DYMUS-Hr self-assessment questionnaire (Croatian version) for dysphagia in multiple sclerosis-validity, reliability, and cross-cultural adaptation

Background The prevalence of dysphagia in the early phases of multiple sclerosis is 30–40%, with an estimated of 30% of cases going undiagnosed cases. Such complications can lead to malnutrition, dehydration, and aspiration pneumonia and have a great impact on the quality of life and psychosocial st...

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Bibliographic Details
Published in:Neurological sciences 2023-10, Vol.44 (10), p.3637-3645
Main Authors: Vučković, Jelena Bartolović, Kolundžić, Zdravko, Šimunjak, Boris, Šimunjak, Tena
Format: Article
Language:English
Subjects:
Adaptation
Dehydration
Dysphagia
Kappa coefficient
Language
Malnutrition
Medicine
Medicine & Public Health
Multiple sclerosis
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Psychiatry
Quality of life
Questionnaires
Self evaluation
Self-assessment
Validity
Citations: Items that this one cites
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Summary:Background The prevalence of dysphagia in the early phases of multiple sclerosis is 30–40%, with an estimated of 30% of cases going undiagnosed cases. Such complications can lead to malnutrition, dehydration, and aspiration pneumonia and have a great impact on the quality of life and psychosocial status of a person with MS. The aim of this study was the validation of dysphagia in multiple sclerosis self-assessment questionnaire (DYMUS) in the Croatian language. Methods and patients The cross-cultural adaptation process included a back-forward translation technique of the English language version of DYMUS to the Croatian language, with pilot testing on 30 participants. The validity and reliability of the Croatian version of DYMUS (DYMUS-Hr) was applied to 106 MS patients, with comparison to the Eating Assessment Tool (EAT10), the Water Swallowing Test (WST), and a dichotomous self-assessment question. In the assessment of test-retest reliability, 99 MS patients were included. Results Internal consistency of DYMUS-Hr was very good (Cronbach’s alpha—0.837); Cronbach’s alpha was 0.819 for the “dysphagia for solids”, and 0.562 for “dysphagia for liquids” subscale. A significant correlation ( p  
ISSN:1590-1874
1590-3478
DOI:10.1007/s10072-023-06850-5