caa a22 4500 467935653 CHVBK 20180406152956.0 cr unu---uuuuu 170328e20060701xx s 000 0 eng 10.1007/s00455-005-0026-9 doi (NATIONALLICENCE)springer-10.1007/s00455-005-0026-9 Clinical Validity of the SWAL-QOL and SWAL-CARE Outcome Tools with Respect to Bolus Flow Measures [Elektronische Daten] [Colleen McHorney, Bonnie Martin-Harris, JoAnne Robbins, John Rosenbek] The aim of this study was to quantify the association between a dysphagia-specific quality of life (SWAL-QOL) and quality of care (SWAL-CARE) questionnaire and four measures of bolus flow. Three hundred eighty-six people with oropharyngeal dysphagia completed a videofluoroscopic examination of their swallowing structure and physiology. They also completed the SWAL-QOL and SWAL-CARE surveys. Measures of bolus flow patterns for each swallow were analyzed from videofluoroscopic recordings and correlated with the SWAL-QOL and SWAL-CARE scale scores. The SWAL-QOL and SWAL-CARE scales were modestly related to the four measures of the bolus flow. The SWAL-QOL and SWAL-CARE were most related to measures of oral transit duration and total swallow duration. The SWAL-QOL and SWAL-CARE scales were least related to pharyngeal transit duration. Results were stronger for semisolid trials than for liquid trials. Results were generally weak for the Penetration Aspiration Scale. For all of the significant relationships, the greater the bolus flow severity, the worse the quality of life. The observed modest correlations suggest that patient-centered quality-of-life measures and clinician-driven bolus flow measures provide distinct yet complementary information about oropharyngeal dysphagia. Both sets of measures should be used in dysphagia effectiveness and outcomes research. Springer Science+Business Media, Inc., 2006 Deglutition disorders nationallicence Quality of life nationallicence Swallowing nationallicence Patient satisfaction nationallicence Deglutition nationallicence McHorney Colleen Merck & Co., Inc., West Point, PA, USA aut Martin-Harris Bonnie Department of Otolaryngology-Head and Neck Surgery, MUSC Evelyn Trammell Institute for Voice and Swallowing, and College of Health Professions, Medical University of South Carolina, Charleston, South Carolina, USA aut Robbins JoAnne William S. Middleton Memorial Veterans Hospital and University of Wisconsin-Madison Medical School, Madison, Wisconsin, USA aut Rosenbek John Department of Communicative Disorders, University of Florida, Gainesville, Florida, USA aut Dysphagia Springer-Verlag 21/3(2006-07-01), 141-148 0179-051X 21:3<141 2006 21 455 https://doi.org/10.1007/s00455-005-0026-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00455-005-0026-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- McHorney Colleen Merck & Co., Inc., West Point, PA, USA aut NATIONALLICENCE 700 1- Martin-Harris Bonnie Department of Otolaryngology-Head and Neck Surgery, MUSC Evelyn Trammell Institute for Voice and Swallowing, and College of Health Professions, Medical University of South Carolina, Charleston, South Carolina, USA aut NATIONALLICENCE 700 1- Robbins JoAnne William S. Middleton Memorial Veterans Hospital and University of Wisconsin-Madison Medical School, Madison, Wisconsin, USA aut NATIONALLICENCE 700 1- Rosenbek John Department of Communicative Disorders, University of Florida, Gainesville, Florida, USA aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 21/3(2006-07-01), 141-148 0179-051X 21:3<141 2006 21 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence SWISSBIB 457595612 BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer