Evidence map›Paper›PMID 38954020›Full record

ArticleDysphagia2025

Development and Validation of the Dysphagia Handicap Index-Companion (DHI-C).

Alice Silbergleit, Ramya Konnai, Lonni R Schultz

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Dysphagia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alice SilbergleitDivision of Speech-Language Sciences and Disorders, Department of Neurology, Henry Ford Health, 6777 West Maple Road, West Bloomfield, MI, 48322, United States. Asilber1@hfhs.org.ORCID 0000-0001-7677-9282
Ramya KonnaiDivision of Speech-Language Sciences and Disorders, Department of Neurology, Henry Ford Health, 6777 West Maple Road, West Bloomfield, MI, 48322, United States.
Lonni R SchultzDepartment of Public Health Sciences, Henry Ford Health, 2799 West Grand Boulevard, Detroit, MI, 48202, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysphagia is known to present a social and psychological burden with negative effects on quality of life. However, the psychosocial effect of an individual's dysphagia on those that care for them is less known. The purpose of this study was to develop a clinically efficient, statistically robust companion-reported outcomes measure to the Dysphagia Handicap Index (DHI) to better understand the impact of a patient's dysphagia on their companions as related to physical, emotional and functional domains of health-related quality of life. Seventy-seven initial statements describing companion perceptions of dysphagia were divided into physical, emotional and functional subscales. The statements were administered to 75 consecutive companions of individuals with dysphagia. Respondents replied never, almost never, sometimes, almost always and always to each statement and rated their companion's dysphagia severity on a 7-point equal appearing interval scale. Cronbach's α was performed to assess the internal consistency validation of the statements. The final questionnaire was reduced to 25 items and administered to 317 companions of individuals with dysphagia and 31 controls. Test-retest was performed on 29 companions of individuals with dysphagia. Cronbach's α was strong for the initial and final versions at r = 0.96 and r = 0.97 respectively. Significant differences occurred between companion responses of subjects with dysphagia and the control group. Test-retest reliability was strong (all ICC > 0.85). We present a statistically robust companion-reported outcomes measure to assess the handicapping effects of dysphagia on companions to further our understanding of the global effect of dysphagia and to guide treatment for successful swallowing outcomes.

Indexed as

CaregiversDeglutition DisordersDisability EvaluationQuality of LifeAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSeverity of Illness IndexSurveys and QuestionnairesCompanionDysphagiaReported outcomes measure

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.