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other·pediatric ophthalmology, pediatrics, research methods, clinical trial·PMC10136650

Development and Pilot Study of a Pediatric Screening for Feeding and Swallowing Disorders in Infants and Children: The Pediatric Screening–Priority Evaluation Dysphagia (PS–PED)

Children · 9 authors, 4 centres

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AGENT 01 · STRUCTURED SUMMARY

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TL;DR

Researchers developed a 14-item screening tool (PS-PED) for childhood feeding and swallowing disorders via a Delphi consensus process. A pilot study on 59 children showed the tool has good internal consistency and correlates strongly with the gold-standard videofluoroscopy swallow study.

Full summary

1,034 CHARS

This study developed the Pediatric Screening–Priority Evaluation Dysphagia (PS–PED), a 14-item tool to identify feeding and swallowing disorders (FSD) in children. Development involved expert consensus via a two-round Delphi study achieving 97% agreement. A pilot test was conducted on 59 children with heterogeneous health conditions to assess psychometric properties. The PS–PED demonstrated good internal consistency (Cronbach's alpha = 0.731) and strong concurrent validity with the gold-standard videofluoroscopy swallow study (VFSS), as measured by the Penetration Aspiration Scale (PAS) (Pearson correlation = 0.824). The tool also showed preliminary discriminant validity to identify children with FSD (p < 0.01). Limitations include the small, heterogeneous sample size and that the tool was only administered by speech-language pathologists. Implications suggest the PS–PED may be a rapid, non-invasive first-step screening for dysphagia in clinical pediatric settings, but further validation with a larger sample is needed.

STUDY TYPE

other

SPECIALTY

pediatric ophthalmology

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10136650

Development and Pilot Study of a Pediatric Screening for Feeding and Swallowing Disorders in Infants and Children: The Pediatric Screening–Priority Evaluation Dysphagia (PS–PED)

Children

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ABSTRACT

Feeding and swallowing disorders (FSD) are common during childhood, with a prevalence of 85% in children with neurodevelopmental disorders. A comprehensive screening is essential to identify FSD and improve health outcomes in a clinical setting. This study aims to develop a new Pediatric Screening tool capable of identifying FSD. This screening tool was developed in three steps: selecting variables based on clinical experience, searching the literature and finding agreement between experts with a two-round Delphi study. This process, which reached 97% of agreement between experts, led to the development of the Pediatric Screening–Priority Evaluation Dysphagia (PS–PED). PS–PED comprises 14 items divided into three main domains: clinical history, health status and feeding condition. We also carried out a pilot test for measuring internal consistency, as measured with Cronbach Coefficient alpha. Concurrent validity, as measured with Pearson correlation coefficient, was tested using a videofluoroscopy swallow study (VFSS) classified with the Penetration Aspiration Scale (PAS). The pilot test was conducted on 59 children with different health conditions. Our findings showed good internal consistency (alpha = 0.731), and a strong linear correlation with PAS (Pearson 0.824). Furthermore, comparing PS–PED and PAS scores, we find preliminary strong discriminant validity to identify children with FSD ( p < 0.01). Our results provide evidence on using the 14-item PS–PED as a screening tool for FSD in a clinical sample of children with heterogeneous disease.

CITATION EXPORT

Antonella Cerchiari, Marco Tofani, Carolina Giordani et al.. Development and Pilot Study of a Pediatric Screening for Feeding and Swallowing Disorders in Infants and Children: The Pediatric Screening–Priority Evaluation Dysphagia (PS–PED). Children. (2023). https://doi.org/10.3390/children10040638

AUTHORS

9 · 4 CENTRES

Antonella Cerchiari, Marco Tofani, Carolina Giordani, Silvia Franceschetti, Eleonora Capuano, Francesca Pizza, Gessica Della Bella, Massimiliano Raponi, Giorgia Biondo

1Management and Diagnostic Innovations & Clinical Pathways Research Area, Neurorehabilitation and Adapted Physical Activity Day Hospital, Bambino Gesù Children’s Hospital, 00165 Rome, Italy; [email protected] (C.G.); [email protected] (S.F.); [email protected] (E.C.); [email protected] (F.P.); [email protected] (G.D.B.); [email protected] (G.B.)
2Department of Human Neurosciences, Sapienza University of Rome, 00183 Rome, Italy
3Management and Diagnostic Innovations & Clinical Pathways Research Area, Professional Development, Continuous Education and Research Service, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy
4Management and Diagnostic Innovations & Clinical Pathways Research Area, Medical Directorate, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; [email protected]

EDITOR / REVIEWER

Andrea Martinuzzi