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<p>Paediatric dysphagia is a common concern in infants and toddlers, particularly among those with neurodevelopmental disorders, due to immature or impaired oral-motor control. Early identification by Speech-Language Pathologists is essential to prevent nutritional, respiratory, and developmental complications. This study aimed to develop and establish the content validity of Feeding and Oromotor Assessment Tool (FEEDO-P) for children aged 0–36 months. The tool was developed in two phases. Phase 1 involved constructing an initial pool of items based on developmental feeding-milestone literature, existing assessment tools, and clinical expertise. Phase 2 focused on content validation using expert ratings and qualitative review. Nine experts rated each item for relevance and clarity using a 4-point scale, and Item-Level Content Validity (I-CVI), Scale-Level CVI (S-CVI/Ave), and modified kappa (k*) values were computed. Five experts participated in a Focus Group Discussion to evaluate developmental appropriateness, redundancy, clarity, feasibility, and cultural relevance. The preliminary 215-item pool underwent rigorous review, yielding S-CVI/Ave scores of 0.89 for relevance and 0.85 for clarity, indicating excellent agreement. Modified kappa values ranged from 0.72 to 0.94, reflecting perfect agreement. A total of 132 items (62%) were accepted without modification, 49 items (23%) required revisions, and 32 items (14.6%) were removed due to redundancy. Qualitative insights led to refinement of items related to latch quality, tongue-thrust integration, chewing-pattern descriptions, and culturally appropriate food examples. The final FEEDO-P comprised 180 items that demonstrates strong content validity and offers a clinically relevant, culturally grounded framework to support identification of paediatric dysphagia in Indian infants and toddlers.</p>

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Construction and Content Validation of a Paediatric Feeding and Oromotor Assessment Tool (FEEDO-P)

  • 期刊论文

  • 发表日期：

    2026年4月11日

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  • P. Prasitha,
  • Kala Samayan,
  • Subash Sundar,
  • Suresh Rangaraj

摘要

Paediatric dysphagia is a common concern in infants and toddlers, particularly among those with neurodevelopmental disorders, due to immature or impaired oral-motor control. Early identification by Speech-Language Pathologists is essential to prevent nutritional, respiratory, and developmental complications. This study aimed to develop and establish the content validity of Feeding and Oromotor Assessment Tool (FEEDO-P) for children aged 0–36 months. The tool was developed in two phases. Phase 1 involved constructing an initial pool of items based on developmental feeding-milestone literature, existing assessment tools, and clinical expertise. Phase 2 focused on content validation using expert ratings and qualitative review. Nine experts rated each item for relevance and clarity using a 4-point scale, and Item-Level Content Validity (I-CVI), Scale-Level CVI (S-CVI/Ave), and modified kappa (k*) values were computed. Five experts participated in a Focus Group Discussion to evaluate developmental appropriateness, redundancy, clarity, feasibility, and cultural relevance. The preliminary 215-item pool underwent rigorous review, yielding S-CVI/Ave scores of 0.89 for relevance and 0.85 for clarity, indicating excellent agreement. Modified kappa values ranged from 0.72 to 0.94, reflecting perfect agreement. A total of 132 items (62%) were accepted without modification, 49 items (23%) required revisions, and 32 items (14.6%) were removed due to redundancy. Qualitative insights led to refinement of items related to latch quality, tongue-thrust integration, chewing-pattern descriptions, and culturally appropriate food examples. The final FEEDO-P comprised 180 items that demonstrates strong content validity and offers a clinically relevant, culturally grounded framework to support identification of paediatric dysphagia in Indian infants and toddlers.