Review Article

Psychometric Properties of Questionnaires on Functional Health Status in Oropharyngeal Dysphagia: A Systematic Literature Review

Table 5

Description of validation studies related to questionnaires for the assessment of FHS in oropharyngeal dysphagia.

QuestionnaireReferenceTarget populationStudy designStudy populationAge in years
(mean/median, SD, and range)1

EAT-10Belafsky et al., 2008 [24]Orophageal and esophageal dysphagia.(I) and (II) Cross-sectional study and
(III) pre- and postintervention measurement
(I) Community cohort of healthy subjects
(with no medical history of voice, swallowing, reflux, airway, neurologic, rheumatologic, hematologic, or neoplastic disorders).
Centre for voice and swallowing:
(II) Subjects with voice and swallowing disorders;
diagnosis: reflux disease ( ; 28%), voice disorder ( ; 22%), oropharyngeal dysphagia (including, stroke, progressive neurologic disease, ALS, or pseudobulbar palsy; ; 21%), head and neck cancer ( ; 18%), esophageal dysphagia (including esophageal motility disorders, neoplasia, webs, strictures, or rings; ; 11%).
(III) Patients with Zenker’s diverticulum ( ; 50%), reflux disease ( ; 30%), esophageal stricture ( ; 20%).
(I) Healthy subject
( ; 53 M, 47 F);
mean age = 48 (SD = 16); range = NR.
(II) Subjects with voice and swallowing disorders
(N = 235; 127 M, 108 F);
mean = 62 (SD = 14);
range = NR.
(III) Patients undergoing treatment for dysphagia
( ; 21 M, 25 F);
mean age = 65 (SD = 16); range = NR

SOALGovender et al., 2012 [25]After total laryngectomyCross-sectional studyLarge urban teaching hospital(I) Laryngectomees: experimental group
( ; 10 M, 9 F);
mean age = 66
(range = 48–80).
(II) Noncomplaining volunteers: controls
( ; 10 M, 10 F);
mean age = 63
(range = 44–83)
(III) 3 months after head and neck chemoradiotherapy with known dysphagia ( ); mean age = 61
(range = 41–92)

Self-report Symptom InventoryWallace et al., 2000 [26]Oropharyngeal dysphagia(I), (II), and (III) Cross-sectional study and
(II) pre- and postintervention measurement
(I) Oropharyngeal dysphagic patients with neuromyogenic etiology ( = 45; 27 = M, 18 F);
diagnosis: CVA—brainstem ( ), CVA—other ( ), Parkinson disease ( ), Movement disorder—other ( ), Myopathy ( ), MG ( ), ALS ( ), brainstem lesion—other ( ), idiopathic ( ).
(II) Oropharyngeal dysphagic patients as a result of Zenker’s diverticulum ( ; 6 M, 5 F).
(III) Nondysphagic controls: urology patients, gynaecology patients ( = 19; 8 M, 11 F).
(I) Mean = 70 (SD = 13); range = 30–96
(II) Mean = 66 (SD = 13); range = 36–84
(III) Mean = 62 (SD = 16); range = 31–94

(SSQ) Dwivedi et al., 2010, Dwivedi et al., 2012 [27, 28]Oral and oropharyngeal cancerCross-sectional studyAfter oral or oropharyngeal cancer ( ; 35 M, 19 F).Mean = 58.6 (SD = 9.7); range = 35.9–80

(SSQ)Manjaly et al., 2012 [29]Oculopharyngeal muscular dystrophy (OPMD)Before and after repeat intervention measurementRepeat cricopharyngeal dilatation in OPMD ( ; 2 M, 7 F).Mean = 60.1 (9.0);
range = 50–77

NR: not reported.