{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:01:09Z","timestamp":1790038869695,"version":"4.0.1"},"reference-count":50,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"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":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The Leg Ulcer Measurement Tool is a clinician\u2010rated instrument designed to assess wound characteristics and monitor healing in patients with leg ulcers. No validated Persian version exists for use in Iranian healthcare settings. This study aimed to culturally adapt the tool into Persian and evaluate its clinimetric properties. This methodological study was conducted between December 2024 and October 2025 in Iran. Cross\u2010cultural adaptation included forward translation, synthesis, back\u2010translation, expert review and pilot testing. Face and content validity were assessed qualitatively and quantitatively. Construct validity was examined via comparison with the Bates\u2010Jensen Wound Assessment Tool and known\u2010groups analysis based on ulcer severity. Predictive validity was evaluated using logistic regression for amputation and healing outcomes. Intra\u2010 and inter\u2010rater reliability were assessed using kappa, Gwet's AC, percent agreement and intraclass correlation coefficients. Predictive accuracy for amputation was analysed with receiver operating characteristic curves. All items demonstrated acceptable face and content validity. Severe ulcers showed significantly higher scores than mild\/moderate ulcers (\n                    <jats:italic>p<\/jats:italic>\n                    &lt;\u20090.001). Convergent validity with the comparative tool was high (\n                    <jats:italic>r<\/jats:italic>\n                    =\u20090.96\u20131.00) and total scores were strongly correlated (\n                    <jats:italic>r<\/jats:italic>\n                    =\u20090.864,\n                    <jats:italic>p<\/jats:italic>\n                    &lt;\u20090.001). Higher baseline scores predicted increased odds of amputation (odds ratio\u2009=\u20091.13) and lower odds of complete healing (odds ratio\u2009=\u20090.93). Reliability was excellent (intraclass correlation coefficient &gt;\u20090.99) and predictive accuracy for amputation was good (area under the curve\u2009=\u20090.80). The Persian Leg Ulcer Measurement Tool is valid, reliable and clinically accurate for assessing wound characteristics and predicting outcomes in Iranian patients, supporting its use in clinical practice and research.\n                  <\/jats:p>","DOI":"10.1111\/iwj.70980","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:50:18Z","timestamp":1782719418000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Validation and Clinimetric Properties of the Persian Version of the Leg Ulcer Measurement Tool"],"prefix":"10.1111","volume":"23","author":[{"given":"Qasem","family":"Hajilo","sequence":"first","affiliation":[{"name":"Student Research Committee, Baqiyatallah University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manigeh","family":"Dehi","sequence":"additional","affiliation":[{"name":"Department of Nursing Maragheh University of Medical Sciences  Maragheh Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Jamshidi","sequence":"additional","affiliation":[{"name":"Department of Nursing School of Nursing and Midwifery, Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5899-4744","authenticated-orcid":false,"given":"Mehdi","family":"Raei","sequence":"additional","affiliation":[{"name":"Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7788-7063","authenticated-orcid":false,"given":"Mehdi","family":"Jafari\u2010Oori","sequence":"additional","affiliation":[{"name":"Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0268355513477066"},{"issue":"22","key":"e_1_2_13_3_1","first-page":"733","article-title":"The Differential Diagnosis of Leg Ulcers","volume":"121","author":"Dissemond J.","year":"2024","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2478\/picbe-2025-0155"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/15347346241246339"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2003.05222.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810206"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hch075"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453678308996562"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7452.1358"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/dermatopathology11010007"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14272"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13410-024-01400-x"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2018.10.005"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0329-y"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-022-00377-3"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAT.0000000000000050"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12100"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000438020.28853.c1"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129334-200405000-00018"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-36342013000100009"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-10873-9"},{"issue":"1","key":"e_1_2_13_24_1","first-page":"5","article-title":"Content Validity: Definition and Procedure of Content Validation in Psychological Research","volume":"30","author":"Roebianto A.","year":"2023","journal-title":"Testing, Psychometrics, Methodology in Applied Psychology"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1027\/1015-5759\/a000777"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6570.1975.tb01393.x"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198611000-00017"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20147"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_13_30_1","unstructured":"J. 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