Development and reliability of the Korean version of the Feeding Abilities Assessment.
Seul Gi Koo, Hae Yean Park, Jongbae Kim and 1 others
PMID 31217764WHAT IT FOUND
A Korean feeding assessment for people with dementia was adapted to local meals and gave similar scores when 20 nursing-home residents were reassessed after one week and 12 were rated by two therapists.
Lower scores mean more independent eating.
Key findings
01The Korean Feeding Abilities Assessment was adapted for Korean meals and reviewed by an expert committee.
02In 65 nursing-home residents, the 32-item test showed high internal consistency, with values from .929 to .965.
03When 20 residents were reassessed after one week, their total scores were very similar (correlation .884), and when 12 were rated by two occupational therapists, the raters agreed well (Kappa .800, ICC .897).
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The 65 participants were only from nursing homes in the metropolitan area, so the results may not apply to people with dementia who live at home or in hospitals. All participants had to be able to eat without physical defects, had no swallowing problem or stroke, and could communicate, so the tool was not tested in people who cannot feed themselves or who have swallowing problems. The test-retest analysis used 20 participants and the inter-rater analysis used 12 participants; the main internal-consistency analysis used 65 participants. The study did not include people across early, middle, and late stages of dementia, so it does not show how the tool works as the disease progresses. Content validity was based on 10 experts. The original FAA author noted that if subjects could perform all items and get a score of zero, a consistent score could lead to high internal consistency.
The easy way to misread this
Do not use the K-FAA as a general feeding test for all people with dementia or as proof that an intervention improves eating. It was only tested in 65 nursing-home residents who could already eat without physical defects, had no swallowing problem or stroke, and could communicate.