Development of the Arabic Version of Dysphagia Handicap Index (DHI)

Farahat, Mohamed; Malki, Khalid H.; Mesallam, Tamer A.; Bukhari, Manal; Alharethy, Sami

doi:10.1007/s00455-014-9528-7

Cited by 30 publications

(38 citation statements)

References 15 publications

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“…P-DHI is a dysphagia-specific instrument and opposed to similar generic measures, it only limits the factors affecting the quality of life to dysphagia and not the other stressful events. In the present study, the mean P-DHI score was which is higher than what was reported by Silbergleit et al (9) and Farahat et al (14). Moreover, the highest P-DHI subscales score (worst QoL) was observed for the Physical subscale.…”

Section: Discussioncontrasting

confidence: 78%

“…It is a relatively new self-administered questionnaire that includes 25 items (9). The DHI has been translated into several languages such as Arabic (14), Persian (15), Japanese (16), and Hebrew (17). Factor structure analysis is a statistical method for investigating variable relationships for complex concepts such as socioeconomic status, quality of life, or psychological scales.…”

Section: Introductionmentioning

confidence: 99%

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An Investigation of the Factor Structure of the Persian Version of the Dysphagia Handicap Index

Bafrooei

Khatoonabadi

Maroufizadeh

et al. 2020

Middle East J Rehabil Health Stud

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Background: Oropharyngeal dysphagia harms all aspects of a person’s life, including behaviors, activities, and social situations. Quality of life is a multidimensional concept. The dysphagia handicap index (DHI) is a patient-reported outcomes tool that evaluates the different dimensions of quality of life in three physical, emotional, and functional factors in English-speaking countries. The validity of the Persian version of the dysphagia handicap index (DHI) has been evaluated in a study, but the reliability and factor analysis of the Persian version has not been investigated in any study. Objectives: This study aimed to investigate the factor structure analysis and reliability of the Persian version of the dysphagia handicap index (P-DHI). Methods: In this cross-sectional study, 100 patients with oropharyngeal dysphagia (mean age 55.69 ± 15.04, 53 women) completed the dysphagia handicap index (DHI). The severity of dysphagia was defined as follows: 1 for no dysphagia (normal), 2 and 3 for mild, 4, and 5 for moderate and 6 and 7for severe. Construct validity was examined by confirmatory factor analysis (CFA). Cronbach’s alpha and intraclass correlation coefficient (ICC) were performed to evaluate the internal consistency and test-retest reliability of the P-DHI, respectively. Results: The results of CFA provided support for a second-order three-factor model of P-DHI (χ2 = 484.61, df = 273, (P = 0.0001), χ2/df = 1.77; CFI = 0.901; RMSEA = 0.088 and SRMR = 0.010). The Cronbach’s alpha for physical, functional, and emotional subscales and total score were 0.751, 0.836, 0.773, and 0.900, respectively. The test-retest reliability of the P-DHI for the total score and subscales was high (ICC: 0.952 - 0.988). Furthermore, a significant relationship was found between the P-DHI total score and self-reported severity of dysphagia (P = 0.0001), while there were no relationships between P-DHI total score and age (P = 0.223), sex (P = 0.936), level of education (P = 0.113), disease duration (P = 0.126). Conclusions: The P-DHI is a reliable and valid instrument for assessing the disabling effects of swallowing disorders on the one’s Quality of Life in Iranian patients with oropharyngeal dysphagia due to a variety of diseases. Also, the CFA findings provide support for the tree-factor structure of the P-DHI and the use of the subscales as distinct variables.

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Section: Discussioncontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

An Investigation of the Factor Structure of the Persian Version of the Dysphagia Handicap Index

Bafrooei

Khatoonabadi

Maroufizadeh

et al. 2020

Middle East J Rehabil Health Stud

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“…Some of these tools were developed for studying certain disorders [3,27,28,29,30,31,32,33], while others have been criticized for being long, time-consuming, and for the difficulty in understanding individual items [19,34,35,36,37]. Serving the same purpose of developing a self-assessment tool of swallowing disorders, the Dysphagia Handicap Index was developed and translated into the Arabic language to provide valid and reliable patient-reported outcomes for dysphagia depending on the physical, functional, and emotional domains [38,39]. …”

Section: Discussionmentioning

confidence: 99%

Validation and Cultural Adaptation of the Arabic Version of the Eating Assessment Tool (EAT-10)

Farahat

Mesallam²

2015

Folia Phoniatr Logop

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Background and Objectives: The Eating Assessment Tool (EAT-10) is a 10-item self-administered questionnaire. It is a noninvasive tool to measure patients' perception of their swallowing problems. The purposes of the present study were to develop an Arabic version of the EAT-10 and to evaluate its validity, consistency, and reliability in the Arabic-speaking population with oropharyngeal dysphagia. Setting and Design: This was a prospective study carried out at the Communication and Swallowing Disorders Unit, King Saud University, Riyadh, Saudi Arabia. Subjects and Methods: The Arabic EAT-10 was administered to 138 patients with oropharyngeal dysphagia and 83 control subjects. Internal consistency and test-retest reliability were evaluated. Content and clinical validity were studied, and the EAT-10 results were compared across patients and control groups. Results: The Arabic EAT-10 showed excellent internal consistency (Cronbach's α = 0.92). Also, good test-retest reliability was found for the total scores of the Arabic EAT-10 (intraclass correlation = 0.73). There was a significant difference in Arabic EAT-10 scores between the oropharyngeal dysphagia group and the control group (p < 0.001). Conclusion: This study demonstrated that the Arabic EAT-10 is a valid tool that can be used for screening of dysphagia-related problems in an Arabic-speaking population.

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“…Silbergleit et al [ 7 ] developed the DHI, which is a patient-administered 25-item questionnaire that measures the handicapping effect of dysphagia on the emotional, functional, and physical aspects of the patient's life. DHI was translated into Arabic language and was found to be a valid and reliable tool for patients with oropharyngeal dysphagia including patients with LPR [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Self-Perception of Swallowing-Related Problems in Laryngopharyngeal Reflux Patients Diagnosed with 24-Hour Oropharyngeal pH Monitoring

Mesallam

Farahat

2016

BioMed Research International

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Background and Objectives. Swallowing difficulty is considered one of the nonspecific symptoms that many patients with laryngopharyngeal reflux complain of. However, the relationship between laryngopharyngeal reflux and swallowing problems is not clear. The purpose of this work is to explore correlation between swallowing-related problems and laryngopharyngeal reflux (LPR) in a group of patients diagnosed with oropharyngeal pH monitoring and to study the effect of laryngopharyngeal reflux on the patients' self-perception of swallowing problems. Methods. 44 patients complaining of reflux-related problems were included in the study. Patients underwent 24-hour oropharyngeal pH monitoring and were divided into positive and negative LPR groups based on the pH monitoring results. All patient filled out the Dysphagia Handicap Index (DHI) and Reflux Symptom Index (RSI) questionnaires. Comparison was made between the positive and negative LPR groups regarding the results of the DHI and RSI ratings. Also, correlation between DHI scores, RSI scores, and pH monitoring results was studied. Results. Significant difference was reported between positive and negative LPR groups regarding DHI scores, RSI scores, and overall rating of swallowing difficulty. There was significant correlation demonstrated between DHI scores, RSI scores, and 24-hour oropharyngeal pH results. Conclusion. Laryngopharyngeal reflux appears to have a significant impact on patients' self-perception of swallowing problems as measured by DHI.

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Development of the Arabic Version of Dysphagia Handicap Index (DHI)

Cited by 30 publications

References 15 publications

An Investigation of the Factor Structure of the Persian Version of the Dysphagia Handicap Index

An Investigation of the Factor Structure of the Persian Version of the Dysphagia Handicap Index

Validation and Cultural Adaptation of the Arabic Version of the Eating Assessment Tool (EAT-10)

Self-Perception of Swallowing-Related Problems in Laryngopharyngeal Reflux Patients Diagnosed with 24-Hour Oropharyngeal pH Monitoring

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