Dysphagia Resource CenterServing the Dysphagia professional since 1995.
Resources for swallowing and swallowing disorders.

[Date Prev][Date Next] [Chronological] [Thread] [Top]

[Dysphagia] feeding assessments


  • Subject: [Dysphagia] feeding assessments
  • From: wwasmith at comcast.net (wwasmith@comcast.net)
  • Date: Thu Jan 29 20:09:11 2004

Claire,

Wow, and it was on the shelf near my desk all along.  I'll have to look into this test as well, wonder if they've done any further reliability studies.  It would fit the bill as a test that looks at BOTH self-feeding and swallowing!  Many thanks,

Wendy
--
Wendy Avery-Smith, MS, OTR/L
26 Summer St.
Andover MA 01810
(978) 475-3545
fax: (978) 475-3545
WWASmith@comcast.net
> Dear Wendy
> 
> Hope this is useful,
> 
> Regards
> 
> Claire
> 
>       Dysphagia. 2003 Spring; 18(2): 101-13.
> 
> 
> McGill Ingestive Skills Assessment (MISA): development and first field test
> of an evaluation of functional ingestive skills of elderly persons.
> 
> Lambert HC, Gisel EG, Groher ME, Wood-Dauphinee S.
> 
> School of Physical and Occupational Therapy, McGill University, Montreal,
> Quebec, Canada. hlambert@cogeco.ca
> 
> There is a lack of reliable and valid clinical assessment tools for
> individuals with loss of ingestive skills. The McGill Ingestive Skills
> Assessment (MISA) was developed to facilitate the reliable and valid bedside
> assessment of elderly persons with feeding difficulties. Items were
> generated by a literature review and selected with the collaboration of a
> multidisciplinary team. The first version of the MISA comprised 190 items in
> 7 scales, covering the domains of medical history, mealtime environment,
> physical characteristics of the patient, food textures consumed, solid
> ingestion, liquid ingestion, and behaviors related to self-feeding. The
> first field test for item selection included 50 individuals, aged 60 years
> and older, living in the community, supervised housing, and long-term care
> centers. After field testing, 134 items were eliminated due to poor face
> validity, redundancy, or poor psychometric performance. The remaining 56
> items were provided with 4 response categories and were reorganized into 5
> scales. The revised version was field tested to determine its preliminary
> psychometric properties on 33 individuals, 60 years of age and older,
> residing in a long-term care center. Six items were eliminated due to
> redundancy after the second field test. Analyses of the revised version
> resulted in the elimination of another 6 items that were redundant or that
> demonstrated poor reliability. Internal consistency of all scales is > or =
> 0.86 and interrater agreement is > or = 0.92. These analyses suggest that
> the psychometric properties of the MISA are adequate for diagnosis and
> treatment planning. This supports its readiness for clinical use following
> further reliability and validity testing with a larger sample.
> ----- Original Message -----
> From: <wwasmith@comcast.net>
> To: "Chris and Claire Langdon" <chris_claire@bigpond.com>
> Cc: <Dysphagia@b9.com>
> Sent: Thursday, January 29, 2004 8:48 AM
> Subject: Re: [Dysphagia] feeding assessments
> 
> 
> > Hello to all,
> >
> > Thanks for your insightful remarks.  Yes, I am aware that the MASA has
> only been tested on CVA patients.  Thanks for your suggestion on the ROSS,
> Irene.  We hope to look at a variety of diagnoses, and while the MASA has
> not been tested on such a range, when I heard Jay Rosenbek speak last year,
> he said that she was carefully suggesting that folks try it on other
> populations too.  I probably should be in touch with Dr. Mann herself on
> this one!  We are looking for an easy to administer and quick assessment.
> >

> > We are ALSO looking for a standardized assessment of self-feeding skills,
> so if anyone has any suggestions on that one, that would be appreciated as
> well.
> >
> > Wendy
> >
> > > Dear Wendy
> > >
> > > Will you be looking at stroke patients in your study?  I ask because the
> > > MASA was developed using a cohort of 128 stroke patients.
> > >
> > > Regards
> > >
> > > Claire
> > > ----- Original Message -----
> > > From: <wwasmith@comcast.net>
> > > To: <Dysphagia@b9.com>
> > > Sent: Wednesday, January 28, 2004 2:20 AM
> > > Subject: [Dysphagia] feeding assessments
> > >
> > >
> > > >
> > > > Hello all,
> > > >
> > > > A colleague and I are interested in doing a small study to examine the
> > > relationship between feeding (ie self-feeding) and swallowing disorders.
> We
> > > have our eye on the MASA to use for the latter, but thus far have not
> > > located any standardized assessments for feeding.  Any ideas?  Oh yes,
> and
> > > if anyone has any grant ideas for funding, that would be great to hear
> about
> > > too!  Many thanks,
> > > >
> > > > Wendy
> > > > _______________________________________________
> > > > Dysphagia mailing list
> > > > Dysphagia@b9.com
> > > > http://lists.b9.com/mailman/listinfo/dysphagia
> > > >
> > >
> > >
> >
> 
> 


Please send sugestions and comments to ppalmer@dysphagia.com."This site blew me away, I nearly choked!"
© 1996-2006 Phyllis M. Palmer, Ph.D.