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Validity and reliability of the French version of Eating Assessment Tool (EAT-10)

European Archives of Oto-Rhino-Laryngology volume 276, pages 1727–1736 (2019)Cite this article

Abstract

Objective

To develop a French version of the Eating Assessment Tool (Fr EAT-10) and to assess its internal consistency, reliability and clinical validity.

Methods

Fifty-six patients referred in the Swallowing Clinics of CHU Saint-Pierre Hospital (Brussels) and EpiCURA hospital (Ath, Belgium) for dysphagia were enrolled and completed fiberoptic endoscopic evaluation of swallowing and videofluoroscopy. Seventy-three asymptomatic subjects were included in the study. To assess reliability, Fr-EAT-10 was completed twice within a 7-day period. Validity was assessed by comparing Fr-EAT-10 scores with the scores of dysphagia handicap index (DHI) in all individuals. Normative value of EAT-10 was calculated and the receiver operating characteristic (ROC) curve was used to determine the best Fr-EAT-10 threshold associated with aspiration.

Results

Fifty-two patients completed the study. Cronbach’s alpha was 0.95 indicating a high internal consistency. Test–retest reliability was high in the entire cohort (rs = 0.921). The correlation between Fr-EAT-10 total scores and DHI was high (rs = 0.827) indicating a high external validity. Patients had a significant higher score of Fr-EAT-10 than the controls (p < 0.001) exhibiting a high internal validity. The analysis of normative data reported that a score of Fr-EAT-10 > 3 should be considered as abnormal. The correlation between Fr-EAT-10 and the occurrence of aspiration is significant (rs = 0.327, p < 0.05). According to the ROC curve; aspirations need to be highly suspected for patients with Fr-EAT-10 ≥ 17.

Conclusion

The Fr-EAT-10 developed in this study is a reliable and valid self-administered tool in the evaluation of dysphagia in French-speaking patients.

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Acknowledgements

Robbie Mac (US native speaker) for the proofreading of the manuscript.

Author information

Author notes

  1. Dr. Jérôme R. Lechien and Dr. Gaëtan Cavelier have equally contributed to this work and should be regarded as joint first authors.

  2. Dr. Alexandra Rodriguez and Dr. Didier Dequanter should be regarded as senior authors.

Authors and Affiliations

  1. Research Committee of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France

    Jérôme R. Lechien

  2. Laboratory of Human Anatomy and Experimental Oncology, School of Medicine, Research Institute for Health Sciences and Technology, University of Mons (UMons), Avenue du Champ de mars, 6, 7000, Mons, Belgium

    Jérôme R. Lechien

  3. Department of Otolaryngology-Head & Neck Surgery, CHU Saint-Pierre (CHU de Bruxelles), Université Libre de Bruxelles, Brussels, Belgium

    Jérôme R. Lechien, Gaëtan Cavelier, Marie-Paule Thill, Jan Vanderwegen, Alexandra Rodriguez & Didier Dequanter

  4. Laboratory of Phonetics, Psychology School, Research Institute for Language Sciences and Technology, University of Mons (UMons), Mons, Belgium

    Kathy Huet & Bernard Harmegnies

  5. Department of Neurology, EpiCURA Hospital, Baudour, Belgium

    Laura Bousard & Serge Blecic

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  1. Jérôme R. Lechien
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Correspondence to Jérôme R. Lechien.

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Cite this article

Lechien, J.R., Cavelier, G., Thill, MP. et al. Validity and reliability of the French version of Eating Assessment Tool (EAT-10). Eur Arch Otorhinolaryngol 276, 1727–1736 (2019). https://doi.org/10.1007/s00405-019-05429-1

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