Abstract
Background
Peristomal skin complications (PSCs) pose a major challenge for people living with an ostomy. To avoid severe PSCs, it is important that people with an ostomy check their peristomal skin condition on a regular basis and seek professional help when needed.
Aim
To validate a new ostomy skin tool (OST 2.0) that will make regular assessment of the peristomal skin easier.
Methods
Seventy subjects participating in a clinical trial were eligible for the analysis and data used for the validation. Item-level correlation with anchors, inter-item correlations, convergent validity of domains, test-retest reliability, anchor- and distribution-based methods for assessment of meaningful change were all part of the psychometric validation of the tool.
Results
A final tool was established including six patient reported outcome items and automatic assessment of the discolored peristomal area. Follow-up with cognitive debriefing interviews assured that the concepts were considered relevant for people with an ostomy.
Conclusion
The OST 2.0 demonstrated evidence supporting its reliability and validity as an outcome measure to capture both visible and non-visible peristomal skin complications.
Peristomal skin complications (PSCs) pose a major challenge for people living with an ostomy. To avoid severe PSCs, it is important that people with an ostomy check their peristomal skin condition on a regular basis and seek professional help when needed.
Aim
To validate a new ostomy skin tool (OST 2.0) that will make regular assessment of the peristomal skin easier.
Methods
Seventy subjects participating in a clinical trial were eligible for the analysis and data used for the validation. Item-level correlation with anchors, inter-item correlations, convergent validity of domains, test-retest reliability, anchor- and distribution-based methods for assessment of meaningful change were all part of the psychometric validation of the tool.
Results
A final tool was established including six patient reported outcome items and automatic assessment of the discolored peristomal area. Follow-up with cognitive debriefing interviews assured that the concepts were considered relevant for people with an ostomy.
Conclusion
The OST 2.0 demonstrated evidence supporting its reliability and validity as an outcome measure to capture both visible and non-visible peristomal skin complications.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | 16685 |
| Tidsskrift | PeerJ |
| Vol/bind | 11 |
| Antal sider | 23 |
| ISSN | 2167-8359 |
| DOI | |
| Status | Udgivet - 2023 |
| Udgivet eksternt | Ja |
Bibliografisk note
Funding Information:The authors wish to extend a special thanks to the patients with PSCs and health care professionals who participated in the study and provided valuable insight into their experience of living with/managing patients with PSCs. Moreover, the authors would like to thank the members of the Skin Expert Panel and the Skin group project team at Coloplast for valuable inputs to the content and fruitful discussions throughout the development of the tool. Finally, the authors would also like to acknowledge Louise O’Hara for helping to conduct, analyse, and report findings from the CD interviews, and to Katie Tinsley who helped with reporting and interpretation of the psychometric evaluation findings. The study and this publication were developed and supported in full by Coloplast A/S. There was no additional funding received for this study. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
Copyright 2023 Jemec et al.