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Assessment of mastication in healthy children and children with cerebral palsy: a validity and consistency study
Author(s) -
Remijn L.,
Speyer R.,
Groen B. E.,
Holtus P. C. M.,
Limbeek J.,
Sanden M. W. G.
Publication year - 2013
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12040
Subject(s) - intraclass correlation , cerebral palsy , mastication , reproducibility , psychology , content validity , medicine , physical therapy , dentistry , clinical psychology , psychometrics , statistics , mathematics
Summary The aim of this study was to develop the M astication O bservation and E valuation instrument for observing and assessing the chewing ability of children eating solid and lumpy foods. This study describes the process of item definition and item selection and reports the content validity, reproducibility and consistency of the instrument. In the developmental phase, 15 experienced speech therapists assessed item relevance and descriptions over three D elphi rounds. Potential items were selected based on the results from a literature review. At the initial D elphi round, 17 potential items were included. After three D elphi rounds, 14 items that regarded as providing distinctive value in assessment of mastication (consensus >75%) were included in the M astication O bservation and E valuation instrument. To test item reproducibility and consistency, two experts and five students evaluated video recordings of 20 children (10 children with cerebral palsy aged 29–65 months and 10 healthy children aged 11–42 months) eating bread and a biscuit. Reproducibility was estimated by means of the intraclass correlation coefficient ( ICC ). With the exception of one item concerning chewing duration, all items showed good to excellent intra‐observer agreement (ICC students: 0·73–1·0). With the exception of chewing duration and number of swallows, inter‐observer agreement was fair to excellent for all items ( ICC experts: 0·68–1·0 and ICC students: 0·42–1·0). Results indicate that this tool is a feasible instrument and could be used in clinical practice after further research is completed on the reliability of the tool.