The Pediatric Version of the Eating Assessment Tool

a caregiver administered dyphagia-specific outcome instrument for children

Selen Serel Arslan, Numan Demir, Aynur Ayşe Karaduman, Peter C Belafsky

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: To develop and evaluate the psychometric properties of the Pediatric version of the caregiver administered Eating Assessment Tool. Methods: The study included developmental phase and reported content, criterion validity, internal consistency and test–retest reliability of the Pediatric Eating Assessment Tool. Literature review and the original Eating Assessment Tool were used for line-item generation. Expert consensus assessed the items for content validity over two Delphi rounds. Fifty-one healthy children to obtain normative data and 138 children with cerebral palsy to evaluate test–retest reliability, internal consistency, and criterion validity were included. The Penetration-Aspiration Scale was used to assess criterion validity. Results: All items were found to be necessary. Content validity index was 0.91. The mean score of Pediatric Eating Assessment Tool for healthy children and children with cerebral palsy was 0.26 ± 1.83 and 19.5 ± 11, respectively. The internal consistency was high with Cronbach’s alpha =0.87 for test and retest. An excellent correlation between the Pediatric Eating Assessment Tool and Penetration-Aspiration score for liquid and pudding swallowing was found (p < 0.001, r = 0.77; p < 0.001, r = 0.83, respectively). A score >4 demonstrated a sensitivity of 91.3% and specificity of 98.8% to predict penetration/aspiration. Conclusions: The Pediatric Eating Assessment Tool was shown to be a valid and reliable tool to determine penetration/aspiration risk in children.Implications for rehabilitationThe pediatric eating assessment tool: a new dyphagia-specific outcome survey for children.The Pediatric Version of the Eating Assessment Tool is a dysphagia specific, parent report outcome instrument to determine penetration/aspiration risk in children.The Pediatric Version of the Eating Assessment Tool has good internal consistency, test–retest reliability and criterion-based validity.The Pediatric Version of the Eating Assessment Tool may be utilized as a clinical instrument to assess the need for further instrumental evaluation of swallowing function in children.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalDisability and Rehabilitation
DOIs
StateAccepted/In press - May 4 2017

Fingerprint

Caregivers
Eating
Pediatrics
Cerebral Palsy
Deglutition
Deglutition Disorders
Psychometrics
Consensus
Aspirations (Psychology)
Sensitivity and Specificity

Keywords

  • Deglutition
  • deglutition disorders
  • dysphagia
  • EAT-10
  • swallow assessment

ASJC Scopus subject areas

  • Rehabilitation

Cite this

The Pediatric Version of the Eating Assessment Tool : a caregiver administered dyphagia-specific outcome instrument for children. / Serel Arslan, Selen; Demir, Numan; Karaduman, Aynur Ayşe; Belafsky, Peter C.

In: Disability and Rehabilitation, 04.05.2017, p. 1-5.

Research output: Contribution to journalArticle

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abstract = "Purpose: To develop and evaluate the psychometric properties of the Pediatric version of the caregiver administered Eating Assessment Tool. Methods: The study included developmental phase and reported content, criterion validity, internal consistency and test–retest reliability of the Pediatric Eating Assessment Tool. Literature review and the original Eating Assessment Tool were used for line-item generation. Expert consensus assessed the items for content validity over two Delphi rounds. Fifty-one healthy children to obtain normative data and 138 children with cerebral palsy to evaluate test–retest reliability, internal consistency, and criterion validity were included. The Penetration-Aspiration Scale was used to assess criterion validity. Results: All items were found to be necessary. Content validity index was 0.91. The mean score of Pediatric Eating Assessment Tool for healthy children and children with cerebral palsy was 0.26 ± 1.83 and 19.5 ± 11, respectively. The internal consistency was high with Cronbach’s alpha =0.87 for test and retest. An excellent correlation between the Pediatric Eating Assessment Tool and Penetration-Aspiration score for liquid and pudding swallowing was found (p < 0.001, r = 0.77; p < 0.001, r = 0.83, respectively). A score >4 demonstrated a sensitivity of 91.3{\%} and specificity of 98.8{\%} to predict penetration/aspiration. Conclusions: The Pediatric Eating Assessment Tool was shown to be a valid and reliable tool to determine penetration/aspiration risk in children.Implications for rehabilitationThe pediatric eating assessment tool: a new dyphagia-specific outcome survey for children.The Pediatric Version of the Eating Assessment Tool is a dysphagia specific, parent report outcome instrument to determine penetration/aspiration risk in children.The Pediatric Version of the Eating Assessment Tool has good internal consistency, test–retest reliability and criterion-based validity.The Pediatric Version of the Eating Assessment Tool may be utilized as a clinical instrument to assess the need for further instrumental evaluation of swallowing function in children.",
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