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Gepubliceerd in: Journal of Foot and Ankle Research 1/2013

Open Access 01-05-2013 | Oral presentation

Is the clinical Queensland High Risk Foot Form valid or reliable for research?

Auteurs: Peter A Lazzarini, Vanessa Ng, Ewan M Kinnear, Maarten C Kamp, Suzanne S Kuys, Cameron Hurst, Lloyd Reed

Gepubliceerd in: Journal of Foot and Ankle Research | bijlage 1/2013

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Background

High-risk foot complications such as neuropathy, ischaemia, deformity, infections, ulcers and amputations consume considerable health care resources and typically result from chronic diseases. This study aimed to develop and test the validity and reliability of a Queensland High Risk Foot Form (QHRFF) tool.

Methods

Phase one involved developing a QHRFF using an existing diabetes high-risk foot tool, literature search, expert panel and several state-wide stakeholder groups. Phase two tested the criterion-related validity along with inter- and intra-rater reliability of the final QHRFF. Three cohorts of patients (n = 94) and four clinicians, representing different levels of expertise, were recruited. Validity was determined by calculating sensitivity, specificity and positive predictive values (PPV). Kappa and intra-class correlation (ICC) statistics were used to establish reliability.

Results

A QHRFF tool containing 46-items across seven domains was developed and endorsed. The majority of QHRFF items achieved moderate-to-perfect validity (PPV = 0.71 – 1) and reliability (Kappa/ICC = 0.41 – 1). Items with weak validity and/or reliability included those identifying health professionals previously attending the patient, other (non-listed) co-morbidity, previous foot ulcer, foot deformity, optimum offloading and optimum footwear.

Conclusions

The QHRFF had moderate-to-perfect validity and reliability across the majority of items, particularly identifying individual co-morbidities and foot complications. Items with weak validity or reliability need to be re-defined or removed. Overall, the QHRFF appears to be a valid and reliable tool to assess, collect and measure clinical data pertaining to high-risk foot complications for clinical or research purposes.
Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://​creativecommons.​org/​licenses/​by/​2.​0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Metagegevens
Titel
Is the clinical Queensland High Risk Foot Form valid or reliable for research?
Auteurs
Peter A Lazzarini
Vanessa Ng
Ewan M Kinnear
Maarten C Kamp
Suzanne S Kuys
Cameron Hurst
Lloyd Reed
Publicatiedatum
01-05-2013
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave bijlage 1/2013
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-6-S1-O23

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