{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:58:27Z","timestamp":1765727907591,"version":"3.41.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T00:00:00Z","timestamp":1606867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fear is an under\u2010recognized issue in intervention adherence in head and neck cancer (HNC). We developed and validated a patient reported outcome for swallowing fear in HNC patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Items were adapted from the Tampa Scale for Kinesiophobia to swallowing function. A beta version was completed by 51 HNC patients undergoing chemo +\/\u2212 radiotherapy at baseline and post\u2010treatment. Psychometric and factor structure analyses were applied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Swallowing Kinesiophobia Scale (SWKS) demonstrated strong face and content validity, internal consistency, and test\u2010retest reliability. Factor analysis revealed three\u2010factors: somatic factor, swallow avoidance, and fear of harm. Factors correlated positively with depression score, worry scale, and anxiety and pain scales. Score differences between patient subgroups (dysphagic vs nondysphagic) confirmed discriminative validity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The SWKS is a psychometrically valid tool to identify patients with fear of swallowing and swallowing\u2010related movement. It can help identify patients early in treatment who may need additional support.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26573","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T07:02:14Z","timestamp":1606978934000},"page":"967-976","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Preliminary development and validation of a measure of fear of swallowing and swallowing\u2010related movement injury in head and neck cancer: Swallowing Kinesiophobia Scale"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3724-2818","authenticated-orcid":false,"given":"Giselle D.","family":"Carnaby","sequence":"first","affiliation":[{"name":"School of Communication Sciences &amp; Disorders, University of Central Florida  Orlando Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karishma","family":"Chhabria","sequence":"additional","affiliation":[{"name":"Department of Management Policy and Community Health, University of Texas Health Science Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)70287-1"},{"key":"e_1_2_8_3_1","first-page":"269","volume-title":"Psychooncology","author":"Greenberg DB","year":"1998"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28312"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.4715"},{"issue":"4","key":"e_1_2_8_6_1","first-page":"569","article-title":"Dysphagia prevention exercises in head neck cancer: Pharyngocise dose response study","volume":"27","author":"Carnaby GD","year":"2012","journal-title":"Dysphagia"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2011.06.1954"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9757-z"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780198525141.001.0001"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2217\/pmt.12.15"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(77)90041-9"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90082-5"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(90)90068-O"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1348"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3928\/0048-5713-20020901-06"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-2011-4"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-199103000-00053"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1054\/math.2002.0484"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.1.7063747"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2015.07.043"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2017.05.008"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-016-2990-x"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23255"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000356"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-012-9428-7"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/494196"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(83)90009-8"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.9.3.382"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2002.4.3\/tsteimer"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.07.001"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-006-9085-0"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2017.11.010"}],"container-title":["Head &amp; 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