Abstract
Study design
Cross-sectional psychometrics study.
Objectives
To determine the construct validity and internal consistency of the revised Skin Management Needs Assessment Checklist (revised SMnac).
Setting
Six spinal cord rehabilitation centers.
Methods
One-hundred and thirty-two community-dwelling individuals with spinal cord injury (SCI) were included. Construct validity was assessed by a Spearman’s rank correlation coefficient between the revised SMnac and several questionnaires: Rosenberg Self-Esteem Scale, Ways of Coping Questionnaire, Hospital Anxiety and Depression Scale (HADS), Braden scale; or clinical variables: educational level, presence of a pressure ulcer (PU), history of multiple PUs, time since injury, and pain.
Results
The study evidenced construct validity with a fair to moderate correlation coefficient between the revised SMnac and Rosenberg scale (rs = 0.25; p = 0.03), active coping (rs = 0.29; p = 0.001), HADS (rs = -0.43; p < 0.0001), and time since injury (rs = 0.49; p < 0.0001). The presence of PU and history of multiple PUs were strongly correlated with the revised SMnac score (respectively, p = 0.01 and 0.001). Internal consistency was excellent (α = 0.907).
Conclusion
These results show that the revised SMnac is a valid tool to assess PU self-management in individuals with SCI. Further studies are needed to assess the revised SMnac’s 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 Khial, and Mrs Bénédicte Clément for the translation.
The French SMNAC Group
Sarah Mathieu (Centre de Rééducation Fonctionnelle de Kerpape, Ploemeur, France), Toufik Bouchema (Centre de Rééducation Bouffard Vercelli, Cerbere, France)
Funding
This study was funded by the Paul Bennetot foundation.
Author contributions
GA supervised the design of the protocol, conducted the search, included patients, and wrote the manuscript, DA was involved in the design of the protocol, conducted the search, included patients, participated to the elaboration of the manuscript and reviewed the final manuscript, DJP was in charge of statistics, GD included patients, conducted the search, reviewed the manuscripts, ME included patients, conducted the search, reviewed the manuscripts, EP included patients, conducted the search, reviewed the manuscripts, KP author of the first scale, reviewed the different version, was involved in the writing of the manuscript and final editing, FC participated to the design of the protocol, MS conducted the search and included patients, and BT conducted the search and included patients.
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Gélis, A., Dupeyron, A., Daures, J.P. 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 56, 1069–1075 (2018). https://doi.org/10.1038/s41393-018-0156-1
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DOI: https://doi.org/10.1038/s41393-018-0156-1
