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A scoping review of the evidence for the use of screening tools in people with intellectual disabilities with dysphagia

O'Leary, Lisa; Maine, Andrew; Ring, Nicola; Reid, James; Speirs, Lorraine; Allan, Louise; Truesdale, Maria; Taggart, Laurence

Authors

James Reid

Lorraine Speirs

Louise Allan

Maria Truesdale

Laurence Taggart



Abstract

Background
Dysphagia can have serious health implications including choking and respiratory infection leading to poorer quality of life. People with intellectual disabilities are at higher risk of dysphagia related health complications and early death. Robust dysphagia screening tools are vital for this population.

Method
A scoping review and appraisal of the evidence for dysphagia and feeding screening tools for use with people with intellectual disabilities was undertaken.

Results
Seven studies (using six screening tools) met the review inclusion criteria. Mostly studies were limited by no defined dysphagia criteria, no verification of tools with a gold reference standard (e.g., videofluoroscopic examination) and lack of participant diversity (small samples, narrow age range, severity of intellectual disability or limited settings).

Conclusions
There is urgent need for development and rigorous appraisal of existing dysphagia screening tools to meet the needs of a wider range of people with intellectual disabilities (particularly mild-to-moderate severity) and in wider settings.

Journal Article Type Article
Acceptance Date Jan 3, 2023
Online Publication Date Feb 16, 2023
Publication Date 2023-05
Deposit Date Jan 30, 2023
Publicly Available Date Feb 17, 2023
Print ISSN 1360-2322
Electronic ISSN 1468-3148
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 36
Issue 3
Pages 429-447
DOI https://doi.org/10.1111/jar.13076
Keywords aspiration, dysphagia, intellectual disability, scoping review, screening tool

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