CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(03): e321-e326
DOI: 10.1055/s-0041-1735566
Original Research

Translation and Validation of the Indonesian MD Anderson Dysphagia Inventory (MDADI) in Head and Neck Cancer Patients with Swallowing Disorders

1   Departement of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine and Health Science, University of Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
2   Departement of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, University of Gadjah Mada, Yogyakarta, Indonesia
,
2   Departement of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, University of Gadjah Mada, Yogyakarta, Indonesia
,
2   Departement of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, University of Gadjah Mada, Yogyakarta, Indonesia
› Author Affiliations
Funding The present study was not supported or received any funding by any organization.

Abstract

Introduction Dysphagia is common in head and neck cancer patients; it is associated with significant morbidity, including quality of life. Several instruments can be used to assess the quality of life of dysphagia patients, including the M.D Anderson dysphagia inventory (MDADI) questionnaire, which is sufficiently valid and reliable to improve the quality of life of patients with neurological disorders and head and neck cancer.

Objective The purpose of the present study is to perform adaptation, cultural translation, and validation of the MDADI questionnaire for the Indonesian language.

Methods This cross-sectional study assessed the validity and reliability of the MDADI Indonesian adaptation instrument in head and neck cancer patients with swallowing disorders in the Otorhinolaryngology clinic of the Dr. Sardjito hospital, Yogyakarta, from May to August 2019.

Results There were 40 study subjects, including 31 men and 9 women. The MDADI instrument adapted to Indonesian is valid and reliable as an instrument for assessing the quality of life of patients with head and neck cancer with swallowing disorders, with r-values ranging from 0.314 to 0.939. Internal consistency shows that Cronbach's α is 0.915, and test-retest reliability (intra-class correlation) ranges from 0.919 to 0.985.

Conclusion The translation and validation of the Indonesian MDADI instrument were performed as an instrument for assessing the quality of life of head and neck cancer patients with swallowing disorders.

Author contribution

(1) substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data: Rizka Fakhriani


(2) drafting the article or revising it critically for important intellectual content: Rizka Fakhriani: Agus Surono


(3) final approval of the version to be published: Agus Surono; Bambang Udji Djoko Rianto


Supplementary Material



Publication History

Received: 31 August 2020

Accepted: 22 April 2021

Article published online:
26 October 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Malagelada JR, Bazzoli F, Boeckxstaens G. et al. World gastroenterology organisation global guidelines: dysphagia–global guidelines and cascades update September 2014. J Clin Gastroenterol 2015; 49 (05) 370-378
  • 2 Francis DO, Weymuller Jr EA, Parvathaneni U, Merati AL, Yueh B. Dysphagia, stricture, and pneumonia in head and neck cancer patients: does treatment modality matter?. Ann Otol Rhinol Laryngol 2010; 119 (06) 391-397
  • 3 Nguyen NP, Frank C, Moltz CC. et al. Impact of dysphagia on quality of life after treatment of head-and-neck cancer. Int J Radiat Oncol Biol Phys 2005; 61 (03) 772-778
  • 4 Denaro N, Merlano MC, Russi EG. Dysphagia in head and neck cancer patients: Pretreatment evaluation, predictive factors, and assessment during radio-chemotherapy, recommendations. Clin Exp Otorhinolaryngol 2013; 6 (03) 117-126
  • 5 McHorney CA, Bricker DE, Kramer AE. et al. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia 2000; 15 (03) 115-121
  • 6 Chen AY, Frankowski R, Bishop-Leone J. et al. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg 2001; 127 (07) 870-876
  • 7 Woisard V, Andrieux MP, Puech M. [Validation of a self-assessment questionnaire for swallowing disorders (Deglutition Handicap Index)]. Rev Laryngol Otol Rhinol (Bord) 2006; 127 (05) 315-325
  • 8 World Health Organization. Process of translation and adaptation of instruments. 2017 [cited 2020 May 20]. Available from: https://www.mhinnovation.net/sites/default/files/files/WHO%20Guidelines%20on%20Translation%20and%20Adaptation%20of%20Instruments.docx
  • 9 Carlsson S, Rydén A, Rudberg I, Bove M, Bergquist H, Finizia C. Validation of the Swedish M. D. Anderson Dysphagia Inventory (MDADI) in patients with head and neck cancer and neurologic swallowing disturbances. Dysphagia 2012; 27 (03) 361-369
  • 10 Kwon CH, Kim YH, Park JH, Oh BM, Han TR. Validity and reliability of the korean version of the MD anderson Dysphagia inventory for head and neck cancer patients. Ann Rehabil Med 2013; 37 (04) 479-487
  • 11 Guedes RL, Angelis EC, Chen AY, Kowalski LP, Vartanian JG. Validation and application of the M.D. Anderson Dysphagia Inventory in patients treated for head and neck cancer in Brazil. Dysphagia 2013; 28 (01) 24-32
  • 12 Ogilvie AL, Dronfield MW, Ferguson R, Atkinson M. Palliative intubation of oesophagogastric neoplasms at fibreoptic endoscopy. Gut 1982; 23 (12) 1060-1067
  • 13 Wilson JA, Carding PN, Patterson JM. Dysphagia after nonsurgical head and neck cancer treatment: patients' perspectives. Otolaryngol Head Neck Surg 2011; 145 (05) 767-771
  • 14 Moayer R, Sinha U. Dysphagia in head and neck cancer: A review. Open J Stomatol 2013; 3 (09) 486-491
  • 15 Rinkel RN, Verdonck-de Leeuw IM, Doornaert P. et al. Prevalence of swallowing and speech problems in daily life after chemoradiation for head and neck cancer based on cut-off scores of the patient-reported outcome measures SWAL-QOL and SHI. Eur Arch Otorhinolaryngol 2016; 273 (07) 1849-1855
  • 16 Speyer R, Heijnen BJ, Baijens LW. et al. Quality of life in oncological patients with oropharyngeal dysphagia: validity and reliability of the Dutch version of the MD Anderson Dysphagia Inventory and the Deglutition Handicap Index. Dysphagia 2011; 26 (04) 407-414
  • 17 Montes-Jovellar L, Carrillo A, Muriel A, Barbera R, Sanchez F, Cobeta I. Translation and validation of the MD Anderson Dysphagia Inventory (MDADI) for Spanish-speaking patients. Head Neck 2019; 41 (01) 122-129