Cross‐cultural adaptation and validation of the Italian version of the Montreal Children's Hospital Feeding Scale in a special healthcare needs population

Sforza, Elisabetta; Onesimo, Roberta; Leoni, Chiara; Giorgio, Valentina; Rigante, Donato; Proli, Francesco; Kuczynska, Eliza Maria; Ramsay, Maria; Zampino, Giuseppe

doi:10.1111/1460-6984.12857

Cited by 4 publications

(4 citation statements)

References 33 publications

(54 reference statements)

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“…Another interesting finding observed in the present study was the high prevalence (40%) of constant hunger, regardless of age or gender, which was remarkably reported to commonly occur in association with food refusal. Moreover, the administration of the I-MCH-FS allowed us to quantify feeding difficulties in the CFCS children, showing, in most cases, results above the normality range [24,25], confirming the extent of these issues experienced by the entire families and/or caregivers [13]. The described negative mealtime behaviours, including long feeding time and tendency to spit foods [29], are triggered by impaired oral sensory regulation, quantified in this study by the SP questionnaire.…”

Section: Discussionsupporting

confidence: 76%

“…The presence of feeding disorders was first screened thorough the administration of the Italian version of the Montreal Children's Hospital Feeding Scale (I-MCH-FS) [24]. The scale is composed of 14 items and covers 7 feeding domains including oral sensory and motor abilities, mealtime behaviours, appetite, caregiver concerns about feeding, family strategies and reactions to their child's feeding during mealtime [25].…”

Section: Measures and Proceduresmentioning

confidence: 99%

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The “FEEDS (FEeding Eating Deglutition Skills)” over Time Study in Cardiofaciocutaneous Syndrome

Onesimo

Sforza

Giorgio

et al. 2023

Genes

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Feeding, eating and deglutition difficulties are key concerns in patients with cardiofaciocutaneous syndrome (CFCS). This study intends to quantify the development of feeding skills from birth to adulthood in patients with CFCS. Twenty-seven patients (eight males; mean age: 16.7 ± 8.3 years; median age: 15 years, age range: 1.5–38 years) with molecularly confirmed clinical diagnosis of CFCS were prospectively recruited from the Rare Disease Unit, Paediatrics Department, Fondazione Policlinico Agostino Gemelli-IRCCS, Rome, Italy, over a one-year period. Pathogenic variants along with key information regarding oro-motor features were collected. Sialorrhea was quantified using the Drooling Quotient 5. Feeding abilities were screened using the Italian version of the Montreal Children’s Hospital Feeding Scale (I-MCH-FS). The oral sensory processing section of the Sensory Profile completed the assessment. Mild-to-profuse drooling was experienced by 25% of patients, and food taste selectivity was a constant during infancy (65%), with persistence even beyond adolescence. Nineteen percent of participants with long-term enteral feeding dependency had BRAF, KRAS and MAP2K1 mutations. These findings document that mealtime challenges in CFCS do not remain restricted only to the paediatric age, and that supportive care until adulthood plays a key role.

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Section: Discussionsupporting

confidence: 76%

Section: Measures and Proceduresmentioning

confidence: 99%

The “FEEDS (FEeding Eating Deglutition Skills)” over Time Study in Cardiofaciocutaneous Syndrome

Onesimo

Sforza

Giorgio

et al. 2023

Genes

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“…Moreover, the administration of I‐PEDI‐EAT‐10, along with tools specifically developed for the detection of feeding issues (Ramsay et al., 2011; Romano et al., 2017; Sforza et al., 2023), can be part of the comprehensive and timely assessment of eating and drinking functions. As per the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) guidelines for children with neurological impairment (Romano et al., 2017), a prompt diagnosis of dysphagia has a key role in the management and implementation/introduction of early rehabilitation interventions.…”

Section: Discussionmentioning

confidence: 99%

Validation and cross‐cultural adaptation of the Italian version of the paediatric eating assessment tool (I‐PEDI‐EAT‐10) in genetic syndromes

Onesimo,

Sforza,

Triumbari

et al. 2023

Intl J Lang & Comm Disor

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BackgroundThe Pediatric Eating Assessment Tool (PEDI‐EAT‐10) is a reliable and valid tool for rapid identification of dysphagia in patients aged 18 months to 18 years.AimsTo translate and adapt the PEDI‐EAT‐10 into the Italian language and evaluate its validity and reliability.Methods & ProceduresThe translation and cross‐cultural adaptation of the tool consisted of five stages: initial translation, synthesis of the translations, back translation, expert committee evaluation and test of the prefinal version. The internal consistency of the translated tool was analysed in a clinical group composed of 200 patients with special healthcare needs aged between 18 months and 18 years. They were consecutively enrolled at the Rare Disease Unit, Paediatrics Department, Fondazione Policlinico Agostino Gemelli‐IRCCS, Rome. For test–retest reliability, 50 caregivers filled in the PEDI‐EAT‐10 questionnaire for a second time after a 2‐week period. Construct validity was established by comparing data obtained from patients with data from healthy participants (n = 200). The study was approved by the local ethics committee.Outcomes & ResultsPsychometric data obtained from patients (104 M; mean age = 8.08 ± 4.85 years; median age = 7 years) showed satisfactory internal consistency (Cronbach's α = 0.89) and test–retest reliability (Pearson r = 0.99; Spearman r = 0.96). A total of 30% of children were classified as having a high risk of penetration/aspiration. The Italian PEDI‐EAT‐10 mean total score of the clinical group was significantly different from that resulting from healthy participants.Conclusions & ImplicationsThe PEDI‐EAT‐10 was successfully translated into Italian, validated and found to be a reliable one‐page rapid screening tool to identify dysphagia in children and adolescents with special needs.What this paper addsWhat is already known on the subject The PEDI‐EAT‐10 is a valid and reliable quick discriminative paediatric tool for identifying penetration/aspiration risks.What this paper adds to the existing knowledge In the present study we successfully translated and adapted the PEDI‐EAT‐10 into the Italian language.What are the potential or actual clinical implications of this work? This translation and adaptation increase access to valid feeding and swallowing assessment for children of Italian‐speaking families. In addition, the I‐PEDI‐EAT‐10 can suggest further assessment of patients’ swallowing abilities.

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“…The Italian version of the Montreal Children's Hospital Feeding Scale (I-MCH-FS) [12] was administered to assess the presence of feeding disorders. The scale is composed of 14 items covering five domains related to mealtimes: parental concerns about feeding and children's growth; strategies; children's oral motor and sensory abilities; appetite, mealtime duration, and behavior; and family relationships influenced by feeding [13].…”

Section: Scale and Questionnairementioning

confidence: 99%

From Feeding Challenges to Oral-Motor Dyspraxia: A Comprehensive Description of 10 New Cases with CTNNB1 Syndrome

Onesimo,

Sforza,

Trevisan

et al. 2023

Genes

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CTNNB1 syndrome is an autosomal-dominant neurodevelopmental disorder featuring developmental delay; intellectual disability; behavioral disturbances; movement disorders; visual defects; and subtle facial features caused by de novo loss-of-function variants in the CTNNB1 gene. Due to paucity of data, this study intends to describe feeding issues and oral-motor dyspraxia in an unselected cohort of 10 patients with a confirmed molecular diagnosis. Pathogenic variants along with key information regarding oral-motor features were collected. Sialorrhea was quantified using the Drooling Quotient 5. Feeding abilities were screened using the Italian version of the Montreal Children’s Hospital Feeding Scale (I-MCH-FS). Mild-to-severe coordination difficulties in single or in a sequence of movements involving the endo-oral and peri-oral muscles were noticed across the entire cohort. Mild-to-profuse drooling was a commonly complained-about issue by 30% of parents. The mean total I-MCH-FS t-score equivalent was 43.1 ± 7.5. These findings contribute to the understanding of the CTNNB1 syndrome highlighting the oral motor phenotype, and correlating specific gene variants with clinical characteristics.

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Cross‐cultural adaptation and validation of the Italian version of the Montreal Children's Hospital Feeding Scale in a special healthcare needs population

Cited by 4 publications

References 33 publications

The “FEEDS (FEeding Eating Deglutition Skills)” over Time Study in Cardiofaciocutaneous Syndrome

The “FEEDS (FEeding Eating Deglutition Skills)” over Time Study in Cardiofaciocutaneous Syndrome

Validation and cross‐cultural adaptation of the Italian version of the paediatric eating assessment tool (I‐PEDI‐EAT‐10) in genetic syndromes

From Feeding Challenges to Oral-Motor Dyspraxia: A Comprehensive Description of 10 New Cases with CTNNB1 Syndrome

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