Abstract
The Mastication Observation and Evaluation (MOE) instrument is an objective assessment of the chewing process in children. This study aimed to translate the MOE into Turkish and to test its reliability and validity in children with cerebral palsy (CP). A total of 53 children with CP and 27 typical children were included in the study. The MOE was translated from Dutch into Turkish by using the forward, backward, forward translation method. The internal consistency, intra- and inter-observer reliability, criterion, and discriminant validity of the Turkish version of the MOE (T-MOE) were investigated. Internal consistency was excellent with a Cronbach’s alpha value of 0.98. The Intraclass correlation coefficient ranged from 0.89 to 0.97 for intra-rater reliability and from 0.86 to 0.94 for inter-rater reliability. The median score from Karaduman Chewing Performance Scale (KCPS) was 7 (min = 1, max = 8). All of the items in the T-MOE and the total T-MOE score had a negative and strong correlation with the KCPS score. Typical children without chewing disorders had greater T-MOE scores than the children with CP suffering from chewing disorders (p < 0.01). The T-MOE is a reliable and valid instrument for evaluating the observed oral motor behaviors of chewing function in children. It can be used in clinical practice and research.
Clinical trial number: NCT03811353.
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References
Almotairy N, Kumar A, Trulsson M, Grigoriadis A. Development of the jaw sensorimotor control and chewing—a systematic review. Physiol Behav. 2018;194:456–65.
Dovey TM, Martin C. Feeding problems in children. In: Southall A, Martin C, editors. Developmental cognitive and regulatory aspects of feeding disorders. Oxford: Radcliff Publishing Ltd; 2011. p. 94–100.
Carruth BR, Skinner JD. Feeding behaviour and other motor development in healthy children (2–24 months). J Am Coll Nutr. 2002;21:88–96.
Green JR, Moore CA, Ruark JL, Rodda PR, Morvée WT, VanWitzenburg MJ. Development of chewing in children from 12 to 48 months: longitudinal study of EMG patterns. J Neurophysiol. 1997;77:2704–16.
Arvedson JC, Brodsky L. Pediatric swallowing and feeding: assessment and management. Albany, NY: Singular Publishing; 2002.
Gisel EG, Alphonce E. Classification of eating impairments based on eating efficiency in children with cerebral palsy. Dysphagia. 1995;10:268–74.
van der Bilt A, Olthoff LW, Bosman F, Oosterhaven SP. The effect of missing postcanine teeth on chewing performance in man. Arch Oral Biol. 1993;38:423–9.
Fontijn-Tekamp FA, Slagter AP, van der Bilt A, Van’t Hof MA, Witter DJ, Kalk W, et al. Biting and chewing in over dentures, full dentures, and natural dentitions. J Dent Res. 2000;79:1519–24.
van der Bilt A, van der Glas HW, Mowlana F, Heath MR. A comparison between sieving and optical scanning for the determination of particle size distributions obtained by mastication in man. Arch Oral Biol. 1993;38:159–62.
Rey A, Gonzalez R, Martinez-de-Juan JL, Benedito J, Mulet A. EMG assessment of chewing behaviour for food evaluation: influence of personality characteristics. Food Qual Prefer. 2007;18:585–95.
Remijn L, Speyer R, Groen BE, Holtus PCM, van Limbeek J, Nijhuis van der Sanden MGW. Assessment of mastication in healthy children and children with cerebral palsy: a validity and consistency study. J Oral Rehabil. 2013;40:336–47.
Remijn L, Speyer R, Groen BE, van Limbeek J, Nijhuis-van der Sanden M. Validity and reliability of the mastication observation and evaluation (MOE) instrument. Res Dev Disabil. 2014;35:1551–61.
Serel Arslan S, Demir N, Barak Dolgun A, Karaduman AA. Development of a new instrument for determining the level of chewing function in children. J Oral Rehabil. 2016;43:488–95.
Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised gross motor function classification system. Dev Med Child Neurol. 2008;50:744–50.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of crosscultural adaptation of self-report measures. Spine. 2000;25:3186–91.
Frost MH, Reeve BB, Liepa AM, Stauffer JW, Hays RD, Mayo/FDA Patient-Reported Outcomes Consensus Meeting Group. What is sufficient evidence the reliability and validity of patient-reported outcome measures? Value Health. 2007;10:94–105.
George D, Mallery P. SPSS for windows step by step: a simple guide and reference. Boston: Allyn & Bacon; 2003.
Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24:69–71.
Bachmeyer MH. Treatment of selective and inadequate food intake in children: A review and practical guide. Behav Anal Pract. 2009;2:43–50.
Serel Arslan S, Ilgas F, Demir N, Karaduman AA. The effect of the inability to intake chewable food texture on growth, dietary intake and feeding behaviors of children with cerebral palsy. J Dev Phys Disabil. 2018;30:205–14.
Walter SD, Eliasziw M, Donner A. Sample size and optimal designs for reliability studies. Stat Med. 1998;17:101–10.
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Serel Arslan, S., Demir, N. & Karaduman, A.A. Turkish Version of the Mastication Observation and Evaluation (MOE) Instrument: A Reliability and Validity Study in Children. Dysphagia 35, 328–333 (2020). https://doi.org/10.1007/s00455-019-10035-8
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DOI: https://doi.org/10.1007/s00455-019-10035-8