Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
An Investigation of the Factor Structure of the Persian Version of the Dysphagia Handicap Index Publisher



Bafrooei EB1 ; Khatoonabadi SA2 ; Maroufizadeh S3 ; Bakhtiyari J4 ; Rajaee A5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Speech Therapy, University of SocialWelfare and Rehabilitation Sciences, Tehran, Iran
  2. 2. Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
  4. 4. Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran
  5. 5. Isfahan Neurosciences Research Center, Al-Zahra Hospital Isfahan University of Medical Sciences, Isfahan, Iran

Source: Middle East Journal of Rehabilitation and Health Studies Published:2020


Abstract

Background: Oropharyngeal dysphagia harms all aspects of a person’s life, including behaviors, activities, and social situations. Quality of life is a multidimensional concept. The dysphagia handicap index (DHI) is a patient-reported outcomes tool that evaluates the different dimensions of quality of life in three physical, emotional, and functional factors in English-speaking countries. The validity of the Persian version of the dysphagia handicap index (DHI) has been evaluated in a study, but the reliability and factor analysis of the Persian version has not been investigated in any study. Objectives: This study aimed to investigate the factor structure analysis and reliability of the Persian version of the dysphagia handicap index (P-DHI). Methods: In this cross-sectional study, 100 patients with oropharyngeal dysphagia (mean age 55.69 ± 15.04, 53 women) completed the dysphagia handicap index (DHI). The severity of dysphagia was defined as follows: 1 for no dysphagia (normal), 2 and 3 for mild, 4, and 5 for moderate and 6 and 7for severe. Construct validity was examined by confirmatory factor analysis (CFA). Cronbach’s alpha and intraclass correlation coefficient (ICC) were performed to evaluate the internal consistency and test-retest reliability of the P-DHI, respectively. Results: The results of CFA provided support for a second-order three-factor model of P-DHI (χ2 = 484.61, df = 273, (P = 0.0001), χ2/df = 1.77; CFI = 0.901; RMSEA = 0.088 and SRMR = 0.010). The Cronbach’s alpha for physical, functional, and emotional subscales and total score were 0.751, 0.836, 0.773, and 0.900, respectively. The test-retest reliability of the P-DHI for the total score and subscales was high (ICC: 0.952 - 0.988). Furthermore, a significant relationship was found between the P-DHI total score and self-reported severity of dysphagia (P = 0.0001), while there were no relationships between P-DHI total score and age (P = 0.223), sex (P = 0.936), level of education (P = 0.113), disease duration (P = 0.126). Conclusions: The P-DHI is a reliable and valid instrument for assessing the disabling effects of swallowing disorders on the one’s Quality of Life in Iranian patients with oropharyngeal dysphagia due to a variety of diseases. Also, the CFA findings provide support for the tree-factor structure of the P-DHI and the use of the subscales as distinct variables. © 2020, Semnan University of Medical Sciences. All rights reserved.
Related Docs
View other Related Docs
1. Dysphagia and Dysphonia in Covid-19 Patients Hospitalized in the Ward Versus Intensive Care Unit, Iranian Rehabilitation Journal (2024)
2. Cross-Cultural Adaptation, Validation, and Diagnostic Accuracy of the Voice Fatigue Handicap Questionnaire-Persian Version, Journal of Voice (2024)
3. Validation of the Persian Translation of the Swallowing Disturbance Questionnaire in Parkinson's Disease Patients, Parkinson's Disease (2014)
4. Neuromuscular Electrical Stimulation in Conjunction With Conventional Swallowing Therapy in the Treatment of Dysphagia Caused by Multiple Sclerosis: A Single-Case Experimental Design, Folia Phoniatrica et Logopaedica (2023)
5. Development of the Initial Version of the Adult Dysarthria Assessment Test, Koomesh (2024)
6. Investigating the Prevalence of Dysphagia and Dysphonia in Patients With Covid-19 in the Intensive Care Unit, Journal of Modern Rehabilitation (2023)
7. Adaptation of Mental Health First Aid Guidelines for Eating Disorders for Iran, BMC Psychiatry (2024)
8. Brain Regions Involved in Swallowing: Evidence From Stroke Patients in a Cross-Sectional Study, Journal of Research in Medical Sciences (2016)
Experts (# of related papers)
View all Related Experts
Awat Feizi (5)
Leila Ghasisin (4)
Other Related Docs
9. Psychometric Properties of the Persian Version of the Difficulties in Emotion Regulation Scale(Ders-6 & Ders-5- Revised) in an Iranian Clinical Sample, Iranian Journal of Psychiatry (2015)
10. A Persian-Version of the Stuttering Severity Instrument-Version Four (Ssi-4): How the New Additions to Ssi-4 Complement Its Stuttering Severity Score?, Journal of Communication Disorders (2018)
11. Description of Three Time-Domain Speech Features in Children With Down Syndrome: A Pilot Study, Journal of Rehabilitation Sciences and Research (2020)
12. Changes in Speech Prosody Perception During Parkinson's Disease: A Comprehensive Analysis, Journal of Communication Disorders (2024)
13. Associated Factors With Swallowing Disorders in Patients With Multiple Sclerosis, Journal of Isfahan Medical School (2010)
14. A Scoping Review on the Effects of Kinesio Taping on Oropharyngeal Function Related to Swallowing and Feeding, Dysphagia (2024)
15. Cross-Cultural Adaptation and Psychometric Evaluation of the Persian Version of the Clinical Decision-Making in Nursing Scale, Journal of Nursing Measurement (2021)
16. Validity and Reliability of Safety Behaviors Questionnaire for Persian Adults Who Stutter: A Cultural Perspective, Journal of Communication Disorders (2022)
17. Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score, Arthroplasty Today (2023)
18. Validity and Reliability of the Persian Version of Mobile Phone Addiction Scale, Journal of Research in Medical Sciences (2014)
19. Prevalence of Dysphagia in Patients With Multiple Sclerosis: A Systematic Review and Meta-Analysis, Journal of Clinical Neuroscience (2023)
20. Evaluating the Psychometric Properties of the Mental Health Continuum-Short Form (Mhc-Sf) in Iranian Earthquake Survivors, International Journal of Mental Health (2017)
21. Prevalence and Risk Factors of Dysphagia in Patients With Multiple Sclerosis, Dysphagia (2022)
22. Psychometric Evaluation of the Persian Version of the Functional Mobility Scale: Assessing Validity and Reliability, Physical and Occupational Therapy in Pediatrics (2024)
23. Reliability and Validity of the Unhelpful Thoughts and Beliefs Scale for Persian-Speaking Adults Who Stutter (Utbas-P): A Cross-Cultural Examination of Social Anxiety in People Who Stutter, Journal of Fluency Disorders (2025)
24. Psychometric Properties of the Whoqol-Bref in an Iranian Adult Sample, Community Mental Health Journal (2010)
25. The Persian Version of the Berg Balance Scale: Inter and Intra-Rater Reliability and Construct Validity in Elderly Adults, Disability and Rehabilitation (2012)
26. Assessing the Validity and Reliability of Persian Version of Dqs (Dental Satisfaction Questionnaire), Iranian Journal of Epidemiology (2019)
27. Validity and Reliability of Persian Version of the Arm Function in Multiple Sclerosis Questionnaire, British Journal of Occupational Therapy (2022)
28. Validation of Persian Caregivers' Report of Quality of Life Questionnaire for Adolescents With Cerebral Palsy, International Journal of Therapy and Rehabilitation (2018)
29. The Prevalence of Dysphagia in Parkinson's Disease: A Systematic Review and Meta-Analysis, Journal of Iranian Medical Council (2024)
30. Psychometric Properties of Persian Version of the Caregiver Burden Scale in Iranian Caregivers of Patients With Spinal Cord Injury, Disability and Rehabilitation (2018)
31. The Relationship Between the Meal Frequency and Functional Dyspepsia in Iranian Adults, Journal of Isfahan Medical School (2016)
32. The Effects of (Chemo) Radiation Therapy on the Voice and Quality of Life in Patients With Non-Laryngeal Head and Neck Cancers: A Subjective and Objective Assessment, International Journal of Radiation Research (2022)
33. Cultural Adaptation and Validation of the Persian Version of the Disabilities of the Arm, Shoulder and Hand (Dash) Outcome Measure, Clinical Rehabilitation (2008)
34. Impact of Orthognathic Surgery on Quality of Life in Patients With Dentofacial Deformities, International Journal of Dentistry (2017)
35. Standardization (Translating and Evaluating the Validity and Reliability) of the Speech, Spatial, and Qualities of Hearing Scale Questionnaire-12(Ssq12) to the Persian Language, Journal of Rehabilitation Sciences and Research (2022)
36. Oral Health-Related Quality of Life Following Orthognathic Surgery for Class Iii Correction Its Relationship With Cephalometric Changes, International Journal of Oral and Maxillofacial Surgery (2019)
37. Factors Associated With Self-Rated Health Status in Southwestern Iran: A Population-Based Study, Public Health (2016)
38. Depression, Anxiety, and Stress Relative to Swallowing Impairment in Persons With Multiple Sclerosis, Dysphagia (2021)
39. The Effects of Intensive Speech Therapy on Non-Oral Cleft Speech Characteristics and Quality of Life in Children With Cleft Palate, Iranian Rehabilitation Journal (2021)
40. Development and Evaluation of a Questionnaire for Assessment of Determinants of Weight Disorders Among Children and Adolescents: The Caspian-Iv Study, International Journal of Preventive Medicine (2012)
41. Research Paper: Developing and Examining the Psychometrics of Single-Word Quick Repetition Test for Speech Sound Production in Persian-Speaking Children, Iranian Rehabilitation Journal (2020)
42. Oropharyngeal Dysphagia in Multiple Sclerosis, Multiple Sclerosis (2010)
43. Psychometric Analyses of the Persian Version of the Communicative Activity Log (Cal), Speech, Language and Hearing (2022)
44. Converting Three General-Cognitive Function Scales Into Persian and Assessment of Their Validity and Reliability, International Journal of Preventive Medicine (2011)
45. Anthropometric Facial Changes After Orthognathic Surgery and Their Relation With Oral Health Related Quality of Life, Journal of Craniofacial Surgery (2019)
46. Translation and Psychometric Properties of the Persian Version of the Health of the Nation Outcome Scales for Elderly People (Honos65+), Aging Medicine (2021)
47. Persian Version of the Brief Older People's Quality of Life Questionnaire (Opqol-Brief): The Evaluation of the Psychometric Properties, Health and Quality of Life Outcomes (2020)
48. Psychosomatic Symptoms Questionnaire (Psq-39): A Psychometric Study Among General Population of Iranian Adults, BMC Psychiatry (2021)
49. Quality of Life in Mothers of Children With Cerebral Palsy: The Role of Children’S Gross Motor Function, Journal of Child Health Care (2016)
50. Validity and Reliability of a Persian Version of the Quality of Masticatory Function Questionnaire for Edentulous Patients, Dental Research Journal (2016)