Patient Reported Outcome Measures in Dysphagia Research Following Stroke: A Scoping Review and Qualitative Analysis

Abstract

Patient reported outcome measures (PROMs) are commonly used to evaluate the impact of a health condition on quality of life (QOL). This study aimed to identify the range of PROMs that are currently in common use in clinical trials in dysphagia following stroke and to qualitatively analyse these PROMs by mapping the content to both the International Classification of Functioning and Disability Framework (ICF) and the Core Outcome Measures in Effectiveness Trials (COMET) Taxonomy for outcome classification. With consideration for the PRISMA-ScR checklist, a scoping review was conducted to identify commonly used PROMs in randomised controlled trials reported in persons with dysphagia stroke. A search of five databases was conducted. Studies were excluded if they included pediatric participants i.e. < 18 years of age, or if the text was not available in the English language. 110 papers met the inclusionary criteria. Twelve of these 110 papers included a dysphagia PROM. Two PROMs were identified as being in common use—the SWAL-QOL and the EAT-10. These two tools consisted of 47 items and 78 meaningful concepts, which were subsequently mapped to the ICF and the COMET Taxonomy. Mapping to the ICF showed that neither tool directly assessed the impact of ‘Environmental Factors’ on the experience of dysphagia. Mapping to the COMET Taxonomy showed that neither tool considered the impact of ‘Role Functioning’ on the person’s experience of dysphagia. The development of a suitable and appropriate patient-reported assessment tool for use in those with dysphagia following stroke is warranted.

Behavioural interventions for swallowing in subjects with Parkinson's disease: A mixed methods systematic review

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Psychosocial impacts of being nil‐by‐mouth as an adult: A scoping review

“…For example, the National Health Service (NHS) is increasingly using outcomes to guide commissioning, with the aim of providing cost-effective services with patient benefit British Pain Society (2019). Frequently used outcome measures for dysphagia such as the EAT-10 and SWAL-QOL capture both impairmentbased and psychosocial aspects (Moloney et al, 2023). Scoping the current literature to identify how psychosocial impact for those who are NBM is being measured is fundamental to understanding outcomes and experiences of this population, within the ICF framework.…”

Transadaptation and Validation of the Telugu Version of the Dysphagia Handicap Index

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