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Mini‐EDACS: development of the Eating and Drinking Ability Classification System for young children with cerebral palsy

Lookup NU author(s): Professor Lindsay Pennington



Aim: Eating and Drinking Ability Classification System (EDACS) was developed to classify function of people with cerebral palsy (CP) in five levels from three years old. This study aimed to develop and test Mini‐EDACS to describe developing eating and drinking abilities of children with CP aged between 18 and 36 months. Methods: Mini-EDACS was developed in 3 stages: i)EDACS was modified after application to videos of standardised feeding evaluations of children with CP aged 18-36 months (n=130); ii)refined content and validity of Mini‐EDACS was established through an international Delphi survey; iii)inter‐observer reliability was assessed by comparing Mini-EDACS levels assigned by speech and language therapists (SaLTs) from video data and parent report. Results: Mini‐EDACS provides age‐appropriate descriptions for children 18-36 months with CP. 89 stakeholders participated in the Delphi survey; required levels of agreement were met after one round (i.e. >80% agreement). 13 SaLTs completed paired ratings from 43 video recordings: absolute agreement: 58%; kappa: 0.43; ICC: 0.78 (95% CI 0.63-0.87). Interpretation: Mini-EDACS provides a valid system for classifying eating and drinking performance of children with CP under three years old. Results suggests moderate agreement and good reliability when rating Mini-EDACS level from video recordings of young children with CP.

Publication metadata

Author(s): Sellers D, Pennington L, Bryant E, Benfer K, Weir K, Aboagye S, Morris C

Publication type: Article

Publication status: Published

Journal: Developmental Medicine and Child Neurology

Year: 2022

Issue: ePub ahead of Print

Online publication date: 29/01/2022

Acceptance date: 04/01/2022

Date deposited: 04/02/2022

ISSN (print): 0012-1622

ISSN (electronic): 1469-8749

Publisher: Wiley-Blackwell Publishing Ltd.


DOI: 10.1111/dmcn.15172


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