International study to develop the WOUND-Q patient-reported outcome measure for all types of chronic wounds

Anne F. Klassen, Emiel L.W.G. van Haren, Tert C. van Alphen, Stefan Cano, Karen M. Cross, Anne Margreet van Dishoeck, Kenneth L. Fan, Maarten Michael Hoogbergen, Dennis Orgill, Lotte Poulsen, Jens Ahm Sørensen, Lee Squitieri, Elena Tsangaris, Dalibor Vasilic, Andrea L. Pusic*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

22 Citations (Scopus)
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Abstract

Patient-reported outcome measures (PROMs) for chronic wounds mainly focus on specific types of wounds. Our team developed the WOUND-Q for use with all types of wounds in any anatomic location. We conducted 60 concept elicitation interviews with patients in Canada, Denmark, the Netherlands, and the United States. Analysis identified concepts of interest to patients and scales were formed and refined through cognitive interviews with 20 patients and input from 26 wound care experts. Scales were translated into Danish and Dutch. An international field-test study collected data from 881 patients (1020 assessments) with chronic wounds. Rasch measurement theory (RMT) analysis was used to refine the scales and examine psychometric properties. RMT analysis supported the reliability and validity of 13 WOUND-Q scales that measure wound characteristics (assessment, discharge, and smell), health-related quality of life (life impact, psychological, sleep impact, and social), experience of care (information, home care nurses, medical team, and office staff), and wound treatment (dressing and suction device). The WOUND-Q can be used to measure outcomes in research and clinical practice from the perspective of patients with any type of wound.

Original languageEnglish
Pages (from-to)487-509
Number of pages23
JournalInternational Wound Journal
Volume18
Issue number4
DOIs
Publication statusPublished - Aug 2021

Bibliographical note

Funding Information:
Phases I and II of this study were funded by research grants received from the Plastic Surgery Foundation. The authors have no financial interest to declare in relation to the content of this article. The authors thank the patients and health care staff who helped with the study at Brigham and Women's Hospital, St. Michael's Hospital, and Georgetown University School of Medicine. Lauren Bayer, Philip Brower, Mike Carr, Anouk Claessen, Seray Er Jessica Figueroa, Paul Hunter, Joanna O'Gorman, Lisa Van Den Berg, Anamika Veeramani, and Jonanna Woodman were instrumental in data collection at each site.

Publisher Copyright:
© 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.

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