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Inter- and intrarater reliability of the Eating and Drinking Ability Classification System in Sweden

Sjöstrand, Eva and Rodby-Bousquet, Elisabet LU orcid (2024) In Disability and Rehabilitation
Abstract

Purpose: To evaluate inter- and intrarater reliability, of the Eating and Drinking Ability Classification System (EDACS) for children and adults with cerebral palsy (CP) in Sweden. Methods: Four speech and language pathologists rated EDACS from videos of 30 individuals with CP, 3 to 62 years, (mean 21 y, 10 m, SD 18 y, 6 m), six at each level of the Gross Motor Function Classification System (GMFCS). Inter- and intrarater reliability were estimated using Intraclass Correlation Coefficient (ICC) with 95% confidence interval. Results: Interrater reliability was excellent, ICC 0.98 (95% CI 0.95–0.99) for EDACS levels I–V and ICC 1 for need for support, as was intrarater reliability, ICC 0.97 (95% CI 0.93–0.98) for EDACS levels I–V and ICC... (More)

Purpose: To evaluate inter- and intrarater reliability, of the Eating and Drinking Ability Classification System (EDACS) for children and adults with cerebral palsy (CP) in Sweden. Methods: Four speech and language pathologists rated EDACS from videos of 30 individuals with CP, 3 to 62 years, (mean 21 y, 10 m, SD 18 y, 6 m), six at each level of the Gross Motor Function Classification System (GMFCS). Inter- and intrarater reliability were estimated using Intraclass Correlation Coefficient (ICC) with 95% confidence interval. Results: Interrater reliability was excellent, ICC 0.98 (95% CI 0.95–0.99) for EDACS levels I–V and ICC 1 for need for support, as was intrarater reliability, ICC 0.97 (95% CI 0.93–0.98) for EDACS levels I–V and ICC 0.99 (95% CI 0.99–1) for need for support. Conclusions: When rated by speech and language pathologists, EDACS shows excellent inter- and intrarater reliability for children and adults with CP. EDACS can identify eating and drinking ability and need for support in individuals at all GMFCS levels.

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author
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organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
cerebral palsy, dysphagia, EDACS, reliability, reproducibility of results
in
Disability and Rehabilitation
publisher
Informa Healthcare
external identifiers
  • scopus:85211914931
  • pmid:39668731
ISSN
0963-8288
DOI
10.1080/09638288.2024.2439011
language
English
LU publication?
yes
id
fb0fb432-e7b1-47cc-bfd7-6dd33885989b
date added to LUP
2025-01-30 11:40:06
date last changed
2025-07-18 01:29:25
@article{fb0fb432-e7b1-47cc-bfd7-6dd33885989b,
  abstract     = {{<p>Purpose: To evaluate inter- and intrarater reliability, of the Eating and Drinking Ability Classification System (EDACS) for children and adults with cerebral palsy (CP) in Sweden. Methods: Four speech and language pathologists rated EDACS from videos of 30 individuals with CP, 3 to 62 years, (mean 21 y, 10 m, SD 18 y, 6 m), six at each level of the Gross Motor Function Classification System (GMFCS). Inter- and intrarater reliability were estimated using Intraclass Correlation Coefficient (ICC) with 95% confidence interval. Results: Interrater reliability was excellent, ICC 0.98 (95% CI 0.95–0.99) for EDACS levels I–V and ICC 1 for need for support, as was intrarater reliability, ICC 0.97 (95% CI 0.93–0.98) for EDACS levels I–V and ICC 0.99 (95% CI 0.99–1) for need for support. Conclusions: When rated by speech and language pathologists, EDACS shows excellent inter- and intrarater reliability for children and adults with CP. EDACS can identify eating and drinking ability and need for support in individuals at all GMFCS levels.</p>}},
  author       = {{Sjöstrand, Eva and Rodby-Bousquet, Elisabet}},
  issn         = {{0963-8288}},
  keywords     = {{cerebral palsy; dysphagia; EDACS; reliability; reproducibility of results}},
  language     = {{eng}},
  publisher    = {{Informa Healthcare}},
  series       = {{Disability and Rehabilitation}},
  title        = {{Inter- and intrarater reliability of the Eating and Drinking Ability Classification System in Sweden}},
  url          = {{http://dx.doi.org/10.1080/09638288.2024.2439011}},
  doi          = {{10.1080/09638288.2024.2439011}},
  year         = {{2024}},
}