Validity and Internal Consistency of the Thai Version of a Revised Skin Management Needs Assessment Checklist in People with Spinal Cord Injury: Initial psychometric studies
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Abstract
OBJECTIVE This study aims to cross-culturally translate the revised Skin Management Needs Assessment Checklist (revised SMnac) into Thai (revised SMnac-TH), to evaluate its content validity and internal consistency and to determine the relationship between the revised SMnac-TH score and the occurrence of pressure injuries.
METHODS The study design is a descriptive cross-sectional study. It was conducted at the Inpatient and Outpatient Rehabilitation Medicine Department of Maharaj Nakorn Chiang Mai Hospital, involving one hundred twenty-five Thai people age > 18 years old with spinal cord injury. The French version of the revised SMnac was translated into Thai following the standard guidelines for translation and cross-cultural adaptation. The content validity was evaluated by six experts in rehabilitation medicine. Each of the participants completed the revised SMnac-TH. The internal consistency was measured using Cronbach’s alpha coefficient. Logistic regression analysis was used to evaluate the relationship between the revised SMnac-TH score and the occurrence of pressure injuries.
RESULTS The index of item-objective congruence (IOC) of each item ranged from 0.83-1.00. The Cronbach’s alpha coefficient of the questionnaire was 0.923. The logistic regression analysis showed no correlation between the revised SMnac-TH score and the occurrence of pressure injuries.
CONCLUSIONS The revised SMnac-TH demonstrated high content validity and internal consistency. It proves to be a useful tool for evaluating pressure injury-related knowledge and skin protective behaviors among Thai individuals with spinal cord injury.
KEYWORDS pressure injury, spinal cord injury, patient education
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References
Shiferaw W, Akalu T, Mulugeta H, Aynalem Y. The global burden of pressure ulcers among patients with spinal cord injury: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2020;21:334. PubMed PMID: 32471497
Wilekha N, Kovindha A. A study of protective behaviors and risk factors of pressure ulcers in spinal cord injured patients. J Thai Rehabil Med. 2005;15:101-12.
Kovindha A, Kammuang-lue P, Prakongsai P, Wongphan T. Prevalence of pressure ulcers in Thai wheelchair users with chronic spinal cord injuries. Spinal Cord. 2015;53:767-71.
Poolpipat P, Intaratep N. Prevalence, factors and behaviors associated with pressure injuries in the independent wheelchair using patients with spinal cord injury. J DMS. 2022;47:36-43.
Muangdan C, Pattanakuhar S, Ratanapinunchai J. Functional independence of patients with spinal cord injury and related factors after inpatient rehabilitation. ASEAN J Rehabil Med. 2019;29:63-70.
Vecin N, Gater D. Pressure injuries and management after spinal cord injury. J Pers Med. 2022;12:1130. PubMed PMID: 35887627
Robineau S, Nicolas B, Mathieu L, Duruflé A, Leblong E, et al. Assessing the impact of a patient education programme on pressure ulcer prevention in patients with spinal cord injuries. J Tissue Viability. 2019;28:167-72.
Silva J da, Rodrigues M. Pressure ulcers in individuals with spinal cord injury: risk factors in neurological rehabilitation. Rev Rene [Internet]. 2020 Aug 18 [cited 2024 Sep 1];21:e44155. Available from: http://periodicos.ufc.br/rene/article/view/44155
Gélis A, Dupeyron A, Daures J, Goossens D, Gault D, et al. Validity and internal consistency of the French version of the revised Skin Management Needs Assessment Checklist in people with spinal cord injury. Spinal Cord. 2018;56:1069-75.
Scireproject.com [Internet]. Vancouver: SCIRE Professional spinal cord injury research evidence; c2024 [cited 2024 Sep 1]. Available from: https://scireproject.com
Berry C, Kennedy P, Hindson L. Internal consistency and responsiveness of the Skin Management Needs Assessment Checklist post-spinal cord injury. J Spinal Cord Med. 2004;27:63-71.
Gélis A, Daures J, Benaim C, Kennedy P, Albert T, et al. Evaluating self-reported pressure ulcer prevention measures in persons with spinal cord injury using the revised Skin Management Needs Assessment Checklist: reliability study. Spinal Cord. 2011;49:653-8.
Thomas D, Chui P, Yahya A, Yap J. Translation, cross-cultural adaptation and validation of the revised-Skin Management Needs Assessment Checklist questionnaire in Malay language. J Tissue Viability. 2022;31:465-73.
Bujang M, Omar E, Baharum N. A review on sample size determination for Cronbach’s alpha test: a simple guide for researchers. Malays J Med Sci. 2018;25:85-99.
Beaton D, Bombardier C, Guillemin F, Ferraz M. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25:3186-91.
Turner R, Carlson L. Indexes of item-objective congruence for multidimensional items. Int J Test. 2003; 3:163-71.
Phonphotthanamat W. A comparative study of verifying the content validity of a research instrument with the IOC, CVR and CVI. RSU Library Journal. 2022; 28:169-92.
Connelly L. Pilot studies. Medsurg Nurs. 2008;17:411-2.
Biering-Sørensen F, Charlifue S, Chen Y, New P, Noonan V, Post M, et al. International Spinal cord injury Core Data Set (version 3.0)-including standardization of reporting. Spinal Cord. 2023;61:65-8.
Terwee C, Bot S, de Boer M, van der Windt D, Knol D, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34-42.
Groah S, Schladen M, Pineda C, Hsieh C. Prevention of pressure ulcers among people with spinal cord injury: a systematic review. PM R. 2015;7:613-36.
