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Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires

Matthias Augustin, Katrin Baade, Kristina Heyer, Patricia E Price, Katharina Herberger, Thomas Wild, Michael Engelhardt, Eike S Debus, Tricia Price

International Wound Journal, Volume: 14, Issue: 6, Pages: 1299 - 1304

Swansea University Author: Tricia Price

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DOI (Published version): 10.1111/iwj.12803

Abstract

The study directly compared the feasibility and performance of three instruments measuring health‐related quality of life (HRQoL) in chronic ulcers: the Freiburg Life Quality Assessment for wounds (FLQA‐w), the Cardiff Wound Impact Schedule (CWIS) and the Würzburg Wound Score (WWS). The questionnair...

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Published in: International Wound Journal
ISSN: 17424801
Published: 2017
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URI: https://cronfa.swan.ac.uk/Record/cronfa48714
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first_indexed 2019-02-05T20:03:13Z
last_indexed 2019-07-18T21:30:16Z
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spelling v2 48714 2019-02-05 Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires 72b4943af96c97ef72977c31b9c29624 Tricia Price Tricia Price true false 2019-02-05 FGMHL The study directly compared the feasibility and performance of three instruments measuring health‐related quality of life (HRQoL) in chronic ulcers: the Freiburg Life Quality Assessment for wounds (FLQA‐w), the Cardiff Wound Impact Schedule (CWIS) and the Würzburg Wound Score (WWS). The questionnaires were evaluated in a randomly assigned order in a longitudinal observational study of leg ulcer patients. Psychometric properties (internal consistency, responsiveness and construct validity) were analysed. Patient acceptance was recorded. Analysis of n = 154 patients revealed good internal consistency (Cronbach's alpha ≥ 0·85) for all instruments. There were minor floor effects in all questionnaires (<1%) and some ceiling effects in the CWIS. Construct validity was satisfactory, for example, correlation with EuroQoL‐5D was r = 0·70 in the FLQA‐w, r = 0·47/0·67/0·68 in the CWIS dimensions and r = 0·60 in the WWS. The proportion of missing values was higher in the CWIS, and overall patient acceptance was highest in the FLQA‐w for wounds (54% best preferences) and lowest in the WWS (14%). In conclusion, the FLQA‐w, the CWIS and the WWS are reliable, sensitive and valid instruments for the assessment of HRQoL in leg ulcers. However, they show differences in clinical feasibility and patient acceptance. Journal Article International Wound Journal 14 6 1299 1304 17424801 6 12 2017 2017-12-06 10.1111/iwj.12803 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2023-06-28T15:27:20.7095044 2019-02-05T16:57:16.2513994 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Matthias Augustin 1 Katrin Baade 2 Kristina Heyer 3 Patricia E Price 4 Katharina Herberger 5 Thomas Wild 6 Michael Engelhardt 7 Eike S Debus 8 Tricia Price 9
title Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires
spellingShingle Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires
Tricia Price
title_short Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires
title_full Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires
title_fullStr Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires
title_full_unstemmed Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires
title_sort Quality-of-life evaluation in chronic wounds: comparative analysis of three disease-specific questionnaires
author_id_str_mv 72b4943af96c97ef72977c31b9c29624
author_id_fullname_str_mv 72b4943af96c97ef72977c31b9c29624_***_Tricia Price
author Tricia Price
author2 Matthias Augustin
Katrin Baade
Kristina Heyer
Patricia E Price
Katharina Herberger
Thomas Wild
Michael Engelhardt
Eike S Debus
Tricia Price
format Journal article
container_title International Wound Journal
container_volume 14
container_issue 6
container_start_page 1299
publishDate 2017
institution Swansea University
issn 17424801
doi_str_mv 10.1111/iwj.12803
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description The study directly compared the feasibility and performance of three instruments measuring health‐related quality of life (HRQoL) in chronic ulcers: the Freiburg Life Quality Assessment for wounds (FLQA‐w), the Cardiff Wound Impact Schedule (CWIS) and the Würzburg Wound Score (WWS). The questionnaires were evaluated in a randomly assigned order in a longitudinal observational study of leg ulcer patients. Psychometric properties (internal consistency, responsiveness and construct validity) were analysed. Patient acceptance was recorded. Analysis of n = 154 patients revealed good internal consistency (Cronbach's alpha ≥ 0·85) for all instruments. There were minor floor effects in all questionnaires (<1%) and some ceiling effects in the CWIS. Construct validity was satisfactory, for example, correlation with EuroQoL‐5D was r = 0·70 in the FLQA‐w, r = 0·47/0·67/0·68 in the CWIS dimensions and r = 0·60 in the WWS. The proportion of missing values was higher in the CWIS, and overall patient acceptance was highest in the FLQA‐w for wounds (54% best preferences) and lowest in the WWS (14%). In conclusion, the FLQA‐w, the CWIS and the WWS are reliable, sensitive and valid instruments for the assessment of HRQoL in leg ulcers. However, they show differences in clinical feasibility and patient acceptance.
published_date 2017-12-06T15:27:17Z
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