The psychometric evaluation of the Turkish version of the Mann Assessment of Swallowing Ability in patients in the early period after stroke
Background/aim:
The Mann Assessment of Swallowing Ability (MASA) is an efficient tool that allows physicians to
determine
the
alertness, cooperation, and respiration of patients, which are
important
factors when assessing
swallowing
. This study aimed to translate
the MASA into Turkish (T-MASA) and to assess its reliability and validity in patients during the
early period
after a
stroke
.
Materials and methods:
The scale was administered to 141 patients in the early period after a stroke. For reliability, both internal
consistency (Cronbach's alpha and corrected item-to-total correlations) and interrater reliability were analyzed. The procedures were
scored by two blinded independent expert observers. The validity was assessed using the convergent validity. The cut-off value of the
T-MASA for dysphagia was accepted as 169 points. The correlation between the MASA and endoscopic evaluation was evaluated.
Results:
The T-MASA showed good internal consistency using Cronbach's alpha (0.899-0.901) and corrected item-to-total correlations.
In addition, the intraclass correlation coefficient scores indicated excellent agreement. A significant moderate negative correlation was
found between endoscopic evaluation and the T-MASA in terms of the presence of dysphagia (r: -0.324, r: -0.302, respectively, and
both P = 0.001)
Conclusion:
Our results suggest that the Turkish version of the MASA is a valid and reliable instrument when determining dysphagia
in patients in the early period after a stroke.
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