University of Oulu

Järvenpää, P., Kuuskoski, J., Pietarinen, P. et al. Finnish Version of the Eating Assessment Tool (F-EAT-10): A Valid and Reliable Patient-reported Outcome Measure for Dysphagia Evaluation. Dysphagia 37, 995–1007 (2022).

Finnish version of the eating assessment tool (F-EAT-10) : a valid and reliable patient-reported outcome measure for dysphagia evaluation

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Author: Järvenpää, Pia1; Kuuskoski, Jonna2; Pietarinen, Petra1;
Organizations: 1Department of Otorhinolaryngology – Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, P.O. Box 263, FI-00029, Finland
2Department of Otorhinolaryngology – Head and Neck Surgery, Turku University Hospital and University of Turku, Turku, Finland
3Department of Otorhinolaryngology – Head and Neck Surgery, Oulu University Hospital, Oulu, Finland
4PEDEGO Research Unit, University of Oulu, Oulu, Finland
5Medical Research Center Oulu, Oulu, Finland
6Department of Otorhinolaryngology – Head and Neck Surgery, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
7Department of Rehabilitation and Psychosocial Support, Tampere University Hospital and Faculty of Social Sciences, University of Tampere, Tampere, Finland
8Department of Otorhinolaryngology and Phoniatrics – Head and Neck Surgery, Helsinki University, Hospital and University of Helsinki, Helsinki, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.5 MB)
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Language: English
Published: Springer Nature, 2022
Publish Date: 2023-06-02


Our aim was to validate a Finnish version of the Eating Assessment Tool (F-EAT-10) for clinical use and to test its reliability and validity in a multicenter nationwide study. Normative data were acquired from 180 non-dysphagic participants (median age 57.0 years, 62.2% female). Dysphagia patients (n = 117, median age 69.7 years, 53.0% female) referred to fiberoptic endoscopic evaluation of swallowing (FEES) completed F-EAT-10 before the examination and after 2 weeks. Patients underwent the 100-ml water swallow test (WST) and FEES was evaluated using the following three scales: the Yale Pharyngeal Residue Severity Rating Scale, Penetration-Aspiration Scale, and the Dysphagia Outcome Severity Scale. An operative cohort of 19 patients (median age 75.8 years, 57.9% female) underwent an endoscopic operation on Zenker’s diverticulum, tight cricopharyngeal muscle diagnosed in videofluorography, or both. Patients completed the F-EAT-10 preoperatively and 3 months postoperatively. The cut-off score for controls was < 3 (sensitivity 94.0%, specificity 96.1%) suggesting that ≥ 3 is abnormal. Re-questionnaires for test–retest reliability analysis were available from 92 FEES patients and 123 controls. The intraclass correlation coefficient was excellent for the total F-EAT-10 score (0.93, 95% confidence interval 0.91–0.95). Pearson correlation coefficients were strong (p < 0.001) for each of the questions and the total score. Internal consistency as assessed by Cronbach’s alpha was excellent (0.95). Some correlations between findings in FEES and 100-ml WST with F-EAT-10 were observed. The change in subjective symptoms of operative patients paralleled the change in F-EAT-10. F-EAT-10 is a reliable, valid, and symptom-specific patient-reported outcome measure for assessing dysphagia among Finnish speakers.

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Series: Dysphagia
ISSN: 0179-051X
ISSN-E: 1432-0460
ISSN-L: 0179-051X
Volume: 37
Issue: 4
Pages: 995 - 1007
DOI: 10.1007/s00455-021-10362-9
Type of Publication: A1 Journal article – refereed
Field of Science: 3125 Otorhinolaryngology, ophthalmology
Funding: Open access funding provided by University of Helsinki including Helsinki University Central Hospital. This study was funded by the Helsinki University Hospital Research Funds (Grant No. Y1014KN011), the Finnish Society for Laryngology and the Finnish Association of Otorhinolaryngology – Head and Neck Surgery (Grant No. 20180024).
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