{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T15:44:46Z","timestamp":1791215086880,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Diabetes related foot ulcers (DFU) are associated with significant physical, psychological and social dysfunction. Measuring the impact of treatments on patients' overall well\u2010being is vital to ensure care is holistic. This study aimed to validate the Wound\u2010Qol\u201014 quality of life assessment tool in people with a DFU. A single centre longitudinal prospective validation study in people with DFUs was conducted. Wound\u2010Qol\u201014, Diabetic Foot Ulcer Scale\u2014Short Form (DFS\u2010SF) and EuroQol 5 dimensions 5 levels (EQ\u20105D\u20105L) were completed by people with DFUs at baseline and 6\u2009months. Wound\u2010Qol\u201014 was repeated within 7\u2009days of the first questionnaire. Correlation coefficients with a cut off of \u2265\u20090.7 were used to assess convergent validity, divergent validity and responsiveness to changes in DFU severity. Reliability was assessed using Cronbach's\n                    <jats:italic>\u03b1<\/jats:italic>\n                    . The study aimed to recruit 100 people. One hundred and seven people were recruited. The mean age was 62 (SD 13) years and 85 (79.4%) were male. The mean DFU duration was 30 (SD 83) days and the mean DFU area was 6.2 (SD 10.7)\u2009cm\n                    <jats:sup>2<\/jats:sup>\n                    . Convergent validity was demonstrated in all domains of Wound\u2010Qol\u201014 and DFS\u2010SF (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009\u2212\u20090.695 to \u22120.799) except burden\/bothered about ulcer care domains (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009\u22120.443). There was moderate correlation between Wound\u2010Qol\u201014 domains and EQ\u20105D\u20105L dimensions (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.477\u20130.501). Cronbach's\n                    <jats:italic>\u03b1<\/jats:italic>\n                    ranged from 0.683 to 0.919 for the domains of Wound\u2010Qol\u201014. Wound\u2010Qol\u201014 was not responsive to changes in DFU severity (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009\u22120.291; 95% CI \u22120.501 to \u22120.048) but was responsive to healing status (healed 1.14 [IQR 0.86] vs. unhealed 1.86 [IQR 1.47];\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.017). Wound\u2010Qol\u201014 is a valid and reliable tool to measure disease\u2010specific quality of life in people with DFUs. Further work is needed to refine the responsiveness. EQ\u20105D\u20105L should be used to measure generic quality of life in people with DFUs.\n                  <\/jats:p>","DOI":"10.1111\/iwj.70816","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T06:22:49Z","timestamp":1773037369000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Validity, Reliability and Responsiveness of Wound\u2010\n                    <scp>QoL<\/scp>\n                    \u201014 Quality of Life Questionnaire in Patients With Diabetes Related Foot Ulcers"],"prefix":"10.1111","volume":"23","author":[{"given":"L.","family":"Hitchman","sequence":"first","affiliation":[{"name":"Faculty of Clinical Sciences Hull York Medical School Heslington UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Siracusa","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Hull University Teaching Hospitals Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Lathan","sequence":"additional","affiliation":[{"name":"Faculty of Clinical Sciences Hull York Medical School Heslington UK"},{"name":"Department of Vascular Surgery Hull University Teaching Hospitals Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Ravindhran","sequence":"additional","affiliation":[{"name":"Faculty of Clinical Sciences Hull York Medical School Heslington UK"},{"name":"Department of Vascular Surgery Hull University Teaching Hospitals Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Hull University Teaching Hospitals Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Smith","sequence":"additional","affiliation":[{"name":"Faculty of Clinical Sciences Hull York Medical School Heslington UK"},{"name":"Department of Vascular Surgery Hull University Teaching Hospitals Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Sidapra","sequence":"additional","affiliation":[{"name":"Faculty of Clinical Sciences Hull York Medical School Heslington UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. C.","family":"Chetter","sequence":"additional","affiliation":[{"name":"Faculty of Clinical Sciences Hull York Medical School Heslington UK"},{"name":"Department of Vascular Surgery Hull University Teaching Hospitals Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2025"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(11)60012-9"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci22-0043"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"56","article-title":"Quality of Life Aspectsassociated Withdiabetic Foot Ulcers: A Review","volume":"11","author":"Gilpin H.","year":"2008","journal-title":"Diabetic Foot Journal"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.09.007"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2015.12.001"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2010.00733.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14153"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890109002087"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2018.05.010"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2012.02.008"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200321170-00004"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12193"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14505"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-025-00935-9"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.25270\/wnds\/24184"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70009"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-021-02822-4"},{"key":"e_1_2_9_20_1","unstructured":"C.Blome \u201cWound\u2010Qol\u201014 User Manual \u201d2022 accessed December 18 2025 https:\/\/www.wound\u2010qol.com\/wp\u2010content\/uploads\/User\u2010manualWound\u2010QoL2022\u201009\u201014.pdf."},{"key":"e_1_2_9_21_1","unstructured":"V.KhouryandMapi Research Trust \u201cDiabetic Foot Ulcer Scale\u2014Short Form Information Booklet Edition 2 \u201d2015 accessed December 18 2025 https:\/\/eprovide.mapi\u2010trust.org\/instruments\/diabetic\u2010foot\u2010ulcer\u2010scale\u2010short\u2010form."},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-89289-0"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3564"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(98)80065-8"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1094428120968614"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2021.06.002"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-007765"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2023.111061"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.06.011"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-018-2082-2"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13543"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2023.0098"},{"issue":"3","key":"e_1_2_9_33_1","article-title":"Quality of Life Assessment in Chronic Wound Patients Using the Wound\u2010QoL and FLQA\u2010Wk Instruments","volume":"38","author":"Vogt T. 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