TY - JOUR
T1 - Novel mealtime duration measures
T2 - Reliability and preliminary associations with clinical feeding and swallowing performance in self-feeding children with cerebral palsy
AU - Mishra, Avinash
AU - Sheppard, Justine J.
AU - Kantarcigil, Cagla
AU - Gordon, Andrew M.
AU - Malandraki, Georgia A.
N1 - Funding Information:
This study was partially supported by internal funds provided to Georgia A. Malandraki by Teachers College, Columbia University, and Purdue University. The authors thank the children and their parents for their participation. We also acknowledge with gratitude the contributions of Erika Levy for her help with subject recruitment; Akila Rajappa, Chad Grossman, Kamila Kaldan, Manushree Karthik, Aditi Valada, and Lucia Mourao for their help with data collection; and Alyssa Jones and Katy Baar for their help with data analysis.
Publisher Copyright:
© 2018 American Speech-Language-Hearing Association.
PY - 2018/2
Y1 - 2018/2
N2 - Purpose: The purpose of this study is to examine (a) the reliability of newly developed measures of mealtime duration and (b) their relationship to clinical feeding/swallowing performance in children with spastic cerebral palsy (SCP). Method: Seventeen self-feeding children (9 boys, 8 girls) with SCP (age range = 5;1 [years;months] to 17;6, Gross Motor Function Classification System range = I–IV) were assessed during mealtimes using the Dysphagia Disorder Survey (DDS; Sheppard, Hochman, & Baer, 2014). Children were divided into 2 groups, children with primarily unilateral or bilateral brain involvement. Duration measures included mealtime duration and total sip/bite duration for each bolus type (liquid and solid). Results: Excellent intra- and inter-rater reliability for all duration measures was observed (intraclass correlation coefficient [ICC] = 1.00 and 0.955, respectively, for mealtime duration; ICC = 1.00 and 0.963, respectively, for solid/bite duration; ICC = 1.00 and 0.957, respectively, for liquid/sip duration). Positive correlations were found between total mealtime duration and DDS Part 1, rs =. 514 [.045–.797], p =. 035; Part 2, rs =. 528 [.064–.804], p =. 029; and total scores, rs =. 665 [.271–.868], p =. 004, and between total solid/bite duration and DDS Part 1, rs =. 579 [.137–.828], p =. 015; Part 2, rs =. 620 [.199–.847], p =. 007; and total scores, rs =.762 [.444–.909], p <. 001. Children with unilateral brain involvement exhibited significantly lower DDS total (p =. 049) and Part 2 scores (p =. 026), indicating better feeding/swallowing performance/skills. They also had shorter mealtime duration (p =. 019) and solid/bite duration (p =. 025) compared with children with bilateral involvement. Conclusions: Our new mealtime duration measures are reliable and correlate with feeding/swallowing performance in a sample of self-feeding children with SCP. Therefore, they may be useful supplements to feeding/swallowing assessments for this population.
AB - Purpose: The purpose of this study is to examine (a) the reliability of newly developed measures of mealtime duration and (b) their relationship to clinical feeding/swallowing performance in children with spastic cerebral palsy (SCP). Method: Seventeen self-feeding children (9 boys, 8 girls) with SCP (age range = 5;1 [years;months] to 17;6, Gross Motor Function Classification System range = I–IV) were assessed during mealtimes using the Dysphagia Disorder Survey (DDS; Sheppard, Hochman, & Baer, 2014). Children were divided into 2 groups, children with primarily unilateral or bilateral brain involvement. Duration measures included mealtime duration and total sip/bite duration for each bolus type (liquid and solid). Results: Excellent intra- and inter-rater reliability for all duration measures was observed (intraclass correlation coefficient [ICC] = 1.00 and 0.955, respectively, for mealtime duration; ICC = 1.00 and 0.963, respectively, for solid/bite duration; ICC = 1.00 and 0.957, respectively, for liquid/sip duration). Positive correlations were found between total mealtime duration and DDS Part 1, rs =. 514 [.045–.797], p =. 035; Part 2, rs =. 528 [.064–.804], p =. 029; and total scores, rs =. 665 [.271–.868], p =. 004, and between total solid/bite duration and DDS Part 1, rs =. 579 [.137–.828], p =. 015; Part 2, rs =. 620 [.199–.847], p =. 007; and total scores, rs =.762 [.444–.909], p <. 001. Children with unilateral brain involvement exhibited significantly lower DDS total (p =. 049) and Part 2 scores (p =. 026), indicating better feeding/swallowing performance/skills. They also had shorter mealtime duration (p =. 019) and solid/bite duration (p =. 025) compared with children with bilateral involvement. Conclusions: Our new mealtime duration measures are reliable and correlate with feeding/swallowing performance in a sample of self-feeding children with SCP. Therefore, they may be useful supplements to feeding/swallowing assessments for this population.
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U2 - 10.1044/2017_AJSLP-16-0224
DO - 10.1044/2017_AJSLP-16-0224
M3 - Article
C2 - 29273816
AN - SCOPUS:85041381792
SN - 1058-0360
VL - 27
SP - 99
EP - 107
JO - American Journal of Speech-Language Pathology
JF - American Journal of Speech-Language Pathology
IS - 1
ER -