Retrospective ratings of 100 first time-documented stroke patients on the Functional Oral Intake Scale

McMicken, Betty L.; Muzzy, Cheryl L; Calahan, Sean

doi:10.3109/09638280903437238

Cited by 16 publications

(9 citation statements)

References 14 publications

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“…The deficiency of a consistent approach in discovering eating difficulties in stroke patients leads to a discrepancy between patients eating problems and relevant actions taken. Current instruments of measuring eating difficulties are fragmented and predominantly use functional benchmarks [2,5,6,39,[46][47][48][49]. This is important but not sufficient.…”

Section: Discussionmentioning

confidence: 98%

“…Using key articles means that nearly all of them treat issues reflected in other articles. An example of this overlap is swallowing difficulties where two articles were chosen as key articles [46,47] but actually 64 articles on the subject passed the inclusion criteria. The eliminated articles did not provide any new perspectives for the concept analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Swallowing difficulties (dysphagia) have been a popular target for investigation and numerous tools that exclusively contain items related to the process of eating are proposed in the literature. Among these tools are the Standardized Swallowing Assessment and the Functional Oral Intake Scale [46,47].…”

Section: Measurement and Interventions Used In Research And Clinical mentioning

confidence: 99%

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Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Klinke¹,

Wilson

Hafsteinsdøttir

et al. 2012

Disability and Rehabilitation

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Measurement and Interventions Used In Research And Clinical mentioning

confidence: 99%

See 1 more Smart Citation

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Klinke¹,

Wilson

Hafsteinsdøttir

et al. 2012

Disability and Rehabilitation

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“… 22 23 The FOIS reflects the functional oral intake of patients with dysphagia and has adequate reliability, validity and sensitivity to change in functional oral intake in patients with stroke. 23 24 It is a seven-point scale (level 1–7), developed to systematically rate the functional level of oral intake of food and liquid. Residents with level 1 (nothing by mouth) till level 6 (total oral diet with multiple consistencies without special preparation but with specific food limitations) will be included.…”

Section: Methods and Analysismentioning

confidence: 99%

Effect of daily application of a 0.05% chlorhexidine solution on the incidence of (aspiration) pneumonia in care home residents: design of a multicentre cluster randomised controlled clinical trial

Hollaar

C²,

et al. 2015

BMJ Open

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IntroductionPneumonia is an important cause of death in care home residents. Dysphagia and poor oral health are significant risk factors for developing aspiration pneumonia. Oral hygiene care reduces the number of oral bacteria and the risk of aspiration pneumonia. However, it is not clear yet which oral hygiene care intervention is most efficacious in reducing the risk of aspiration pneumonia. The aim of the study is to assess whether the application of a 0.05% chlorhexidine-containing solution in addition to the usual daily oral hygiene care reduces the incidence of pneumonia in physically disabled care home residents with dysphagia.Methods and analysisThe study was designed as a multicentre cluster randomised controlled clinical trial, with care homes as units of randomisation. During 1 year, 500 physically disabled care home residents with dysphagia will be followed. The intervention consists of applying a 0.05% chlorhexidine-containing solution twice daily, immediately after the usual oral hygiene care, whereas the control group receives no application after the usual oral hygiene care. The primary outcome is the incidence of pneumonia diagnosed by a physician, using a set of strictly described criteria. The effect of the intervention on the incidence of pneumonia will be determined using a Cox regression analysis. The secondary outcomes are correlations between incidence of pneumonia, age, gender, diagnosed diseases, dysphagia severity, care dependency, actually used medication, number of teeth and implants present and the presence of removable dentures.Ethics and disseminationEthical approval was obtained from the Medical Ethical Committee of Radboud university medical centre: NL.nr: 41990.091.12. Written and informed consent will be obtained from all participating care homes and residents. The study's findings will be published in peer-reviewed journals.Trial registration numberThe trial has been registered in the Netherlands in the National Trial Register: TC=3515.

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“…This seven-point observer rating scale is considered a reliable and valid tool that can be applied without placing an additional burden on the patient. In adults with dysphagia, the FOIS has been reported to correlate significantly with the Food Intake Level scale (8), swallowing item of the Functional Assessment Measure (9), Mann Assessment of Swallowing Ability, modified Barthel Index, modified Rankin scale, and dysphagia and aspiration during a videofluoroscopic swallowing study (VFSS) (7). Despite the wide use of the FOIS to evaluate dysphagia and assess oral intake recovery in adults (10), it has not been validated for use in infants.…”

Section: Introductionmentioning

confidence: 99%

Psychometrics of the Functional Oral Intake Scale for Infants

Shin

2019

Front. Pediatr.

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This study aimed to investigate the reliability and validity of the Functional Oral Intake Scale (FOIS) for infants. Infants (age, <1 year) who underwent a videofluoroscopic swallowing study (VFSS) were included in this retrospective study. Their nutrition records at the time of the VFSS were separately evaluated by two raters using the five-point FOIS for infants. Categorical swallowing and aspiration impairment scale data were also obtained from the VFSS. The inter-rater reliability of the FOIS for infants was high (95.5% absolute agreement) among the 201 evaluated infants, and this scale was significantly correlated with aspiration severity in the VFSS. We also investigated whether infants with partial oral feeding (POF) at the FOIS evaluation had achieved full oral feeding within 1 year of the evaluation and used this information to estimate whether the caloric contribution, as well as consistency of oral feeding, affected the feeding outcomes. This analysis included 33 infants who were receiving both oral and tube feeding (i.e., POF). Among them, 26 infants achieved full oral feeding (FOF) without tube feeding after 1 year. Their initial contribution from oral feeding was higher than that in infants who still maintained POF after 1 year (28.46 ± 22.79 vs. 6.00 ± 5.45%, p < 0.001). The five-point FOIS for infants, which reflected the expansion of their oral diet with growth, had adequate reliability and validity. The caloric contribution as well as consistency of oral feeding could be used to distinguish FOIS levels 2 and 3, which correspond to the POF status in infants.

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Retrospective ratings of 100 first time-documented stroke patients on the Functional Oral Intake Scale

Abstract: The FOIS is a valid and reliable instrument that is similar in design to the SFAM and requires minimal training for implementation. The transition from the SFAM to the FOIS will provide RLANRC with a reliable and valid assessment protocol.

Cited by 16 publications

References 14 publications

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Recognizing new perspectives in eating difficulties following stroke: a concept analysis

Effect of daily application of a 0.05% chlorhexidine solution on the incidence of (aspiration) pneumonia in care home residents: design of a multicentre cluster randomised controlled clinical trial

Psychometrics of the Functional Oral Intake Scale for Infants

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