Document Detail

Reliability and Validity of a Tool to Measure the Severity of Dysphagia: The Food Intake LEVEL Scale.
MedLine Citation:
PMID:  23159683     Owner:  NLM     Status:  Publisher    
CONTEXT: Dysphagia is one of the most prevalent and distressing symptoms among palliative care patients, and a practical assessment tool is required. OBJECTIVES: The aim of this study was to examine the reliability and validity of a tool to measure the severity of dysphagia: the Food Intake LEVEL Scale (FILS), a 10-point observer-rating scale. METHODS: The inter- and intrarater reliability was evaluated by three clinicians in 30 patients using weighted kappa statistics. The convergent validity was evaluated by examining correlations of FILS with the Functional Oral Intake Scale (FOIS) and patient-reported satisfaction levels with oral intake. RESULTS: Weighted kappa coefficients for interrater reliability ranged from 0.70 to 0.90 and those for intrarater reliability ranged from 0.83 to 0.90. The FILS score was highly associated with FOIS (ρ = 0.96-0.99) and patient-reported satisfaction (ρ = 0.89). CONCLUSION: FILS seems to have fair reliability and validity as a practical tool for assessing the severity of dysphagia. Further study on the reliability, validity, and sensitivity of FILS compared with FOIS is needed.
Kenjiro Kunieda; Tomohisa Ohno; Ichiro Fujishima; Kyoko Hojo; Tatsuya Morita
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-15
Journal Detail:
Title:  Journal of pain and symptom management     Volume:  -     ISSN:  1873-6513     ISO Abbreviation:  J Pain Symptom Manage     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605836     Medline TA:  J Pain Symptom Manage     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
Department of Rehabilitation, Hamamatsu City Rehabilitation Hospital, Shizuoka, Tokyo; Department of Neurology and Neurological Science, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo. Electronic address:
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