{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:04:28Z","timestamp":1791342268704,"version":"4.3.1"},"reference-count":72,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Advances in Wound Care"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Determine the validity and reliability of the LIMB-Q scales, Function, and Symptoms in patients with chronic lower extremity wounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach:<\/jats:title>\n                    <jats:p>\n                      Cognitive debriefing interviews with people with current or previous wounds were conducted to examine content validity. Scales were field-tested in an international sample of people with chronic lower extremity wounds sourced from an online platform (\n                      <jats:italic toggle=\"yes\">i.e.,<\/jats:italic>\n                      Prolific). Psychometric properties were examined using the Rasch Measurement Theory analysis. A test\u2013retest reproducibility study was performed, and construct validity was examined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Content validity was established after 10 cognitive interviews. A total of 233 people with lower extremity wounds (age 19\u201380 years, mean 39.3) participated in the field test. All 25 items tested demonstrated good fit to the Rasch model with ordered thresholds. One item had a fit residual outside \u00b12.5, but no items had significant\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      values after Bonferroni adjustment. Reliability was high with the person separation index, Cronbach alpha, and intraclass correlation coefficient values &gt;0.8. Strong correlations were found between the Function and Symptoms scales and EQ-5D dimensions measuring similar constructs as well as the EQ-5D global score. All hypotheses for construct validity were confirmed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Innovation:<\/jats:title>\n                    <jats:p>Patient-reported outcome measures are an important component of patient-centered care, as they capture the patient\u2019s perspective in a rigorous and reproducible way. Adding these two scales to the WOUND-Q provides a means to measure function and symptoms associated with lower extremity wounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These new WOUND-Q scales can be used to measure outcomes important to patients with lower extremity wounds in clinical settings and research studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/wound.2024.0035","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T08:46:56Z","timestamp":1716367616000},"page":"238-250","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The WOUND-Q Function and Symptoms Scales for Chronic Lower Extremity Wounds: A Validation Study"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6006-9753","authenticated-orcid":false,"given":"Nina Vestergaard","family":"Simonsen","sequence":"first","affiliation":[{"name":"Research Unit for Plastic Surgery, Department of Plastic Surgery, Odense University Hospital, University of Southern Denmark, Odense, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne F.","family":"Klassen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene","family":"Rae","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily R.","family":"Mundy","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotte","family":"Poulsen","sequence":"additional","affiliation":[{"name":"Research Unit for Plastic Surgery, Odense University Hospital, University of Southern Denmark, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea L.","family":"Pusic","sequence":"additional","affiliation":[{"name":"Department of Surgery and Patient-Reported Outcomes, Value &amp; Experience (PROVE) Center, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth L.","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, MedStar, MedStar Plastic and Reconstructive Surgery, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens Ahm","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Research Unit for Plastic Surgery, Department of Plastic Surgery, Odense University Hospital, University of Southern Denmark, Odense, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-475X.2009.00543.x"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045253"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2018.10.005"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.3527\/9\/jowm2023.24.02.sup01"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1296\/8\/jowc.2014.23.Sup5a.S1"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12387"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17177"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12683"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009283"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1296\/8\/jowc.2014.23.12.601"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12767"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-018-2082-2"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05568.x"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-5-44"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0198-1"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12872"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2021.107960"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.2337\/dci17-0029"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-4-79"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011589.pub2"},{"key":"e_1_3_6_22_2","unstructured":"Williams K Sansoni J Morris D et al. 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