Head and Neck Cancer Survivors' Assessment of Mealtimes: Translation and Validation : Assessment and Rehabilitation of Dysphagia in Head and Neck Cancer Patients.
Alice Vergauwen, Leen Van den Steen, Margot Baudelet and 1 others
PMID 39433565WHAT IT FOUND
The Dutch HNSAM can assess dysphagia impact in head and neck cancer survivors, but its environmental factors subscale is unreliable.
Use the main scores cautiously; avoid detailed environmental-factor scoring.
Key findings
01The 31-item D-HNSAM was piloted in 10 patients, then validated in 50 Dutch-speaking head and neck cancer survivors, with 36 completing the questionnaire again one week later.
02The physical-function and activity/participation parts were reliable, but the environmental factors part was not reliable except as a simple help-or-limitation choice.
03The core score corresponded to patient-rated impact: a VAS of 0 matched a core score of 0 to 10, a VAS of 1 to 5 matched 11 to 20, and a VAS of 6 to 10 matched above 20.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The sample was small (50 patients), and only 36 completed retest. Content validity was not checked, and the English source version had not been validated. The group had different tumor sites and was collected during the pandemic. The environmental factors scoring was too complex for patients, so only the simple help-or-limitation score is dependable.
The easy way to misread this
Do not assume the whole questionnaire is fully validated. The environmental factors subscale was not internally consistent or stable over time when scored in detail, and content validity was not checked.