Annals of rehabilitation medicine · 2025
Validation of the Korean Version of the Pediatric Eating Assessment Tool-10 (K-PEDI-EAT-10) with Correlation to Videofluoroscopic Swallowing Study.
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Kim Sangyoung, Shin Hyung-Ik, Shin Hyun Iee, Hyun Sung Eun
Аннотация
OBJECTIVE: This cross-sectional pilot study aimed to translate, culturally adapt, and validate the Korean version of the Pediatric Eating Assessment Tool-10 (K-Pedi-EAT-10).
METHODS: To translate, culturally adapt, and validate the Korean version of the Pediatric Eating Assessment Tool-10 (K-Pedi-EAT-10).
RESULTS: The K-Pedi-EAT-10 demonstrated excellent internal consistency (Cronbach's α=0.956) and strong test-retest reliability (ICC=0.988; 95% CI, 0.971-0.995). Content validity indices were high (I-CVI>0.80 for all items; S-CVI/Ave=0.92 for relevance, 0.88 for clarity). Children with dysphagia showed markedly higher K-Pedi-EAT-10 total scores (16.15±9.24) than controls (0.31±0.72; U=9.5, Z=-4.053, p<0.001), confirming discriminative validity. Higher K-Pedi-EAT-10 scores were observed in children with aspiration (Penetration-Aspiration Scale [PAS]≥6) than in those without (p<0.05). Significant correlations were found between K-Pedi-EAT-10 total and PAS scores (r=0.705, p=0.007), confirming its potential utility as a screening tool that reflects aspiration severity without radiation exposure from videofluoroscopic swallowing study. Receiver operating characteristic analysis yielded an area under the curve of 0.98 (95% CI, 0.95-1.00) and identified a cut-off score of 19 for predicting aspiration, with 100% sensitivity and 85.7% specificity.
CONCLUSION: The K-Pedi-EAT-10 is a reliable, valid, and non-invasive tool for screening pediatric dysphagia. Its strong psychometric performance supports its potential use for the early identification and timely intervention of children at risk for dysphagia in clinical practice.
METHODS: To translate, culturally adapt, and validate the Korean version of the Pediatric Eating Assessment Tool-10 (K-Pedi-EAT-10).
RESULTS: The K-Pedi-EAT-10 demonstrated excellent internal consistency (Cronbach's α=0.956) and strong test-retest reliability (ICC=0.988; 95% CI, 0.971-0.995). Content validity indices were high (I-CVI>0.80 for all items; S-CVI/Ave=0.92 for relevance, 0.88 for clarity). Children with dysphagia showed markedly higher K-Pedi-EAT-10 total scores (16.15±9.24) than controls (0.31±0.72; U=9.5, Z=-4.053, p<0.001), confirming discriminative validity. Higher K-Pedi-EAT-10 scores were observed in children with aspiration (Penetration-Aspiration Scale [PAS]≥6) than in those without (p<0.05). Significant correlations were found between K-Pedi-EAT-10 total and PAS scores (r=0.705, p=0.007), confirming its potential utility as a screening tool that reflects aspiration severity without radiation exposure from videofluoroscopic swallowing study. Receiver operating characteristic analysis yielded an area under the curve of 0.98 (95% CI, 0.95-1.00) and identified a cut-off score of 19 for predicting aspiration, with 100% sensitivity and 85.7% specificity.
CONCLUSION: The K-Pedi-EAT-10 is a reliable, valid, and non-invasive tool for screening pediatric dysphagia. Its strong psychometric performance supports its potential use for the early identification and timely intervention of children at risk for dysphagia in clinical practice.