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• W2024686346 abstract "Objectives: In patients consuming an oral diet (1) to identify the prevalence, range and combination of eating problems following acute stroke; (2) to develop an ordinal scaled instrument to measure post-stroke eating disability; (3) to investigate the impact of extraneous variables which could influence dietary intakes. Design: Cross sectional in two phases; phase (1) instrument development and determination of content and convergent validity, test–retest and inter-rater reliability; phase (2) investigation of internal consistency, criterion-related validity, identification of predictors of energy and protein intake and comparison of dietary intakes with reference values. Setting: Informal, acute setting. Participants: Consecutive acute stroke admissions: phase 1 (n =25;n =35); phase 2 (n =75) consuming oral nutrients with assistance. Results: An instrument containing eight categories of functional impairments (disabilities) were graded according to severity, level, and resulting dependence on mealtime assistance. A total score was obtained from category subscores, giving an overall measure of eating disability. Values obtained for internal consistency were 0.81 (Cronbach’s coefficient 0.81), test–re-test and inter-rater reliability (rho > 0.85 and kappa > 0.65, respectively). In 75 patients significant negative correlations were found between eating disability scores, energy and protein intakes (Spearmans rho – 0.867, P<0.001 and – 0.634, P< 0.001 respectively). Multiple regression analysis identified impaired arm movement, lip closure and swallowing as significant predictors of 24 hour dietary energy intakes and impaired arm movement as the sole predictor of 24 hour dietary protein intakes. Provision and consumption of dietary energy and protein did not meet reference values in some patients groups. Conclusions: The eating disability instrument met selected criteria for validity and reliability. Further work is necessary to address the issue of scale weightings. Increasing eating disability exerted a negative impact on consumption of dietary energy and protein. Impaired arm movement was a powerful predictor of energy and protein intakes. Dietary provision and consumption of energy and protein substantially below reference values was a matter of concern." @default.
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• W2024686346 date "2000-09-01" @default.
• W2024686346 modified "2023-10-13" @default.
• W2024686346 title "Measurement of eating disability in an acute stroke population" @default.
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• W2024686346 doi "https://doi.org/10.1054/cein.2000.0128" @default.
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