, Robertson S, Peng L, Bowers M, Moore J, Choflet A, Thompson A, Muse M, Kiess A, Page B, Fakhry C, Gourin C, O’Hare J, Graham P, Szczesniak M, Maclean J, Cook I, McNutt T. Quantitative evaluation of head and neck cancer treatment-related Dysphagia in the development of a personalized treatment deintensification paradigm. Int J Radiat Oncol Biol Phys. 2017;99(5):1271–8. https://doi.org/10.1016/j.ijrobp.2017.08.004.CrossRefPubMed

44.

Arenaz Bua B, Bulow M. Validation in Swedish of Sydney swallow questionnaire. BMC Res Notes. 2014;7:742. https://doi.org/10.1186/1756-0500-7-742.CrossRefPubMedPubMedCentral

45.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186–91.CrossRefPubMed

46.

Logemann JA. Screening, diagnosis, and management of neurogenic dysphagia. Semin Neurol. 1996;16(4):319–27. https://doi.org/10.1055/s-2008-1040990.CrossRefPubMed

47.

Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL. A penetration-aspiration scale. Dysphagia. 1996;11(2):93–8.CrossRefPubMed

48.

Robbins J, Coyle J, Rosenbek J, Roecker E, Wood J. Differentiation of normal and abnormal airway protection during swallowing using the penetration-aspiration scale. Dysphagia. 1999;14(4):228–32. https://doi.org/10.1007/pl00009610.CrossRefPubMed

49.

O’Neil KH, Purdy M, Falk J, Gallo L. The Dysphagia outcome and severity scale. Dysphagia. 1999;14(3):139–45. https://doi.org/10.1007/pl00009595.CrossRefPubMed

50.

Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012.CrossRefPubMed

51.

Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63. https://doi.org/10.1016/j.jcm.2016.02.012.CrossRefPubMedPubMedCentral

52.

McGraw K, Wong SP. Forming inferences about some intraclass correlation coefficients. Psychol Methods. 1996;1:30. https://doi.org/10.1037/1082-989x.1.1.30.CrossRef

53.

Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307–10.CrossRefPubMed

54.

Hajian-Tilaki K. Receiver Operating Characteristic (ROC) curve analysis for medical diagnostic test evaluation. Caspian J Intern Med. 2013;4(2):627–35.PubMedPubMedCentral

55.

McHorney CA, Tarlov AR. Individual-patient monitoring in clinical practice: are available health status surveys adequate? Qual Life Res. 1995;4(4):293–307.CrossRefPubMed

56.

Manjaly JG, Vaughan-Shaw PG, Dale OT, Tyler S, Corlett JC, Frost RA. Cricopharyngeal dilatation for the long-term treatment of dysphagia in oculopharyngeal muscular dystrophy. Dysphagia. 2012;27(2):216–20. https://doi.org/10.1007/s00455-011-9356-y.CrossRefPubMed

57.

Mossey-Gaston CHP, Oscroft N. The Relationship between patient perception and swallow function in patients with ataxia-telangiectasia—a pilot study. J Oral Health Dent Proc UKSRG-2016. 2017;1:A0017.

58.

Schwartz B, Martin SW. 1—Principles of Epidemiology and Public Health A2—Long, Sarah S. In: Principles and practice of pediatric infectious diseases. 4 h ed. Content Repository Only!, London, pp 1–9. (2012). https://doi.org/10.1016/B978-1-4377-2702-9.00003-9.

59.

Bel S. Temps de préparation et durée des repas. In: WIV-ISP (ed) Enquête de consommation alimentaire 2014–2015. Rapport 1. WIV-ISP, Bruxelles; (2015).

Title: Validation and Reliability of the French Version of the Sydney Swallow Questionnaire
Authors: Nicolas Audag, PT, Msc
Christophe Goubau, MD, PhD
Etienne Danse, MD, PhD
Laure Vandervelde, PT, PhD
Giuseppe Liistro, MD, PhD
Michel Toussaint, PT, PhD
Gregory Reychler, PT, PhD
Publication date: 01-08-2019
Publisher: Springer US
Keywords: Dysphagia
Dysphagia
Dysphagia
Published in: Dysphagia / Issue 4/2019
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-019-09978-9

At a glance: The STEP trials

Springer Medicine

Validation and Reliability of the French Version of the Sydney Swallow Questionnaire

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2019

Association Between Laryngeal Sensation, Pre-swallow Secretions and Pharyngeal Residue on Fiberoptic Endoscopic Examination of Swallowing

Reply to Wakabayashi Regarding “Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults”

Internal Hypopharyngeal Cyst: A Review of Literature

The Effects of Electrical Stimulation Pulse Duration on Lingual Palatal Pressure Measures During Swallowing in Healthy Older Adults

A Comparative Analysis of Eating Behavior of School-Aged Children with Eosinophilic Esophagitis and Their Caregivers' Quality of Life: Perspectives of Caregivers

Clinical Approaches to Assess Post-extubation Dysphagia (PED) in the Critically Ill