Volume 43, Issue 3 pp. 967-976

ORIGINAL ARTICLE

Preliminary development and validation of a measure of fear of swallowing and swallowing-related movement injury in head and neck cancer: Swallowing Kinesiophobia Scale

Giselle D. Carnaby MPH, PhD,

Corresponding Author

Giselle D. Carnaby MPH, PhD

[email protected]

orcid.org/0000-0002-3724-2818

School of Communication Sciences & Disorders, University of Central Florida, Orlando, Florida, USA

Correspondence

Giselle D. Carnaby, School of Communication Sciences & Disorders, University of Central Florida, Orlando, FL.

Email: [email protected]

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Karishma Chhabria MPH, PhD,

Karishma Chhabria MPH, PhD

Department of Management, Policy and Community Health, University of Texas Health Science Center, Houston, Texas, USA

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Giselle D. Carnaby MPH, PhD,

Corresponding Author

Giselle D. Carnaby MPH, PhD

[email protected]

orcid.org/0000-0002-3724-2818

School of Communication Sciences & Disorders, University of Central Florida, Orlando, Florida, USA

Correspondence

Giselle D. Carnaby, School of Communication Sciences & Disorders, University of Central Florida, Orlando, FL.

Email: [email protected]

Search for more papers by this author

Karishma Chhabria MPH, PhD,

Karishma Chhabria MPH, PhD

Department of Management, Policy and Community Health, University of Texas Health Science Center, Houston, Texas, USA

Search for more papers by this author

First published: 02 December 2020

https://doi.org/10.1002/hed.26573

Citations: 2

Section Editor: Katherine Hutcheson

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Abstract

Background

Fear is an under-recognized issue in intervention adherence in head and neck cancer (HNC). We developed and validated a patient reported outcome for swallowing fear in HNC patients.

Methods

Items were adapted from the Tampa Scale for Kinesiophobia to swallowing function. A beta version was completed by 51 HNC patients undergoing chemo +/− radiotherapy at baseline and post-treatment. Psychometric and factor structure analyses were applied.

Results

Swallowing Kinesiophobia Scale (SWKS) demonstrated strong face and content validity, internal consistency, and test-retest reliability. Factor analysis revealed three-factors: somatic factor, swallow avoidance, and fear of harm. Factors correlated positively with depression score, worry scale, and anxiety and pain scales. Score differences between patient subgroups (dysphagic vs nondysphagic) confirmed discriminative validity.

Conclusion

The SWKS is a psychometrically valid tool to identify patients with fear of swallowing and swallowing-related movement. It can help identify patients early in treatment who may need additional support.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

Open Research

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Volume43, Issue3

March 2021

Pages 967-976

Preliminary development and validation of a measure of fear of swallowing and swallowing-related movement injury in head and neck cancer: Swallowing Kinesiophobia Scale

Abstract

Background

Methods

Results

Conclusion

CONFLICT OF INTEREST

Open Research

DATA AVAILABILITY STATEMENT

REFERENCES

Citing Literature

References

Information

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Preliminary development and validation of a measure of fear of swallowing and swallowing-related movement injury in head and neck cancer: Swallowing Kinesiophobia Scale

Abstract

Background

Methods

Results

Conclusion

CONFLICT OF INTEREST

Open Research

DATA AVAILABILITY STATEMENT

REFERENCES

Citing Literature

References

Related

Information