MBS measurement tool for swallow impairment-MBSimp

Establishing a standard

Bonnie Martin-Harris, Martin B Brodsky, Yvonne Michel, Donald O. Castell, Melanie Schleicher, John Sandidge, Rebekah Maxwell, Julie Blair

Research output: Contribution to journalArticle

Abstract

The aim of this study was to test reliability, content, construct, and external validity of a new modified barium swallowing study (MBSS) tool (MBSImp) that is used to quantify swallowing impairment. Multiple regression, confirmatory factor, and correlation analyses were used to analyze 300 in- and outpatients with heterogeneous medical and surgical diagnoses who were sequentially referred for MBS exams at a university medical center and private tertiary care community hospital. Main outcome measures were the MBSImp and index scores of aspiration, health status, and quality of life. Inter- and intrarater concordance were 80% or greater for blinded scoring of MBSSs. Regression analysis revealed contributions of eight of nine swallow types to impressions of overall swallowing impairment (p <0.05). Factor analysis revealed 13 significant components (loadings ≥ 0.5) that formed two impairment groupings (oral and pharyngeal). Significant correlations were found between Oral and Pharyngeal Impairment scores and Penetration-Aspiration Scale scores, and indexes of intake status, nutrition, health status, and quality of life. The MBSImp demonstrated clinical practicality, favorable inter- and intrarater reliability following standardized training, content, and external validity. This study reflects potential for establishment of a new standard for quantification and comparison of oropharyngeal swallowing impairment across patient diagnoses as measured on MBSS.

Original languageEnglish (US)
Pages (from-to)392-405
Number of pages14
JournalDysphagia
Volume23
Issue number4
DOIs
StatePublished - Dec 2008

Fingerprint

Deglutition
Barium
Health Status
Statistical Factor Analysis
Quality of Life
Community Hospital
Tertiary Healthcare
Nutritional Status
Inpatients
Outpatients
Regression Analysis
Outcome Assessment (Health Care)

Keywords

  • Deglutition
  • Deglutition disorders
  • Diagnostic tool
  • Dysphagia
  • Reliability
  • Swallowing
  • Videofluoroscopy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

Cite this

Martin-Harris, B., Brodsky, M. B., Michel, Y., Castell, D. O., Schleicher, M., Sandidge, J., ... Blair, J. (2008). MBS measurement tool for swallow impairment-MBSimp: Establishing a standard. Dysphagia, 23(4), 392-405. https://doi.org/10.1007/s00455-008-9185-9

MBS measurement tool for swallow impairment-MBSimp : Establishing a standard. / Martin-Harris, Bonnie; Brodsky, Martin B; Michel, Yvonne; Castell, Donald O.; Schleicher, Melanie; Sandidge, John; Maxwell, Rebekah; Blair, Julie.

In: Dysphagia, Vol. 23, No. 4, 12.2008, p. 392-405.

Research output: Contribution to journalArticle

Martin-Harris, B, Brodsky, MB, Michel, Y, Castell, DO, Schleicher, M, Sandidge, J, Maxwell, R & Blair, J 2008, 'MBS measurement tool for swallow impairment-MBSimp: Establishing a standard', Dysphagia, vol. 23, no. 4, pp. 392-405. https://doi.org/10.1007/s00455-008-9185-9
Martin-Harris B, Brodsky MB, Michel Y, Castell DO, Schleicher M, Sandidge J et al. MBS measurement tool for swallow impairment-MBSimp: Establishing a standard. Dysphagia. 2008 Dec;23(4):392-405. https://doi.org/10.1007/s00455-008-9185-9
Martin-Harris, Bonnie ; Brodsky, Martin B ; Michel, Yvonne ; Castell, Donald O. ; Schleicher, Melanie ; Sandidge, John ; Maxwell, Rebekah ; Blair, Julie. / MBS measurement tool for swallow impairment-MBSimp : Establishing a standard. In: Dysphagia. 2008 ; Vol. 23, No. 4. pp. 392-405.
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