Validation and Cultural Adaptation of a Greek Version of Pediatric Eating Assessment Tool 10 (Pedi – EAT – 10) in Greek-Cypriot Parents

Abstract

Purpose:The Pediatric Eating Assessment Tool (Pedi - EAT - 10) is a clinical screening tool that has been designed to assess pediatric patients at risk of penetration and/or aspiration symptoms of dysphagia, reported by parents or caregivers. The aim of this study was to translate and validate Pedi-EAT-10 in Greek language and to correlate its results with the Penetration and Aspiration scale (PAS) and pharyngeal residue. Methods: This study included sample of 222 parents or caregivers who have children with and without feeding and/or swallowing disorders. The children were randomly selected from cypriot public school, cypriot special public school, and the Speech, Language, and Hearing clinic of the European University of Cyprus; the children’s parents filled out the Pedi-EAΤ-10 questionnaire. For test-retest reliability, all participants administered the Pedi-EAT-10 again once more 2 weeks after the initial administration. Results: Validity was established by comparing the scores of children with and without feeding and/or swallowing disorders. Internal consistency of Pedi-EAT-10 was high (Cronbach's alpha 0.801). The split-half reliability technique demonstrated very good Pedi-EAT-10 internal consistency (split-half reliability coefficient = 0.789). A test-retest reliability measure showed strong correlation (r= 0.998). The cut-off point of Pedi-EAT-10 total score and PAS scale was 11.00. Finally, Pedi-EAT-10 total score in predicting pharyngeal residue observed a cut-off of 8.00. Conclusion:In conclusion, the Greek version of Pedi-EAT-10 is shown to be a clinically valid and reliable screening tool for the assessment of the pediatric population with a risk of dysphagia.

Exploring the diagnostic accuracy and applicability of the Gugging Swallowing Screen in children with feeding and/or swallowing disorders

“…The PEDI-EAT-10 is a clinical screening tool developed to examine pediatric patients with dysphagia symptoms of penetration and/or aspiration reported by parents, and it has been translated and validated from its original version 31 into the Greek language in a pilot study. 33 This tool can screen for dysphagia severity by responding on a Likert scale ranging from 0 (no problem) to 4 (severe problem) and completing 10 questions. 31,33 The questionnaire was initially applied to the pediatric population by Serel Arslan 31 and subsequently translated into other languages.…”

“…33 This tool can screen for dysphagia severity by responding on a Likert scale ranging from 0 (no problem) to 4 (severe problem) and completing 10 questions. 31,33 The questionnaire was initially applied to the pediatric population by Serel Arslan 31 and subsequently translated into other languages.…”