斯洛文尼亚语版进食评估工具（SI-EAT-10）在口咽性吞咽困难中的翻译效度和信度

文献信息

中文摘要

目的： 本研究旨在翻译、文化调适并评估斯洛文尼亚语版进食评估工具（SI-EAT-10）的心理测量学特性，该工具是一种患者报告的吞咽相关症状测量工具，用于成人吞咽困难患者。
材料与方法： SI-EAT-10根据既定指南进行翻译，并对203名患者和104名健康对照者进行了施测。评估了内容效度和标准效度、内部一致性以及重测信度。标准效度通过与功能性经口摄食量表（FOIS）和渗透-误吸量表（PAS）的相关性进行评估。
结果： 患者的SI-EAT-10得分高于健康对照者（中位数7 vs. 0）。阈值≥3分显示出100%的敏感性和93%的特异性（AUC = 0.96）。与FOIS（ρ = -0.84）和PAS（ρ = -0.89）存在强相关性。重测信度极好（ICC = 0.97）。内部一致性在患者中非常高（λ2 = 0.90），在健康对照者中中等（λ2 = 0.69）。内容效度被评为足够。
结论： SI-EAT-10是一种可靠且有效的自评工具，具有强大的心理测量学特征。它是斯洛文尼亚语人群中临床和研究使用的有用患者报告结局测量工具，对于评估吞咽相关症状、支持进一步诊断程序和康复规划具有相关性。

英文摘要

PURPOSE: This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Slovenian translation of The Eating Assessment Tool (SI-EAT-10) as a patient-reported measure of swallowing-related symptoms in adults with dysphagia.
MATERIALS AND METHODS: The SI-EAT-10 was translated according to established guidelines and administered to 203 patients and 104 healthy controls. Content and criterion validity, internal consistency, and test-retest reliability was assessed. Criterion validity was evaluated through correlations with the Functional Oral Intake Scale (FOIS) and Penetration-Aspiration Scale (PAS).
RESULTS: Patients had higher SI-EAT-10 scores than heathy controls (median 7 vs. 0). The threshold of ≥ 3 points showed 100% sensitivity and 93% specificity (AUC = 0.96). Strong correlations were found with FOIS (ρ = -0.84) and PAS (ρ = -0.89). Test-retest reliability was excellent (ICC = 0.97). Internal consistency was very high in patients (λ2 =0.90) and moderate in healthy controls (λ2 = 0.69). Content validity was rated as adequate.
CONCLUSIONS: The SI-EAT-10 is a reliable and valid self-assessment instrument with strong psychometric characteristics. It is a useful patient-reported outcome measure for clinical and research use in Slovenian-speaking populations, with relevance for evaluating swallowing-related symptoms, supporting further diagnostic procedures, and rehabilitation planning.