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Clinical Trial
. 2023 Dec 18:11:e16685.
doi: 10.7717/peerj.16685. eCollection 2023.

Psychometric validation of the Ostomy Skin Tool 2.0

Affiliations
Clinical Trial

Psychometric validation of the Ostomy Skin Tool 2.0

Gregor Jemec et al. PeerJ. .

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.

Keywords: Ostomy; Ostomy skin tool; Peristomal skin; Psychometric validation.

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Conflict of interest statement

During the investigation, Nana O. Herschend, Zenia Størling and Helle Doré Hansen were employed by Coloplast A/S, and Amy Findley, Abi Williams and Kate Sully were employed by Adelphi Values.

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