Translation of the Chinese version of the Self-Care for Aspiration Pneumonia Prevention Scale and its validation among Chinese community dwelling elderly with risk of dysphasia.
Zhen Yang, Fengmin Chen, Yibo Zhang and 3 others
PMID 34019332WHAT IT FOUND
A translated self-care questionnaire for older adults at risk of swallowing problems gave consistent scores in 430 people.
Their average score was 64.41 on a 21 to 105 point range. This was moderate self-care for preventing aspiration pneumonia.
Key findings
01Among 430 community-dwelling older adults with risk of dysphasia, the Chinese SCAPP scale retained all 21 items and had an average score of 64.41 on a 21 to 105 point range.
02The scale had Cronbach's alpha .885, split-half reliability 0.675, and test-retest reliability 0.822 after one week.
03Seven experts rated content validity as S-CVI 0.952, and factor analysis found three factors explaining 50.231% of variance.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPsWhat it means for RNs
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What it does not show
The sample came from three communities in one province in China, so the results may not apply to other countries, regions, or languages. Participants were recruited by convenience sampling and excluded people with severe cognitive, mental, or communication disorders, so the scale was not tested in people who cannot communicate clearly. The answers were self-reported, so scores may be affected by memory or willingness to report. The study did not check whether participants had previously had aspiration pneumonia, which could influence their self-care ability.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that the scale prevents aspiration pneumonia or improves self-care. This study only validated the Chinese translation's scores in 430 older adults with risk of dysphasia; it did not test an intervention or measure aspiration pneumonia outcomes.