Reliability and Validity of the Chinese Mandarin Version of the 10-Item Eating Assessment Tool in Community-Dwelling Older Adults

作者：Hongji Zeng, Xueshan Jia, Qingfeng Tian, Jiang Yu, Rui Wang, Rongzhi Cao, Weijia Zhao, Zhefeng Wang, Xi Zeng · 发表于：Journal of Speech Language and Hearing Research · 年份：2025 · DOI：10.1044/2025_jslhr-24-00671 · 被引用次数：8 · 研究领域：Dysphagia Assessment and Management、Child Nutrition and Feeding Issues、Nutrition and Health in Aging

Objectives: This study aimed to culturally adapt and validate the Chinese Mandarin version of the 10-Item Eating Assessment Tool (EAT-10-CM) for Chinese community-dwelling older adults. Method: A total of 346 Chinese community-dwelling older adults participated in this study, with 47 individuals included in the second testing phase. Reliability was assessed through internal consistency and test–retest reliability. Validity analysis covered several aspects: instrument validity, convergent validity, concurrent validity, content validity, and discriminant validity. Instrument validity was assessed by comparing EAT-10-CM scores between participants with and without oropharyngeal dysphagia (OD). Convergent validity was evaluated by comparing the EAT-10-CM with the Dysphagia Handicap Index (DHI). Concurrent validity was assessed by comparing the EAT-10-CM with the Penetration–Aspiration Scale. Content validity was examined using the content validity index, based on the input of 10 expert reviewers. Discriminant validity was analyzed using receiver operating characteristic (ROC) analysis to determine the optimal cutoff value. Results: The Cronbach's alpha for the total scale and individual items was > 0.9, indicating excellent internal consistency. Test–retest reliability was assessed using Pearson's correlation analysis, which showed a strong correlation ( r > .7), demonstrating good stability over time. Significant differences in EAT-10-CM scores were observed between partic...