TY - JOUR
T1 - Reliability and validity of DESIGN, a tool that classifies pressure ulcer severity and monitors healing.
AU - Sanada, H.
AU - Moriguchi, T.
AU - Miyachi, Y.
AU - Ohura, T.
AU - Nakajo, T.
AU - Tokunaga, K.
AU - Fukui, M.
AU - Sugama, J.
AU - Kitagawa, A.
PY - 2004/1
Y1 - 2004/1
N2 - OBJECTIVE: This study reviews the validity and reliability of DESIGN, a tool for classifying pressure ulcer severity and monitoring progression towards healing. Only the tool's healing progression component was evaluated. METHOD: Inter-rater reliability was evaluated by calculating the agreement rate of scores, based on eight photos of pressure ulcers and six actual ulcers, made by a panel of seven nurses. Validity was assessed, using the same eight photos, by comparing DESIGN scores with those made using the validated Pressure Sore Status Tool (PSST). RESULTS: The DESIGN inter-rater reliability results showed a high correlation of r = 0.98 for the photos and r = 0.91 for the real-life patients with pressure ulcers, respectively, for all seven raters based on total scores. For validity, a correlation greater than 0.91 was found between the DESIGN and PSST scores. CONCLUSION: Based on our results, DESIGN was found to have both high inter-rater reliability and high validity among the seven nurses who quantitatively evaluated the wound-healing progress of the pressure ulcers in this study.
AB - OBJECTIVE: This study reviews the validity and reliability of DESIGN, a tool for classifying pressure ulcer severity and monitoring progression towards healing. Only the tool's healing progression component was evaluated. METHOD: Inter-rater reliability was evaluated by calculating the agreement rate of scores, based on eight photos of pressure ulcers and six actual ulcers, made by a panel of seven nurses. Validity was assessed, using the same eight photos, by comparing DESIGN scores with those made using the validated Pressure Sore Status Tool (PSST). RESULTS: The DESIGN inter-rater reliability results showed a high correlation of r = 0.98 for the photos and r = 0.91 for the real-life patients with pressure ulcers, respectively, for all seven raters based on total scores. For validity, a correlation greater than 0.91 was found between the DESIGN and PSST scores. CONCLUSION: Based on our results, DESIGN was found to have both high inter-rater reliability and high validity among the seven nurses who quantitatively evaluated the wound-healing progress of the pressure ulcers in this study.
UR - http://www.scopus.com/inward/record.url?scp=1842830457&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=1842830457&partnerID=8YFLogxK
U2 - 10.12968/jowc.2004.13.1.26564
DO - 10.12968/jowc.2004.13.1.26564
M3 - Article
C2 - 14969021
AN - SCOPUS:1842830457
SN - 0969-0700
VL - 13
SP - 13
EP - 18
JO - Journal of wound care
JF - Journal of wound care
IS - 1
ER -