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https://revistacefac.org.br/article/doi/10.1590/1982-0216/20262835525
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Cross-cultural adaptation and psychometric validation of the EAT-10pe in Peruvian adults

Adaptación transcultural y validación psicométrica del EAT-10pe en adultos peruanos

Belkis David Parra-Reyes; Ivan Ramos Gutarra

http://dx.doi.org/10.1590/1982-0216/20262835525 Revista CEFAC, vol.28, n3, e5525, 2026
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Abstract

Purpose: to validate the Peruvian version of the Eating Assessment Tool-10 (EAT-10pe) for assessing self-perceived dysphagia in Peruvian adults. This included translation, cultural adaptation, and evaluation of its psychometric properties in Peruvian adults with suspected or diagnosed oropharyngeal dysphagia.

Methods: the cultural adaptation included forward and back-translation, synthesis of the translation, review by a multidisciplinary expert committee, and a pilot test with 30 Peruvian adults. Internal consistency, construct validity, concurrent validity, and test-retest reproducibility were calculated for the psychometric evaluation in a sample of 120 participants (mean age: 64.7 years; 71.67% females).

Results: the EAT-10pe showed excellent internal consistency (Cronbach's alpha = 0.89) and a unidimensional structure that explained 58.4% of the total variance. Reproducibility was excellent, with an intraclass correlation coefficient of 0.92. It was significantly correlated with the volume-viscosity test (r = 0.67, p < 0.001) and clinical signs of aspiration (r = 0.53, p < 0.01).

Conclusion: the translation, cultural adaptation, and psychometric evaluation of the EAT-10pe in Peruvian adults with suspected or diagnosed oropharyngeal dysphagia proved it to be a brief, reliable, and valid instrument for assessing self-perceived dysphagia in adults.

Keywords

Dysphagia; Instrument Validation; Questionnaires; Reproducibility of Results; Patient Perception

Resumen

Objetivo: validar la versión peruana del cuestionario Eating Assessment Tool-10 (EAT-10pe) para evaluar la autopercepción de disfagia en la población adulta de Perú. Incluyendo la traducción, adaptación cultural y evaluación de sus propiedades psicométricas en adultos peruanos con sospecha o diagnóstico de disfagia orofaríngea.

Métodos: el proceso de adaptación cultural se incluyeron traducción directa e inversa, síntesis de la traducción, revisión por un comité de expertos multidisciplinario y una prueba piloto con 30 adultos peruanos. Para la evaluación psicométrica en una muestra de 120 participantes (edad media 64,7 años, 71,67% mujeres), se calculó la consistencia interna, la validez de constructo, la validez concurrente, y la reproducibilidad test-retest.

Resultados: el EAT-10pe mostró una excelente consistencia interna (Alfa de Cronbach = 0,89) y una estructura unidimensional que explicó el 58,4% de la varianza total. La reproducibilidad fue excelente con un coeficiente de correlación intraclase de 0,92. Se encontraron correlaciones significativas con el test volumen-viscosidad (r = 0,67, p < 0,001) y signos clínicos de aspiración (r = 0,53, p < 0,01).

Conclusión: la traducción, adaptación cultural y la valoración de sus propiedades psicométricas del Eating Assessment Tool-10 (EAT-10pe) en adultos peruanos con sospecha o diagnóstico de disfagia orofaríngea, resultó ser un instrumento breve, confiable y válido para evaluar la autopercepción de disfagia en adultos.

Palabras clave

Disfagia; Validación de Instrumentos; Cuestionarios; Estudios de Reproducibilidad; Percepción del Paciente

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Submitted date:
06/26/2025

Accepted date:
02/25/2026

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