{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T19:10:21Z","timestamp":1760037021702,"version":"build-2065373602"},"reference-count":26,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"SNUH Lee Kun-hee Child Cancer &amp; Rare Disease Project","award":["25C-036-0000"],"award-info":[{"award-number":["25C-036-0000"]}]},{"name":"KDCP research grant of the Korean Society of Pediatric Rehabilitation and Developmental Medicine","award":["25C-036-0000"],"award-info":[{"award-number":["25C-036-0000"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Feeding and swallowing difficulties are common in young children with cerebral palsy (CP), yet no validated tool has been available in Korea for those under 3 years. The Mini-Eating and Drinking Ability Classification System (Mini-EDACS) was designed for children aged 18\u201336 months. This study aimed to translate the Mini-EDACS into Korean and evaluate its reliability and validity. Methods: Translation followed international guidelines, including forward\u2013backward translation and Delphi consensus with experts in pediatric dysphagia. Forty-eight children with CP (mean age 27.1 \u00b1 5.0 months) were assessed. Caregivers and speech\u2013language pathologists (SLPs) independently rated Mini-EDACS and assistance levels. Inter-rater reliability was examined using Cohen\u2019s \u03ba. Construct validity was tested by Spearman\u2019s correlations with the Gross Motor Function Classification System (GMFCS), Mini-MACS, the Communication Function Classification System (CFCS), the Visual Function Classification System (VFCS), and the Functional Oral Intake Scale for Children (FOIS-C). Results: Agreement between caregivers and SLPs was excellent (\u03ba = 0.90; weighted \u03ba = 0.98). Assistance-level ratings also showed almost perfect concordance (\u03ba = 0.97). Mini-EDACS correlated strongly with FOIS-C (\u03c1 = \u22120.86, p &lt; 0.001) and with assistance levels (\u03c1 = 0.81, p &lt; 0.001). Moderate-to-strong positive correlations were observed with GMFCS (\u03c1 = 0.56), Mini-MACS (\u03c1 = 0.64), CFCS (\u03c1 = 0.61), and VFCS (\u03c1 = 0.61), supporting construct validity. Conclusions: The Korean Mini-EDACS is a reliable and valid tool for classifying eating and drinking abilities in children with CP under 3 years. It enables standardized communication between caregivers and clinicians, complements existing functional classification systems, and may facilitate earlier identification and intervention for feeding difficulties.<\/jats:p>","DOI":"10.3390\/children12101348","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T12:46:56Z","timestamp":1759841216000},"page":"1348","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cross-Cultural Adaptation and Validation of the Mini-Eating and Drinking Ability Classification System for Korean Children with Cerebral Palsy Aged 18\u201336 Months"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1791-1831","authenticated-orcid":false,"given":"You Gyoung","family":"Yi","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, College of Medicine, Ewha Womans University, Seoul 07804, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seoyon","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Ewha Womans University Seoul Hospital, College of Medicine, Ewha Womans University, Seoul 07804, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2011-8834","authenticated-orcid":false,"given":"Jeong-Yi","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7153-4937","authenticated-orcid":false,"given":"Dong-wook","family":"Rha","sequence":"additional","affiliation":[{"name":"Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1597-4137","authenticated-orcid":false,"given":"Juntaek","family":"Hong","sequence":"additional","affiliation":[{"name":"Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9829-8922","authenticated-orcid":false,"given":"Ja Young","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Daejeon 34134, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7198-5407","authenticated-orcid":false,"given":"Eun Jae","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul 05505, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9290-6173","authenticated-orcid":false,"given":"Bo Young","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, St. Vincent\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul 16247, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dae-Hyun","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Incheon St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul 21431, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"key":"ref_1","first-page":"35","article-title":"Nutritional status and prevalence of dysphagia in cerebral palsy: Usefulness of the Eating and Drinking Ability Classification System scale and correlation with the degree of motor impairment according to the Gross Motor Function Classification System","volume":"38","author":"Vecino","year":"2023","journal-title":"Neurol. 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