Translation and validation of traditional Chinese version of the pediatric eating assessment Tool-10

Sz-Ting Wang; Kun-Tai Kang; Wen-Chin Weng; Pin-Hung Lu; Chi-Fen Chang; Yuh-Yu Lin; Yu-Chen Lee; Chen-Yu Chen; Jing-Chun Song; Wei-Chung Hsu

doi:10.1016/j.jfma.2024.04.010

Translation and validation of traditional Chinese version of the pediatric eating assessment Tool-10

J Formos Med Assoc. 2024 Apr 22:S0929-6646(24)00210-9. doi: 10.1016/j.jfma.2024.04.010. Online ahead of print.

Authors

Sz-Ting Wang¹, Kun-Tai Kang², Wen-Chin Weng³, Pin-Hung Lu⁴, Chi-Fen Chang⁵, Yuh-Yu Lin⁵, Yu-Chen Lee⁵, Chen-Yu Chen⁵, Jing-Chun Song⁵, Wei-Chung Hsu⁶

Affiliations

¹ Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan; Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
² Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Department of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan; Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan.
³ Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
⁴ Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
⁵ Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
⁶ Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Department of Otolaryngology, College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address: hsuwc@ntu.edu.tw.

PMID: 38653676
DOI: 10.1016/j.jfma.2024.04.010

Abstract

Background: /Purpose: The Pediatric Eating Assessment Tool-10 (Pedi-EAT-10) is a caregiver-administrated subjective questionnaire for evaluating swallowing and feeding disorders among children. This study translated the Pedi-EAT-10 into Traditional Chinese and tested the translated version's reliability and validity.

Methods: Pedi-EAT-10 was translated into Traditional Chinese by experts and finalized after discussion and testing. A total of 168 participants, consisting of 32 children with dysphagia from a tertiary medical center and 136 healthy controls from its Children Care Center for Employees, were recruited. All participants were assessed by an otolaryngologist and speech-language pathologist. The reliability, validity, and efficacy of the translated Pedi-EAT-10 were analyzed to ensure it could be used to identify pediatric dysphagia and feeding problems.

Results: The Traditional Chinese version of the Pedi-EAT-10 had significant clinical discriminative validity between the dysphagia group and the control group (total score = 9.6 vs. 2.6, P < 0.001), acceptable test-retest reliability (intraclass correlation = 0.63), and excellent internal consistency (Cronbach's α = 0.91 for the entire cohort). The overall performance of the test for distinguishing children with dysphagia from normal controls was acceptable, and the area under the curve was 74.8% (sensitivity = 71.9%; specificity = 69.9%). The optimal cutoff score was ≥3 on the Youdex index.

Conclusions: The Traditional Chinese version of the Pedi-EAT-10 has fair reliability and validity and can be quickly and easily completed by caregivers. The translated Ped-EAT-10 can be used as a first-line tool for assessing the need for further referral and instrumental examination.

Keywords: Child; Deglutition disorders; Dysphagia; Pediatric eating assessment Tool-10; Surveys and questionnaires; Validation.