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Validity and reliability of a French version of M.D. Anderson Dysphagia Inventory

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

To assess the internal consistency, reliability, and clinical validity of a French version of the M.D. Anderson Dysphagia Inventory (Fr-MDADI).

Methods

Patients addressed in the Swallowing Clinics of CHU Saint-Pierre Hospital (Brussels) and EpiCURA hospital (Ath, Belgium) for dysphagia completed Fr-MDADI, eating assessment tool-10 (EAT-10), dysphagia handicap index (DHI), and benefited from fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopy. Seventy-two asymptomatic individuals composed the control group. The reliability of Fr-MDADI was assessed through a test–retest procedure. The validity was assessed by comparing Fr-MDADI with EAT-10 scores. Normative value of Fr-MDADI was calculated through the receiver operating characteristic (ROC) curve.

Results

Forty-two patients and 77 healthy individuals completed the evaluations (33 males). The main etiology of dysphagia was head and neck cancers. The internal consistency was high regarding the Cronbach’s alpha (0.864). The test–retest reliability was high for Fr-MDADI total scores (rs = 0.849). The Fr-MDADI emotional, functional and physical subscores, and the total score exhibited high positive correlations with EAT-10 (rs = 0.770) and DHI (rs = 0.811), exhibiting high external validity. Patients had significant higher item and total score of Fr-MDADI compared with healthy individuals (control group), which indicated an adequate internal validity. About normative data, a Fr-MDADI > 13 was considered to be reflective of abnormalities. The ‘swallowing-induced cough’ item of the Fr-MDADI was significantly associated with the occurrence of aspirations regarding objective examinations (FEES or videofluoroscopy; p = 0.001).

Conclusion

The Fr-MDADI is a reliable and valid self-administered tool in the evaluation of the dysphagia of French-speaking patients.

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Author information

Author notes

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

  2. Alexandra Rodriguez and 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. Department of Human Anatomy and Experimental Oncology, School of Medicine, Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium

    Jérôme R. Lechien & Sven Saussez

  3. Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium

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

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

    Jérôme R. Lechien

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

    Laura Bousard & Serge Blecic

  6. Department of Anatomy and Cell Biology, Faculty of Medicine, University of Mons (UMONS), Avenue du Champ de mars, 6, B7000, Mons, Belgium

    Jérôme R. Lechien

Authors
  1. Jérôme R. Lechien
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  2. Gaëtan Cavelier
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  3. Marie-Paule Thill
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  4. Laura Bousard
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  9. Didier Dequanter
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Corresponding author

Correspondence to Jérôme R. Lechien.

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The authors have no conflicts of interest.

Research involving human participants and/or animals

The study protocol was approved by the local ethics committees of CHU Saint-Pierre (Brussels, Belgium (n°B076201733642)) and EpiCURA Hospital (Baudour, Belgium (n°A2014/001)).

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Informed consent was obtained from patients enrolled in the study.

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Lechien, J.R., Cavelier, G., Thill, MP. et al. Validity and reliability of a French version of M.D. Anderson Dysphagia Inventory. Eur Arch Otorhinolaryngol 277, 3111–3119 (2020). https://doi.org/10.1007/s00405-020-06100-w

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  • DOI: https://doi.org/10.1007/s00405-020-06100-w

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