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ICF Application and Assessment Tool Analysis for Dysphagia Evaluation in Patients with Dementia: A Scoping Review
Bora Kim, Deok-Gi Hong. Journal of the Korean Dysphagia Society, 2025-12-30
Topic: Risk, prevention and care in population studies
Instrumental assessments (Videofluoroscopic Swallowing Study [VFSS], Fiberoptic Endoscopic Evaluation of Swallowing [FEES]) and the Water Swallow Test were most frequently used.ICF mapping revealed that 96.7% of tools focused on body functions, while only approximately 20% addressed participation and environmental factors.Self/caregiver-report questionnaires covered multidimensional domains but were limited by subjectivity, whereas instrumental assessments were objective but restricted to body functions. Current assessments prioritize physiological safety, often overlooking actual eating activities and environmental contexts.Future research should focus on developing ICF-based standardized observational tools to objectively assess eating behaviors, environmental factors, and body functions.This approach will support occupational therapist-led integrated rehabilitation to improve the quality of life of patients.(J
Key findings
- Instrumental assessments (Videofluoroscopic Swallowing Study [VFSS], Fiberoptic Endoscopic Evaluation of Swallowing [FEES]) and the Water Swallow Test were most frequently used.ICF mapping revealed that 96.7% of tools focused on body functions, while only approximately 20% addressed participation and environmental factors.Self/caregiver-report questionnaires covered multidimensional domains but were limited by subjectivity, whereas instrumental assessments were objective but restricted to body functions.
- Current assessments prioritize physiological safety, often overlooking actual eating activities and environmental contexts.Future research should focus on developing ICF-based standardized observational tools to objectively assess eating behaviors, environmental factors, and body functions.This appr
Why it matters
This review of swallowing assessment tools found most focus on body functions and few address eating activities or the person's environment. It calls for new standardised tools to guide rehabilitation and improve quality of life, but reports no treatment or cure.
Study details
- Effect size96.7%
- Evidence strengthLow
How this study scored 32/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the Korean Dysphagia Society) |
| Journal's citation record | 0 / 4 | Journal of the Korean Dysphagia Society: journal h-index 6 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 0 / 4 | Last-listed author Deok-Gi Hong: h-index 4 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Seoul National University: institution h-index 1,053 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 32 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.34160/jkds.25.015
- Original source →
- Free full text: Journal of the Korean Dysphagia Society →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Kim, B., & Hong, D.-G. (2025). ICF Application and Assessment Tool Analysis for Dysphagia Evaluation in Patients with Dementia: A Scoping Review. Journal of the Korean Dysphagia Society. https://doi.org/10.34160/jkds.25.015
Vancouver
Kim B, Hong D.-G. ICF Application and Assessment Tool Analysis for Dysphagia Evaluation in Patients with Dementia: A Scoping Review. Journal of the Korean Dysphagia Society. 2025. doi:10.34160/jkds.25.015.
BibTeX
@article{kim2025-b106057e,
author = {Kim, Bora and Hong, Deok-Gi},
title = {{ICF Application and Assessment Tool Analysis for Dysphagia Evaluation in Patients with Dementia: A Scoping Review}},
journal = {Journal of the Korean Dysphagia Society},
year = {2025},
doi = {10.34160/jkds.25.015},
url = {https://doi.org/10.34160/jkds.25.015}
}
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