{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T02:44:33Z","timestamp":1785725073146,"version":"3.56.0"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007162","name":"Guangdong Provincial Department of Science and Technology","doi-asserted-by":"publisher","award":["2025A1212150016"],"award-info":[{"award-number":["2025A1212150016"]}],"id":[{"id":"10.13039\/501100007162","id-type":"DOI","asserted-by":"publisher"}]}],"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                    Diabetic foot ulcer (DFU) is associated with substantial morbidity and symptom burden that may be insufficiently captured by wound\u2010centred documentation. This study developed and psychometrically evaluated a brief DFU\u2010specific patient\u2010reported symptom burden scale. A two\u2010phase design was used. Phase I generated and refined items through literature review, semi\u2010structured interviews, Delphi consultation, and pilot testing. Phase II was a cross\u2010sectional validation study in a tertiary hospital in China, using a development sample (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009160) for item analysis and exploratory factor analysis and a validation sample (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009200) for confirmatory factor analysis, construct validity testing, and reliability assessment. The final scale included 23 items across six clinically interpretable domains and assessed symptom frequency, severity, and distress. The six\u2010factor structure explained 64.398% of variance and showed acceptable model fit (\n                    <jats:italic>\u03c7<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \/df\u2009=\u20091.987). Content validity was high (I\u2010CVI\u2009=\u20090.875\u20131.00; S\u2010CVI\/UA\u2009=\u20090.923; S\u2010CVI\/Ave\u2009=\u20090.990). Total scores correlated moderately with DFS\u2010SF scores (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.630). Reliability was satisfactory (Cronbach's\n                    <jats:italic>\u03b1<\/jats:italic>\n                    \u2009=\u20090.840; split\u2010half\u2009=\u20090.923; ICC\u2009=\u20090.983). The scale may support systematic symptom monitoring and symptom\u2010focused DFU care.\n                  <\/jats:p>","DOI":"10.1111\/iwj.70995","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:34:17Z","timestamp":1784594057000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Brief Patient\u2010Reported Symptom Burden Scale for Diabetic Foot Ulcer: Development and Validation"],"prefix":"10.1111","volume":"23","author":[{"given":"Kai","family":"Li","sequence":"first","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"},{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhui","family":"Dong","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Huang","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"},{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Jia","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"},{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binglei","family":"Li","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"},{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanqun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"},{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangrong","family":"Luo","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaowen","family":"Wu","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"},{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongrong","family":"Yan","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"},{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Jiang","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuihua","family":"Xie","sequence":"additional","affiliation":[{"name":"Nanfang Hospital, Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_2_12_3_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2025"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14840"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCID.S333660"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2013.06.003"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.12.336"},{"issue":"3","key":"e_1_2_12_8_1","first-page":"465","article-title":"Symptom Clusters and Their Effect on the Functional Status of Patients With Cancer","volume":"28","author":"Dodd M. 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