Which measure is specifically used to document swallowing outcomes and overall severity on videofluoroscopic swallowing study imaging?

• A. FOIS
• B. PAS
• C. MBSImP
• D. DOSS

Answer: (D)

This measure provides a global rating of swallowing outcome and overall severity based on videofluoroscopic swallowing study imaging. It integrates both how safely and effectively a person swallows during the study and the observed functional impact, producing a single scale that can track changes over time. Because it summarizes safety and functional outcome into one score, it’s especially useful for documenting the overall status of dysphagia on VFSS and monitoring progression or improvement across serial studies. Other tools focus on specific aspects—FOIS on functional oral intake, PAS on airway invasion for individual swallows, and MBSImP on detailed impairment across swallow components—but this measure uniquely combines outcome and severity into a single global assessment on VFSS.