{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T05:03:50Z","timestamp":1779771830508,"version":"3.53.1"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Self\u2010rating questionnaires provide a detailed overview of the symptomatic severity of post\u2010stroke dysphagia in the geriatric population; such assessment tools or the subjective evaluation of post\u2010stroke dysphagia are unavailable for Urdu\u2010speaking patients. Sydney Swallow Questionnaire (SSQ) is a reliable assessment tool used to evaluate the symptoms of dysphagia, especially among geriatric patients with oropharyngeal dysphagia. The purpose of this study was translation and cross\u2010cultural adaptation of the SSQ in Urdu and to assess its psychometric properties among post\u2010stroke dysphagia patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The SSQ was translated following the WHO Guidelines for Translation and Adaptation. Cognitive interviews and focused group discussions were conducted to evaluate the comprehension level of the questionnaire among Urdu\u2010speaking clinicians. After getting ethical approval from the Shifa Review Board, the final version was administered to 61 patients with post\u2010stroke dysphagia to assess the severity of the problem they faced during swallowing. Psychometric properties, including Cronbach's alpha reliability, test\u2010retest reliability, intra\u2010rater reliability, and scale validity index, were assessed to confirm the standardization of the questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Urdu version of SSQ had a Cronbach's alpha reliability of 0.941 with a\n                      <jats:italic>p<\/jats:italic>\n                      value of 0.000, which was very close to the original questionnaire. Test\u2010retest and inter\u2010rater reliability of SSQ\u2010Urdu (SSQ\u2010U) shows Cronbach's alpha reliability of 0.990 and 0.993, respectively. The final version fulfilled the criteria of psychometric properties, showing a Content Validity Index of 0.862 and a Scale Content Validity Index of 0.8.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results of cognitive interviews depicted that the Urdu\u2010translated final version of SSQ was close to the original version, and was easy to comprehend, and well accepted by both clinicians and post\u2010stroke dysphagia patients. The SSQ\u2010U proves to be a valid and reliable tool for assessing dysphagia among post\u2010stroke patients of Pakistan and can be used for academic, clinical, and research purposes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70020","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T02:50:38Z","timestamp":1745895038000},"page":"331-337","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Translation and Cross\u2010Cultural Adaptation of Sydney Swallow Questionnaire in Urdu and Its Psychometric Properties Among Post\u2010Stroke Dysphagia Patients"],"prefix":"10.1002","volume":"12","author":[{"given":"Syeda Amna","family":"Ejaz","sequence":"first","affiliation":[{"name":"Shifa Tameer\u2010e\u2010Millat University Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania","family":"Imran","sequence":"additional","affiliation":[{"name":"Primal Support Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4517-3418","authenticated-orcid":false,"given":"Anam","family":"Jamil","sequence":"additional","affiliation":[{"name":"Shifa Tameer\u2010e\u2010Millat University Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadia","family":"Furqan","sequence":"additional","affiliation":[{"name":"Shifa Tameer\u2010e\u2010Millat University Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Mehmood","sequence":"additional","affiliation":[{"name":"Shifa Tameer\u2010e\u2010Millat University Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2014.05.031"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","unstructured":"R.Fass \u201cApproach to the Evaluation of Dysphagia in Adults \u201dUpToDate29 (January 2020): 2021 https:\/\/doi.org\/10.1016\/j.amjmed.2015.04.026.","DOI":"10.1016\/j.amjmed.2015.04.026"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-011-9369-6"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-010-9272-6"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2014.38.5.592"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-020-01707-9"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0016-5085(99)70144-7"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0287512"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27693"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.31080\/ASGIS.2019.02.0076"},{"issue":"4","key":"e_1_2_11_12_1","first-page":"9","article-title":"The Burden of Dysphagia and Chest Infection in Acute Ischemic Stroke in a Tertiary Care Hospital of Islamabad Capital Territory","volume":"9","author":"Suhail R.","year":"2014","journal-title":"Pakistan Journal of Neurological Sciences (PJNS)"},{"issue":"10","key":"e_1_2_11_13_1","first-page":"1281","article-title":"Frequency of Post\u2010Stroke Dysphagia in Pakistan: A Hospital Based Study","volume":"66","author":"Ehsaan F.","year":"2016","journal-title":"Journal of the Pakistan Medical Association"},{"key":"e_1_2_11_14_1","volume-title":"Dysphagia. 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A.Matos \u201cThe Sydney Swallow Questionnaire: European Portuguese Translation \u201d 2018."},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-021-01000-9"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1044\/2022_AJSLP-21-00268"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-024-04484-3"},{"key":"e_1_2_11_28_1","volume-title":"Challenges, Solutions and Future Directions in the Evaluation of Service Innovations in Health Care and Public Health","author":"Gibbons E.","year":"2016"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.14916"}],"container-title":["World Journal of Otorhinolaryngology - Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70020","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjo2.70020","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T04:25:15Z","timestamp":1779769515000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjo2.70020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/wjo2.70020"],"URL":"https:\/\/doi.org\/10.1002\/wjo2.70020","archive":["Portico"],"relation":{},"ISSN":["2095-8811","2589-1081"],"issn-type":[{"value":"2095-8811","type":"print"},{"value":"2589-1081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,28]]},"assertion":[{"value":"2024-12-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}