国际吞咽困难饮食标准化倡议（IDDSI）的实施策略，第一部分：不同参与者间IDDSI绩效的定量分析。,American Journal of Speech-Language Pathology

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国际吞咽困难饮食标准化倡议（IDDSI）的实施策略，第一部分：不同参与者间IDDSI绩效的定量分析。
American Journal of Speech-Language Pathology ( IF 2.3 ) Pub Date : 2020-06-08 , DOI: 10.1044/2020_ajslp-19-00012
David W Rule ₁ , Lisa Kelchner ₁ , Ashley Mulkern ₁ , Sarah Couch ₁ , Noah Silbert ₁ , Kathy Welden ₁

Affiliation

目的国际吞咽困难饮食标准化倡议（IDDSI）是质地改良饮食（TMD）的国际标准化框架。但是，用户执行IDDSI测试方法的准确性尚不清楚。这项研究的目的是三方面的：（a）描述两项任务的绩效（IDDSI知识测验和TMD样本分类任务），（b）确定分类任务绩效的内部和内部评估者同意，以及（c）确定社会经济因素或任务绩效的先验知识之间的预测关系。方法招募了68名参与者，包括卫生保健专业人员和与卫生保健无关的个人。使用了科目间和科目内的混合设计。所有参与者均完成了一次基础知识测验，即使用IDDSI进行了30分钟的自学。组织课程，自学后知识测验以及21个TMD样本的TMD分类任务，这些样本在所有IDDSI级别上均具有代表性。数据通过电子调查收集。结果显着增加（p<.001）在自学前后知识测验分数之间。在分类任务中，未修改的食品和饮料使用最不正确分类的增稠液体（IDDSI 1、2、3级）进行了最准确的分类。在基线时，在相同样本中发现中等的驯鹿者协议，而评分者的协议范围从公平到几乎完美。分类任务绩效与社会经济地位或先前经验之间未发现显着的预测关系。结论使用在线IDDSI.org课程进行的30分钟自学可以提高基线IDDSI知识检查的性能。TMD分类的总体准确性很低，考虑到不适当的TMD表现会继发潜在的不利健康后果，因此有必要进行进一步评估。鉴于社会经济因素与任务执行的先前经验之间没有可预测的关系，因此IDDSI课程和分类任务对于包括非卫生保健相关参与者在内的各种用户看来都是可访问的。未来的研究应更密切地观察测试行为，以进一步表征参与者使用测试方法的差异。

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Implementation Strategies for the International Dysphagia Diet Standardisation Initiative (IDDSI), Part I: Quantitative Analysis of IDDSI Performance Among Varied Participants.

Purpose The International Dysphagia Diet Standardisation Initiative (IDDSI) is an international standardized framework for texture-modified diets (TMDs). However, user accuracy in conducting IDDSI testing methods are unknown. The aims of this study were threefold: (a) to describe performance on two tasks (an IDDSI knowledge quiz and a TMD sample classification task), (b) to determine interrater and intrarater agreement for classification task performance, and (c) to determine predictive relationships between socioeconomic factors or prior knowledge on task performance. Method Sixty-eight participants were recruited, including health care professionals and non-health care-related individuals. A mixed between-subjects and within-subject design was used. All participants completed a baseline knowledge quiz, 30 min of self-study using the IDDSI.org curriculum, a post self-study knowledge quiz, and a TMD classification task of 21 TMD samples with representation across all IDDSI levels. Data were collected via electronic survey. Results There was a significant increase (p < .001) between pre and post self-study knowledge quiz scores. On the classification task, unmodified foods and drinks were most accurately classified with thickened liquids (IDDSI Levels 1, 2, 3) most inaccurately classified. At baseline, moderate interrater agreement was found with intrarater agreement ranging from fair to almost perfect among identical samples. No significant predictive relationships were found between classification task performance and socioeconomic status or prior experience. Conclusions Thirty minutes of self-study using the online IDDSI.org curriculum improved baseline IDDSI knowledge check performance. Overall accuracy of TMD classification was low and warrants further evaluation given potential adverse health outcomes secondary to inappropriate TMD presentation. Given no predictive relationships between socioeconomic factors and prior experience on task performance, the IDDSI curriculum and classification task appear accessible to various users, including non-health care-related participants. Future studies should more closely observe testing behavior to further characterize variation in participants' use of the testing methods.

更新日期：2020-08-21

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