Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version

Abstract Background Swallowing dysfunction (dysphagia) significantly impacts patient and medical outcomes. In Sweden, there is no comprehensive outcome measure for dysphagia that incorporates holistic assessment and dysphagia impact on a person’s impairment, function and participation. The Dysphagia...

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Main Authors: Klara Movander, Tove Larsson Palmquist, Patricia Hägglund, Liza Bergström
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Research Notes
Subjects:
Online Access:https://doi.org/10.1186/s13104-023-06637-z
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author Klara Movander
Tove Larsson Palmquist
Patricia Hägglund
Liza Bergström
author_facet Klara Movander
Tove Larsson Palmquist
Patricia Hägglund
Liza Bergström
author_sort Klara Movander
collection DOAJ
description Abstract Background Swallowing dysfunction (dysphagia) significantly impacts patient and medical outcomes. In Sweden, there is no comprehensive outcome measure for dysphagia that incorporates holistic assessment and dysphagia impact on a person’s impairment, function and participation. The Dysphagia Outcome and Severity Scale (DOSS) was developed and validated (in English) and incorporates the World Health Organisation’s (WHO) aforementioned, International Classification of Functioning (ICF) aspects. This study translated then evaluated the validity and reliability of the Swedish version, DOSS-S. Method Translation occurred based on WHO recommendations. The Content Validity Index (CVI) of the translated version (DOSS-S) was assessed twice by 11 (multi-professional) dysphagia experts. Criterion validity and rater reliability was calculated using 18 Speech Pathologists assessing patient cases from International Dysphagia Diet Standardization Initiative—Functional Diet Scale (IDDS-FDS) research. Results Very high CVI values (0.96–0.99) for the linguistic correlation, and high CVI values (0.84–0.94) for applicability correlation were achieved. High criterion validity of DOSS-S with IDDSI-FDS was demonstrated (r s = 0.89, p < 0.01), with very high inter and intra rater reliabilities (ICC > 0.90). Conclusion The DOSS-S demonstrated very high validity values, and very high inter and intra rater reliability. This research contributes to improved dysphagia management by providing interprofessional dysphagia clinicians with a validated scale to identify patient progression, communicate dysphagia status between regions and countries, and document patient outcomes using an ICF framework.
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spelling doaj.art-42743a52e9ee4ad58a77ac2ecdbdc9202023-12-17T12:05:44ZengBMCBMC Research Notes1756-05002023-12-011611710.1186/s13104-023-06637-zTranslation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish versionKlara Movander0Tove Larsson Palmquist1Patricia Hägglund2Liza Bergström3Department of Health and Rehabilitation, Speech and Language Pathology Unit, Sahlgrenska Academy at the University of GothenburgDepartment of Health and Rehabilitation, Speech and Language Pathology Unit, Sahlgrenska Academy at the University of GothenburgDepartment of Clinical Sciences, Speech-Language Pathology, Umeå UniversityDepartment of Health and Rehabilitation, Speech and Language Pathology Unit, Sahlgrenska Academy at the University of GothenburgAbstract Background Swallowing dysfunction (dysphagia) significantly impacts patient and medical outcomes. In Sweden, there is no comprehensive outcome measure for dysphagia that incorporates holistic assessment and dysphagia impact on a person’s impairment, function and participation. The Dysphagia Outcome and Severity Scale (DOSS) was developed and validated (in English) and incorporates the World Health Organisation’s (WHO) aforementioned, International Classification of Functioning (ICF) aspects. This study translated then evaluated the validity and reliability of the Swedish version, DOSS-S. Method Translation occurred based on WHO recommendations. The Content Validity Index (CVI) of the translated version (DOSS-S) was assessed twice by 11 (multi-professional) dysphagia experts. Criterion validity and rater reliability was calculated using 18 Speech Pathologists assessing patient cases from International Dysphagia Diet Standardization Initiative—Functional Diet Scale (IDDS-FDS) research. Results Very high CVI values (0.96–0.99) for the linguistic correlation, and high CVI values (0.84–0.94) for applicability correlation were achieved. High criterion validity of DOSS-S with IDDSI-FDS was demonstrated (r s = 0.89, p < 0.01), with very high inter and intra rater reliabilities (ICC > 0.90). Conclusion The DOSS-S demonstrated very high validity values, and very high inter and intra rater reliability. This research contributes to improved dysphagia management by providing interprofessional dysphagia clinicians with a validated scale to identify patient progression, communicate dysphagia status between regions and countries, and document patient outcomes using an ICF framework.https://doi.org/10.1186/s13104-023-06637-zAssessmentDeglutitionDOSSOropharyngeal dysphagiaRatingSwallowing
spellingShingle Klara Movander
Tove Larsson Palmquist
Patricia Hägglund
Liza Bergström
Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version
BMC Research Notes
Assessment
Deglutition
DOSS
Oropharyngeal dysphagia
Rating
Swallowing
title Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version
title_full Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version
title_fullStr Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version
title_full_unstemmed Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version
title_short Translation, and validation of Dysphagia Outcome and Severity Scale (DOSS): Swedish version
title_sort translation and validation of dysphagia outcome and severity scale doss swedish version
topic Assessment
Deglutition
DOSS
Oropharyngeal dysphagia
Rating
Swallowing
url https://doi.org/10.1186/s13104-023-06637-z
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