Abstract
Aim: This study aimed to develop and test Mini‐EDACS to describe developing eating and drinking abilities of children with CP aged between 18 and 36 months. The existing Eating and Drinking Ability Classification System (EDACS) was modified to define Mini-EDACS content.
Methods: Mini-EDACS was developed in 3 stages: i) EDACS was modified after application to videos of standardised feeding evaluations of children with CP aged 18-36 months (n=130); ii) refined content and validity of Mini‐EDACS was established through an international Delphi survey; iii) inter‐observer reliability was assessed by comparing Mini-EDACS levels assigned by speech and language therapists (SaLTs) from video data and parent report.
Results: Mini‐EDACS provides age‐appropriate descriptions for children 18-36 months with CP. 89 stakeholders participated in the Delphi survey; required levels of agreement were met after one round (i.e. >80% agreement). 13 SaLTs completed paired ratings from 43 video recordings: absolute agreement: 58%; kappa: 0.43; ICC: 0.78 (95% CI 0.63-0.87).
Interpretation: Mini-EDACS provides a valid system for classifying eating and drinking performance of children with CP under three years old. Results suggests moderate agreement and good reliability when rating Mini-EDACS level from video recordings of young children with CP.
Methods: Mini-EDACS was developed in 3 stages: i) EDACS was modified after application to videos of standardised feeding evaluations of children with CP aged 18-36 months (n=130); ii) refined content and validity of Mini‐EDACS was established through an international Delphi survey; iii) inter‐observer reliability was assessed by comparing Mini-EDACS levels assigned by speech and language therapists (SaLTs) from video data and parent report.
Results: Mini‐EDACS provides age‐appropriate descriptions for children 18-36 months with CP. 89 stakeholders participated in the Delphi survey; required levels of agreement were met after one round (i.e. >80% agreement). 13 SaLTs completed paired ratings from 43 video recordings: absolute agreement: 58%; kappa: 0.43; ICC: 0.78 (95% CI 0.63-0.87).
Interpretation: Mini-EDACS provides a valid system for classifying eating and drinking performance of children with CP under three years old. Results suggests moderate agreement and good reliability when rating Mini-EDACS level from video recordings of young children with CP.
| Original language | English |
|---|---|
| Pages (from-to) | 897 - 906 |
| Number of pages | 10 |
| Journal | Developmental Medicine and Child Neurology |
| Volume | 64 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 29 Jan 2022 |