Konsistensanpassning för personer med dysfagi: Översättning och kulturell anpassning av International Dysphagia Diet Standardisation Initiative (IDDSI)
Sammanfattning: Swallowing difficulties (dysphagia) are estimated to affect 590 million peopleworldwide. Food or fluid consistency modification is a common intervention for peoplewith dysphagia. This study aims to translate and culturally adapt the InternationalDysphagia Diet Standardisation Initiative (IDDSI) to Swedish. The translation processused 10 steps inspired by the process of translation from World Health Organization.Validity was tested using Content Validity Index (CVI) from two ratings by 12 expertscomprising speech therapists and dietitians. The translation was rated for linguisticcorrelation and comprehensibility/applicability in a Swedish context. Oral nutritionalsupplements, thickeners and products available from relevant companies were tested withIDDSI flow test. Inter-rater reliability was calculated using Intraclass CorrelationCoefficient (ICC) from 20 speech therapists’ assessments of 10 fictitious patient cases.Good validity, with significant improvement of CVI between expert panel assessmentswas achieved. Good inter-rater reliability was measured from the patient cases. Theresults show that the Swedish translation of IDDSI is of high quality and can be used forconsistency recommendations to people with dysphagia.
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