Author ORCID Identifier

Date Available


Year of Publication


Degree Name

Master of Science in Communication Sciences & Disorders (MSCSD)

Document Type

Master's Thesis


Health Sciences


Communication Sciences & Disorders

First Advisor

Dr. Debra Suiter


It is known that dysphagia impacts an individual’s health and quality of life. Due to this, early identification of dysphagia is crucial. There are many different dysphagia screening tools with no consensus. This study aimed to compare the two most frequently used dysphagia screenings, a patient-reported outcome measure (PROM), the EAT-10, and bolus-driven swallow screening, the Yale Swallow Protocol, to determine if one tool is superior in aspiration prediction on a videofluoroscopic swallow study (VFSS). This study also aimed to discover the best cutoff score on the EAT-10 for aspiration prediction. A total of 66 participants were recruited after physician referral for a VFSS at the University of Kentucky Voice and Swallow Clinic. Each participant completed the EAT-10, Yale Swallow Protocol, and a VFSS. The original EAT-10 cutoff score of 3 was found to have a sensitivity of 100% and specificity of 12.07%. Due to the poor specificity, this study discovered that the cutoff value of 19 balanced the sensitivity to 75% and specificity to 58.62%. The Yale Swallow Protocol was found to have a sensitivity of 87.5% and specificity of 62.07% which indicates that the bolus-driven swallow screening, the Yale Swallow Protocol, is superior in aspiration prediction.

Digital Object Identifier (DOI)