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Inter- and intrarater reliability of the Eating and Drinking Ability Classification System in Sweden
Region Östergötland, Local Health Care Services in West Östergötland, Habiliteringen.
Centre for Clinical Research, Uppsala University-Region Västmanland, Västerås, Sweden; Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.ORCID iD: 0000-0001-8373-1017
2025 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 47, no 16, p. 4262-4266Article in journal (Refereed) Published
Abstract [en]

 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.

Place, publisher, year, edition, pages
Taylor & Francis , 2025. Vol. 47, no 16, p. 4262-4266
Keywords [en]
EDACS; cerebral palsy; dysphagia; reliability; reproducibility of results
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:liu:diva-215652DOI: 10.1080/09638288.2024.2439011ISI: 001377654100001PubMedID: 39668731Scopus ID: 2-s2.0-85211914931OAI: oai:DiVA.org:liu-215652DiVA, id: diva2:1977397
Funder
Foundation for Assistance to Disabled People in SkaneAvailable from: 2025-06-26 Created: 2025-06-26 Last updated: 2025-08-17

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