Abstract
Study design:
Cross-cultural adaptation and reliability study.
Objective:
To translate, evaluate the reliability and cross-culturally adapt the Skin Management Needs Assessment Checklist (SMnac), a questionnaire evaluating the knowledge on pressure ulcer (PU) prevention measures in persons with spinal cord injury (SCI).
Subjects:
138 persons with SCI, mean age 45.9 years, mean time since injury 94 months.
Material and method:
The study was carried out in two stages. First, the questionnaire went through a forward–backward translation process and was cross-culturally adapted, according to a validated methodology for self-reported measures. Then, the test–retest reliability was evaluated on a population of persons with SCI
Results:
The standardized back-translation and cross-cultural adaptation led to the revised Smack grid, with the addition of seven items representing an update of PU prevention measures. The reliability was excellent (intraclass correlation coefficient: 0.899).
Conclusion:
The revised SMnac is an adaptation of the SMnac, including therapeutic education frameworks and the latest PU prevention practices. It appears to be a reliable tool for assessing the knowledge and benefits of PU prevention in persons with SCI. Further studies are needed to explore its validity and responsiveness to change.
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Acknowledgements
We would like to thank the Fondation Paul Bennetot for its financial support, Mrs Sandrine Alonso for her precious help with database management, Mr Farid Khials, Mrs Bénédicte Clément and Mrs Teresa Sawyers for their translations, as well as the following physicians David Goossens, Dominique Gault, Jean Paul Pedelucq, Toufik Bouchéma and Eric Maupas for participating in this clinical study.
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Gélis, A., Daures, J., Benaim, C. 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 49, 653–658 (2011). https://doi.org/10.1038/sc.2010.177
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DOI: https://doi.org/10.1038/sc.2010.177
