Skip to main content
Log in

Development of a Dutch Version of the Sydney Swallow Questionnaire: Assessing Oropharyngeal Dysphagia Severity in Dutch-Speaking Populations

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Aims

The oropharyngeal dysphagia (OD) poses substantial health risks and affects quality of life. Patient-reported outcome measures (PROMs) are gaining prominence for their crucial role in early detection and adapting rehabilitation and management decisions. This highlights the need for culturally pertinent versions in different languages, especially when addressing conditions like OD. This study aimed to translate, culturally adapt, and assess the test-retest reliability of the Sydney Swallow Questionnaire (SSQ), a PROM designed to detect the risk of OD, for Dutch-speaking populations.

Materials and Methods

The SSQ was translated and adapted based on Beaton’s guidelines. Validity and test-retest reliability were assessed in 100 healthy participants, with a subset of 30 participants assessed over a 15-day interval. Intra-class correlation coefficient (ICC) values were calculated to determine test-retest reliability.

Results

The SSQ-Dutch was well received and well understood, with a median total score of 65.5/1700. Notably, 95% of participants scored below the established dysphagia risk cut-off, consistent with previous validations. The 15-day interval ICC for the SSQ-Dutch total scores was 0.82 (CI 95%: 0.66–0.91), indicating good reliability. While most questions had moderate-to-good reliability, five showed slightly lower ICC.

Conclusion

The SSQ-Dutch emerges as a validated and reliable tool for assessing OD risk in Dutch-speaking individuals. Future studies should evaluate its efficacy in symptomatic populations and consider cultural variations in Dutch-speaking regions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data Availability

The data that support the findings of this study are available on request from the corresponding author.

References

  1. Speyer R et al (2021) White Paper by the European Society for Swallowing Disorders: Screening and Non-instrumental Assessment for Dysphagia in Adults. Dysphagia, : p. 1–17

  2. Schindler A, Ginocchio D, Ruoppolo G (2008) What we don’t know about dysphagia complications? Revue de laryngologie - otologie - rhinologie. 129(2):75–78

  3. Moller R, Safa S, Ostberg P (2016) Validation of the Swedish translation of eating assessment tool (S-EAT-10). Acta Otolaryngol 136(7):749–753

    Article  PubMed  Google Scholar 

  4. Balandin S et al (2009) Understanding mealtime changes for adults with cerebral palsy and the implications for support services. J Intellect Dev Disabil 34(3):197–206

    Article  PubMed  Google Scholar 

  5. Gustafsson B, Tibbling L (1991) Dysphagia, an unrecognized handicap. Dysphagia 6(4):193–199

    Article  CAS  PubMed  Google Scholar 

  6. Ekberg O et al (2002) Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 17(2):139–146

    Article  PubMed  Google Scholar 

  7. Argov Z, de Visser M (2021) Dysphagia in adult myopathies. Neuromuscul Disord 31(1):5–20

    Article  PubMed  Google Scholar 

  8. Tarlarini C et al (2019) Taste changes in amyotrophic lateral sclerosis and effects on quality of life. Neurol Sci 40(2):399–404

    Article  PubMed  Google Scholar 

  9. Martin-Harris B (2008) Clinical implications of respiratory-swallowing interactions. Curr Opin Otolaryngol Head Neck Surg 16(3):194–199

    Article  PubMed  PubMed Central  Google Scholar 

  10. Cichero JAY, Murdoch BE (2006) Dysphagia : foundation, theory and practice. Wiley. vi, New York, p 572

    Google Scholar 

  11. Rommel N, Hamdy S (2016) Oropharyngeal dysphagia: manifestations and diagnosis. Nat Rev Gastroenterol Hepatol 13(1):49–59

    Article  PubMed  Google Scholar 

  12. Espitalier F et al (2018) International consensus (ICON) on assessment of oropharyngeal dysphagia. Eur Ann Otorhinolaryngol Head Neck Dis 135(1s):S17–s21

    Article  CAS  PubMed  Google Scholar 

  13. Bours GJ et al (2009) Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review. J Adv Nurs 65(3):477–493

    Article  PubMed  Google Scholar 

  14. Wilson JMG, Jungner G, World Health O, Wilson JMG, Jungner G (1968) World Health Organization: Geneva

  15. Audag N et al (2019) Validation and reliability of the French Version of the Sydney Swallow Questionnaire. Dysphagia 34(4):556–566

    Article  PubMed  Google Scholar 

  16. Etges CL et al (2014) Screening tools for dysphagia: a systematic review. Codas 26(5):343–349

    Article  PubMed  Google Scholar 

  17. Speyer R (2013) Oropharyngeal dysphagia: screening and assessment. Otolaryngol Clin North Am 46(6):989–1008

    Article  PubMed  Google Scholar 

  18. Kingsley C, Patel S (2017) Patient-reported outcome measures and patient-reported experience measures. BJA Educ 17(4):137–144

    Article  Google Scholar 

  19. Wallace KL, Middleton S, Cook IJ (2000) Development and validation of a self-report symptom inventory to assess the severity of oral-pharyngeal dysphagia. Gastroenterology 118(4):678–687

    Article  CAS  PubMed  Google Scholar 

  20. Dwivedi RC et al (2012) Evaluation of swallowing by Sydney Swallow Questionnaire (SSQ) in oral and oropharyngeal cancer patients treated with primary surgery. Dysphagia 27(4):491–497

    Article  PubMed  Google Scholar 

  21. Holland G et al (2011) Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey. Dis Esophagus 24(7):476–480

    Article  CAS  PubMed  Google Scholar 

  22. Archer SK et al (2013) Dysphagia in Duchenne muscular dystrophy assessed by validated questionnaire. Int J Lang Commun Disord 48(2):240–246

    Article  PubMed  Google Scholar 

  23. Audag N et al (2021) Screening for oropharyngeal dysphagia in adult patients with neuromuscular diseases using the Sydney Swallow Questionnaire. Muscle Nerve 64(3):277–284

    Article  PubMed  Google Scholar 

  24. Wu PI et al (2019) Novel therapeutic strategy for Pharyngoesophageal stricture following total laryngectomy. Otolaryngol Head Neck Surg 160(3):567–569

    Article  PubMed  Google Scholar 

  25. Arenaz Bua B, Bulow M (2014) Validation in Swedish of Sydney swallow questionnaire. BMC Res Notes 7:742

    Article  PubMed  PubMed Central  Google Scholar 

  26. Bohlender JE et al (2021) [The German Sydney Swallow Questionnaire : reliability and validity in patients with oropharyngeal dysphagia]. Hno 69(12):969–977

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Atar S et al (2022) Validity and reliability of the Turkish version of the Sydney Swallow Questionnaire. Am J Speech Lang Pathol, : p. 1–10

  28. Nimmons D et al (2016) A longitudinal study of symptoms of Oropharyngeal Dysphagia in an Elderly Community-Dwelling Population. Dysphagia 31(4):560–566

    Article  PubMed  PubMed Central  Google Scholar 

  29. Szczesniak MM et al (2014) The normative range for and age and gender effects on the Sydney Swallow Questionnaire (SSQ). Dysphagia 29(5):535–538

    Article  PubMed  Google Scholar 

  30. Chung CYJ et al (2019) Validation of the Dutch EAT-10 for screening of oropharyngeal dysphagia in the elderly population. Tijdschr Gerontol Geriatr 50(4)

  31. Samuels EE et al (2021) Validation of the Dutch Version of the M.D. Anderson Dysphagia Inventory for Neurogenic patients. Folia Phoniatr Logop 73(1):42–49

    Article  PubMed  Google Scholar 

  32. Simpelaere IS et al (2017) Validation of the Dutch version of the swallowing quality-of-life questionnaire (DSWAL-QoL) and the adjusted DSWAL-QoL (aDSWAL-QoL) using item analysis with the Rasch model: a pilot study. Health Qual Life Outcomes 15(1):66

    Article  PubMed  PubMed Central  Google Scholar 

  33. Bogaardt HC et al (2009) Cross-cultural adaptation and validation of the Dutch version of SWAL-QoL. Dysphagia 24(1):66–70

    Article  CAS  PubMed  Google Scholar 

  34. Shaker R et al (2013) Principles of Deglutition A Multidisciplinary Text for Swallowing and its Disorders. Springer New York : Imprint: Springer,: New York, NY. p. 1 online resource

  35. Beaton DE et al (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 25(24):3186–3191

    Article  CAS  PubMed  Google Scholar 

  36. Koo TK, Li MY (2016) A Guideline of selecting and reporting Intraclass correlation coefficients for Reliability Research. J Chiropr Med 15(2):155–163

    Article  PubMed  PubMed Central  Google Scholar 

  37. Everitt BSS (2011) A., The Cambridge Dictionary of Statistics (4th edition). Reference Reviews, 25(5): p. 37–38

  38. Bel S (2015) Temps de préparation et durée des repas, in Enquête De Consommation Alimentaire 2014–2015. WIV-ISP, Editor., WIV-ISP: Bruxelles. Rapport 1

    Google Scholar 

Download references

Acknowledgements

The authors extend their gratitude to those who contributed to the questionnaire’s translation. Additionally, we are deeply grateful to all the individuals who generously dedicated their time to respond to the questionnaire.

Funding

Nicolas Audag and G. Reychler received a grant from Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicolas Audag.

Ethics declarations

Conflicts of Interest/Competing Interests

The authors have no relevant financial or non-financial conflicts of interest to declare.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Supplementary Material 1

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Audag, N., Liistro, G., Vandervelde, L. et al. Development of a Dutch Version of the Sydney Swallow Questionnaire: Assessing Oropharyngeal Dysphagia Severity in Dutch-Speaking Populations. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04484-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12070-024-04484-3

Keywords

Navigation