Cultural Adaptation and Validation of Questionnaires for Evaluation of Health-Related Quality of Life With Dysphagia in Different Countries: A Systematic Review

Dysphagia

Yang, L., Zhang, Z., et al. (2022).

Dysphagia, 37, 812-823.

This systematic review explores the reliability and validity of culturally adapted questionnaires evaluating the health-related quality of life of people with dysphagia.

Not stated



From database inception to November 1, 2020

Peer-reviewed studies exclusing reviews and case studies

29

Findings demonstrated that the culturally adapted versions of questionnaires (e.g. Swallowing quality of life questionnaire [SWAL-QOL] the Dysphagia Handicap Index [DHI], the M.D. Anderson Dysphagia Inventory [MDADI], and the Eating Assessment Tool-10 [EAT-10]) for adults with dysphagia generally received strong measurement ratings for content validity and reliability as assessments of health-related quality of life. However, further work is needed to improve the cultural adaptation and validation processes. Mixed findings regarding construct validity and internal consistency. Overall, these adaptations had poor criterion validity, interpretability (i.e. the ability to assign qualitative meaning to quantitative scores), and reproducibility agreement. These measures also were notable for floor and ceiling effects, which may represent poor content validity.