Evidence map›Paper›PMID 39096333›Full record

ArticleDysphagia2025

Reliability and Validity of the Chinese Mandarin Version of the Dysphagia Handicap Index.

Hongji Zeng, Jing Zeng, Weijia Zhao, Siyu Luo, Pengchao Luo, Zhefeng Wang, Qingfeng Tian, Xi Zeng

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. How enteral nutrition modes influence nasopharyngeal carcinoma survivors with late dysphagia after radiotherapy: a randomized controlled study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Observational
  8. 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

8 authors.

Hongji ZengSchool of Public Health, Zhengzhou University, Zhengzhou, 450000, China.
Jing ZengDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Weijia ZhaoSchool of Public Health, Zhengzhou University, Zhengzhou, 450000, China.
Siyu LuoPeabody College, Vanderbilt University, Nashville, TN, 37240, USA.
Pengchao LuoDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Zhefeng WangZhengzhou University, Zhengzhou, 450000, China.
Qingfeng TianSchool of Public Health, Zhengzhou University, Zhengzhou, 450000, China.
Xi ZengDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China. zengxizdyfy@126.com.ORCID 0009-0008-5743-5781

Funding

NHC Key Laboratory of Prevention and Treatment of Cerebrovascular Disease NHC Key Laboratory of Prevention and Treatment of Cerebrovascular Disease
6 · The paper itself

Abstract

This study aimed to develop the Dysphagia Handicap Index-Chinese Mandarin (DHI-CM) and to assess its reliability and validity. This prospective study was conducted in China with individuals who speak Mandarin. The DHI-CM was developed according to a five-stage process. 264 patients with oropharyngeal dysphagia (OD) and 187 healthy individuals completed the study. Reliability was assessed using Cronbach's α and test-retest reliability. Differences between healthy participants and patients with OD were analyzed for instrument validity. Convergent and concurrent validity were assessed using the Swallowing Quality of Life Questionnaire (SWAL-QoL) and Functional Oral Intake Scale (FOIS), respectively. The Content Validity Index (CVI) was used to assess content validity. Exploratory and Confirmatory Factor Analyses (EFA and CFA, respectively) were used to assess structural validity. The Cronbach's alpha was > 0.9 for the total score and every individual subscale. The Pearson and intraclass correlation coefficients were both > 0.8. The patients with OD showed significantly higher scores in the DHI-CM and its subscales than the healthy individuals. Significant correlations were found between most subscales of the DHI-CM and both the SWAL-QoL and FOIS. The CVI of the DHI-CM was 0.892 and ranged between 0.878 and 1.000 for the subscales. The EFA identified three components that explained 24.33%, 23.99%, and 22.73% of the variance, respectively. The scale showed good structural validity through CFA. Conclusions. The DHI-CM demonstrated good reliability and validity among Mandarin-speaking Chinese adults.

Indexed as

Deglutition DisordersDisability EvaluationAdultAgedChinaFemaleHumansLanguageMaleMiddle AgedProspective StudiesPsychometricsQuality of LifeReproducibility of ResultsSeverity of Illness IndexSurveys and QuestionnairesAssessmentDeglutition disordersQuality of lifeSwallowing disorder

Identifiers

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Read underepoch 390

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.