Ann Rehabil Med.  2013 Aug;37(4):479-487. 10.5535/arm.2013.37.4.479.

Validity and Reliability of the Korean Version of the MD Anderson Dysphagia Inventory for Head and Neck Cancer Patients

• Kwon CH
• Kim YH
• Park JH
• Oh BM
• Han TR

• KMID: 2266603
• DOI: http://doi.org/10.5535/arm.2013.37.4.479

Abstract

OBJECTIVE
To translate the MD Anderson Dysphagia Inventory (MDADI) which is a self-administered questionnaire that assesses effect of dysphagia on the quality of life for patients with head and neck cancer, into Korean and to verify the validity and reliability of the Korean version of MDADI.
METHODS
We performed 6 steps for the cross-cultural adaptation which consisted of translation, synthesis, back translation, review by an expert committee, cognitive debriefing, and final proof reading. A total of 34 dysphagia patients with head and neck cancers from Seoul National University Hospital answered the translated version of the questionnaire for the pre-testing. The patients answered the same questionnaire 2 weeks later to verify the test-retest reliability.
RESULTS
One patient was excluded at second survey because he changed his feeding strategy. Overall, 33 patients completed the study. Linguistic validations were achieved by each step of cross-cultural adaptation. We gathered statistically strong construct validity (Spearman rho for subdomain scores to total score correlation range from 0.852 to 0.927), internal consistency for subdomains (Cronbach's alpha coefficients range from 0.785 to 0.889) and test-retest reliability (intra-class correlation coefficient range from 0.820 to 0.955)
CONCLUSION
The Korean version of the MDADI achieved linguistic validations and demonstrated good construct validity and reliability. It can be a useful tool for screening and treatment planning for the dysphagia of patients with head and neck cancers.

Keyword

Quality of life; Deglutition disorders; Head and neck neoplasm; Questionnaires

MeSH Terms

Deglutition Disorders
Head
Head and Neck Neoplasms
Humans
Linguistics
Mass Screening
Neck
Quality of Life
Reproducibility of Results
Surveys and Questionnaires

Figure

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  Fig. 1 Process of cross-cultural adaptation.

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  Fig. 2 Distribution of total score of Korean version of the MD Anderson dysphagia inventory (K-MDADI) according to the American Speech-Language-Hearing Association National Outcome Measurement System (ASHA-NOMS) score.

Reference

1. Jung KW, Park S, Kong HJ, Won YJ, Lee JY, Seo HG, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2009. Cancer Res Treat. 2012; 44:11–24. PMID: 22500156.

2. Kim KM, Kim YM, Shim YS, Kim KH, Chang HS, Choi JO, et al. Epidemiologic survey of head and neck cancers in Korea. J Korean Med Sci. 2003; 18:80–87. PMID: 12589092.

3. Sankaranarayanan R, Masuyer E, Swaminathan R, Ferlay J, Whelan S. Head and neck cancer: a global perspective on epidemiology and prognosis. Anticancer Res. 1998; 18:4779–4786. PMID: 9891557.

4. Fountzilas G, Tolis C, Kalogera-Fountzila A, Karanikiotis C, Bai M, Misailidou D, et al. Induction chemotherapy with cisplatin, epirubicin, and paclitaxel (CEP), followed by concomitant radiotherapy and weekly paclitaxel for the management of locally advanced nasopharyngeal carcinoma: a Hellenic Cooperative Oncology Group phase II study. Strahlenther Onkol. 2005; 181:223–230. PMID: 15827691.

5. Lin S, Tham IW, Pan J, Han L, Chen Q, Lu JJ. Combined high-dose radiation therapy and systemic chemotherapy improves survival in patients with newly diagnosed metastatic nasopharyngeal cancer. Am J Clin Oncol. 2012; 35:474–479. PMID: 21577086.

6. Lovell SJ, Wong HB, Loh KS, Ngo RY, Wilson JA. Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma. Head Neck. 2005; 27:864–872. PMID: 16114007.

7. Nguyen NP, Frank C, Moltz CC, Vos P, Smith HJ, Karlsson U, et al. Impact of dysphagia on quality of life after treatment of head-and-neck cancer. Int J Radiat Oncol Biol Phys. 2005; 61:772–778. PMID: 15708256.

8. Garcia-Peris P, Paron L, Velasco C, de la Cuerda C, Camblor M, Breton I, et al. Long-term prevalence of oropharyngeal dysphagia in head and neck cancer patients: impact on quality of life. Clin Nutr. 2007; 26:710–717. PMID: 17954003.

9. McHorney CA, Bricker DE, Kramer AE, Rosenbek JC, Robbins J, Chignell KA, et al. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia. 2000; 15:115–121. PMID: 10839823.

10. Woisard V, Andrieux MP, Puech M. Validation of a self-assessment questionnaire for swallowing disorders (Deglutition Handicap Index). Rev Laryngol Otol Rhinol (Bord). 2006; 127:315–325. PMID: 17425006.

11. Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, et al. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol. 2008; 117:919–924. PMID: 19140539.

12. Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, et al. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001; 127:870–876. PMID: 11448365.

13. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005; 8:94–104. PMID: 15804318.

14. Lee Y, Kim E, Oh SJ, Lee BS, Kim DA. The linguistic validation and reliability of the Korean version 'Qualiveen Questionnaire'. J Korean Acad Rehabil Med. 2010; 34:524–543.

15. Collins MM, O'Leary MP, Calhoun EA, Pontari MA, Adler A, Eremenco S, et al. The Spanish National Institutes of Health-Chronic Prostatitis Symptom Index: translation and linguistic validation. J Urol. 2001; 166:1800–1803. PMID: 11586227.

16. Oh SJ, Park HG, Paick SH, Park WH, Choo MS. Translation and linguistic validation of Korean version of the King's Health Questionnaire Instrument. Korean J Urol. 2005; 46:438–450.

17. Homma Y, Tsukamoto T, Yasuda K, Ozono S, Yoshida M, Shinji M. Linguistic validation of Japanese version of International Prostate Symptom Score and BPH impact index. Nihon Hinyokika Gakkai Zasshi. 2002; 93:669–680. PMID: 12385091.

18. Quittner AL, Sweeny S, Watrous M, Munzenberger P, Bearss K, Gibson Nitza A, et al. Translation and linguistic validation of a disease-specific quality of life measure for cystic fibrosis. J Pediatr Psychol. 2000; 25:403–414. PMID: 10980045.

19. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993; 46:1417–1432. PMID: 8263569.

20. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000; 25:3186–3191. PMID: 11124735.

21. American Speech-Language-Hearing Association. Adult Speech-Language pathology training manual. National Outcomes Measurement System (NOMS). Rockville: American Speech-Language-Hearing Association;1998.

22. CronbacH LJ, Meehl PE. Construct validity in psychological tests. Psychol Bull. 1955; 52:281–302. PMID: 13245896.

23. Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 4th ed. New York: Oxford University Press;2008.

24. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979; 86:420–428. PMID: 18839484.

25. Low J, Wyles C, Wilkinson T, Sainsbury R. The effect of compliance on clinical outcomes for patients with dysphagia on videofluoroscopy. Dysphagia. 2001; 16:123–127. PMID: 11305222.

26. Rosenvinge SK, Starke ID. Improving care for patients with dysphagia. Age Ageing. 2005; 34:587–593. PMID: 16267184.

27. Crawford H, Leslie P, Drinnan MJ. Compliance with dysphagia recommendations by carers of adults with intellectual impairment. Dysphagia. 2007; 22:326–334. PMID: 17701245.

28. List MA, Ritter-Sterr C, Lansky SB. A performance status scale for head and neck cancer patients. Cancer. 1990; 66:564–569. PMID: 2364368.

29. Lin BM, Starmer HM, Gourin CG. The relationship between depressive symptoms, quality of life, and swallowing function in head and neck cancer patients 1 year after definitive therapy. Laryngoscope. 2012; 122:1518–1525. PMID: 22467530.

30. de Leeuw JR, de Graeff A, Ros WJ, Blijham GH, Hordijk GJ, Winnubst JA. Prediction of depressive symptomatology after treatment of head and neck cancer: the influence of pre-treatment physical and depressive symptoms, coping, and social support. Head Neck. 2000; 22:799–807. PMID: 11084641.

31. Speyer R, Heijnen BJ, Baijens LW, Vrijenhoef FH, Otters EF, Roodenburg N, et al. Quality of life in oncological patients with oropharyngeal dysphagia: validity and reliability of the Dutch version of the MD Anderson Dysphagia Inventory and the Deglutition Handicap Index. Dysphagia. 2011; 26:407–414. PMID: 21279522.

32. 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; 27:361–369. PMID: 22105944.

33. Guedes RL, Angelis EC, Chen AY, Kowalski LP, Vartanian JG. Validation and application of the M.D. Anderson Dysphagia Inventory in patients treated for head and neck cancer in Brazil. Dysphagia. 2013; 28:24–32. PMID: 22684923.

34. Chen PH, Golub JS, Hapner ER, Johns MM 3rd. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Dysphagia. 2009; 24:1–6. PMID: 18368451.