Ebru Karaca Umay1, İbrahim Gündoğdu1, Eda Gürçay1, Erhan Öztürk1, Volkan Yılmaz1, Özgür Karaahmet1, Yasemin Eren2, Güleser Saylam3, Aytül Çakcı1. 1. Physical Medicine and Rehabilitation Clinic, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey 2. Neurology Clinic, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey 3. Otolaryngology and Head and Neck Surgery Clinic, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Abstract
Background/aim: The Mann Assessment of Swallowing Ability (MASA) is an efficient tool that allows physicians to determine the alertness, cooperation, and respiration of patients, which are important factors when assessing swallowing . This study aimed to translate the MASA into Turkish (T-MASA) and to assess its reliability and validity in patients during the early period after a stroke . Materials and methods: The scale was administered to 141 patients in the early period after a stroke. For reliability, both internal consistency (Cronbach’s alpha and corrected item-to-total correlations) and interrater reliability were analyzed. The procedures were scored by two blinded independent expert observers. The validity was assessed using the convergent validity. The cut-off value of the T-MASA for dysphagia was accepted as 169 points. The correlation between the MASA and endoscopic evaluation was evaluated. Results: The T-MASA showed good internal consistency using Cronbach’s alpha (0.899–0.901) and corrected item-to-total correlations. In addition, the intraclass correlation coefficient scores indicated excellent agreement. A significant moderate negative correlation was found between endoscopic evaluation and the T-MASA in terms of the presence of dysphagia (r: –0.324, r: –0.302, respectively, and both P = 0.001) Conclusion: Our results suggest that the Turkish version of the MASA is a valid and reliable instrument when determining dysphagia in patients in the early period after a stroke. This work is licensed under a Creative Commons Attribution 4.0 International License.
Background/aim: The Mann Assessment of Swallowing Ability (MASA) is an efficient tool that allows physicians to determine the alertness, cooperation, and respiration of patients, which are important factors when assessing swallowing . This study aimed to translate the MASA into Turkish (T-MASA) and to assess its reliability and validity in patients during the early period after a stroke . Materials and methods: The scale was administered to 141 patients in the early period after a stroke. For reliability, both internal consistency (Cronbach’s alpha and corrected item-to-total correlations) and interrater reliability were analyzed. The procedures were scored by two blinded independent expert observers. The validity was assessed using the convergent validity. The cut-off value of the T-MASA for dysphagia was accepted as 169 points. The correlation between the MASA and endoscopic evaluation was evaluated. Results: The T-MASA showed good internal consistency using Cronbach’s alpha (0.899–0.901) and corrected item-to-total correlations. In addition, the intraclass correlation coefficient scores indicated excellent agreement. A significant moderate negative correlation was found between endoscopic evaluation and the T-MASA in terms of the presence of dysphagia (r: –0.324, r: –0.302, respectively, and both P = 0.001) Conclusion: Our results suggest that the Turkish version of the MASA is a valid and reliable instrument when determining dysphagia in patients in the early period after a stroke. This work is licensed under a Creative Commons Attribution 4.0 International License.
Entities:
Keywords:
Dysphagia; stroke; bedside screening test; Mann Assessment of Swallowing Ability
Authors: Elizabeth Boaden; Jane Burnell; Lucy Hives; Paola Dey; Andrew Clegg; Mary W Lyons; C Elizabeth Lightbody; Margaret A Hurley; Hazel Roddam; Elizabeth McInnes; Anne Alexandrov; Caroline L Watkins Journal: Cochrane Database Syst Rev Date: 2021-10-18