ArticleAnnals of medicine2025
Reliability and validity of the Standardized swallowing assessment among community-dwelling older adults in China.
Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Development and Validation of a Nomogram Model for Predicting the Severity of Post-Stroke Dysphagia Based on fNIRS-Derived Brain Functional Connectivity Features.Brain and behavior · 2026Article
- Development and External Validation of an Explainable Machine Learning Model to Identify Positive Dysphagia Screening Results in People with Dementia: A Multicenter Cross-Sectional Study.Clinical interventions in aging · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOropharyngeal Dysphagia (OD) has become a public health issue and early screening has practical significance. The Standardized Swallowing Assessment (SSA) is a clinician-driven, simple, and efficient screening tool but has yet to be validated in Chinese communities.
objectivesThis study aimed to cross-culturally adapt and validate the SSA in Chinese community-dwelling older adults and explore its optimal cut-off value.
methodsThe SSA was cross-culturally adapted according to a 5-stage process. Reliability included internal consistency, inter-rater reliability, and test-retest reliability. Cronbach's alpha was used to assess its internal consistency. The other reliability analyses were conducted using Pearson's correlation. Validity analysis included convergent and concurrent validity. For the convergent validity, the correlation between the SSA and Penetration-Aspiration Scale (PAS) or 10-item Eating Assessment Tool (EAT-10) was analyzed using Spearman's correlation and Mann-Whitney
resultsA total of 466 and 79 Chinese community-dwelling older adults were included in the first and second assessments, respectively. The Cronbach's coefficients for the total scale and each step were >0.7. The Pearson correlation coefficients were >0.8 for test-retest reliability (
conclusionsThe SSA showed good reliability and validity among community-dwelling older adults in China, and the optimal cutoff values were 21.0 and 28.0.
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