The SWAL-QOL Outcomes Tool for Oropharyngeal Dysphagia in Adults: I. Conceptual Foundation and Item Development
Abstract
In the past two decades, noteworthy advances have been made in measuring the physiologic outcomes of dysphagia, including measurement of duration of structure and bolus movements, stasis, and penetration-aspiration. However, there is a paucity of data on health outcomes from the patients' perspective, such as quality of life and patient satisfaction. A patient-based, dysphagia-specific outcomes tool is needed to enhance information on treatment variations and treatment effectiveness. We present the conceptual foundation and item generation process for the SWAL-QOL, a quality of life and quality of care outcomes tool under development for dysphagia researchers and clinicians.
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The SWAL-QOL is a 44-item tool with ten multi-item scales, and higher scores indicate better quality of life.
“The SWAL-QOL is a 44-item tool consisting of ten multi-item scales (food selection, burden, mental health, social functioning, fear, eating duration, eating desire, communication, sleep, and fatigue) [63, 64].”
From MBS Measurement Tool for Swallow Impairment—MBSImp: Establishing a Standard (2008) · cites this paper as [63]
All SWAL-QOL scales exhibit internal consistency and test-retest reliability.
“All of the SWAL-QOL scales exhibit internal consistency and test-retest reliability.”
From MBS Measurement Tool for Swallow Impairment—MBSImp: Establishing a Standard (2008) · cites this paper as [63]
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References 67 · Cited by 371
- Authors
- McHorney, C. A., Bricker, D. E., Kramer, A. E., Rosenbek, J. C., Robbins, J., Chignell, K. A., Logemann, J. A., & Clarke, C.
- Affiliations
- University of Kentucky (US)
- Marquette University (US)
- University of Wisconsin–Madison (US)
- William S. Middleton Memorial Veterans Hospital (US)
- Northwestern University (US)
- ORCID
- McHorney, Colleen A.
- Venue
- Dysphagia
- Published
- 2000-06
- Volume
- 15
- Issue
- 3
- Pages
- 115-121
- ISSN
- 0179-051X (ISSN-L)
- 1432-0460
- OpenAlex
- W2053432594
- Cited by
- 371
- References
- 67
- Citations by year
- 2026: 16 · 2025: 19 · 2024: 18 · 2023: 21 · 2022: 24 · 2021: 27 · 2020: 18 · 2019: 17 · 2018: 13 · 2017: 24 · 2016: 13 · 2015: 20 · 2014: 18 · 2013: 19 · 2012: 14
- FWCI
- 20.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Dysphagia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Social Sciences › Education › Health Education and Validation
- Keywords
- oropharyngeal dysphagia, SWAL-QOL, quality of life, patient satisfaction, quality of care, patient-reported outcomes, item generation, conceptual framework, adults
- MeSH terms
- Aged, Aged, 80 and over, Deglutition Disorders, Female, Humans, Male, Middle Aged, Oropharynx, Quality of Health Care, Quality of Life, Surveys and Questionnaires, Sensitivity and Specificity, Treatment Outcome, Patient Satisfaction, Outcome Assessment, Health Care
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